Kai Chen Ph.D. in
Chinese Medicine
TCM Dr. in British Columbia, Canada
205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada
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TCM Dr. in British Columbia, Canada 205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada |
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Chinese Medicine Liver Disorders In Chinese medicine,
liver is in the hypochondria and the functions are smoothing the qi movement and
blood storage. The causes of liver
disorders are mainly emotions, especially long-term depression and angry, and EPF
invading. The main symptoms and
signs of the disorders are hypochondria pain and distension, emotions, such as
grumpy and depression, jaundice, headache, dizziness and stroke, etc. 1. Hypochondriac pain It
is pain in one or both sides of the chest, which are the liver organ or liver
channels passing. 1.1
Etiologies and Pathogenesis Liver
qi stagnation Blood
stasis Dampness
and heat in the liver and gall bladder Liver
yin deficiency 1.2
Differentiations and Treatments 1.2.1
Liver qi stagnation Clinical
manifestation: Distending, wandering pain related with emotion, white fur and
taut pulse Treatment
principle: Soothing liver and regulating qi
Herb
formula: Chai Hu Shu Gan San 1.2.2.
Blood stasis Clinical
manifestation: stabbing fixed pain, purple tongue, un-smooth
and taut pulse Treatment
principle: Promoting blood circulation to remove blood stasis Herb
formula: Fu Yuan Huo Xue Tang 1.2.3.
Heat-damp stagnation Clinical
manifestation: hot pain, bitter taste in the mouth, red tongue with yellow and
rapid pulse Treatment
principle: clearing away heat and removing dampness Herb
formula: Long Dan Xie Gan Tang 1.2.4.
Yin deficiency Clinical
manifestation: chronic dull pain and yin-, red tongue, thin and rapid pulse
Treatment
principle: tonifying yin and soothing liver
Herb
formula: Yin Guan Jian 2. Jaundice It
is condition of the eyeballs, face, skin and urine becoming abnormally yellow. 2.1
Etiologies and Pathogenesis Dampness-heat
retention Spleen
and stomach deficiency Diet
disorders Toxin-heat 2.2
Differentiations and Treatments 2.2.1.
Yang type 2.2.1.1.
Heat more severe than damp Clinical
manifestation: Jaundice, bright yellow, fever, nausea and vomiting, red tongue
with yellow greasy fur, rapid pulse Treatment
principle: Dispersing hear and
resolving dampness Prescription:
Yin Chen Hao Tang 2.2.1.2.
Damp more severe than heat Clinical
manifestation: Jaundice, yellow but not so bright, more severe nausea and
vomiting, red tongue with yellow greasy fur, rapid pulse
Treatment
principle: Dispersing hear and
resolving dampness Prescription:
Yin Chen Wu Ling San + Gan Lu Xiao Du Dan 2.2.1.3
Acute Jaundice Clinical
manifestation: Acute jaundice, high fever, severe nausea and vomiting, coma,
dark red tongue with yellow greasy fur, rapid pulse Treatment
principle: Dispersing hear and
toxin Prescription:
Xi Jiao San 2.2.2.
Yin type Clinical
manifestation: Jaundice, dark yellow, white greasy fur
Treatment
principle: Dispersing cold and
resolving dampness Prescription: Yin Chen Zhu Fu Tang 3. Tympanites (Guzhang) It
is characterized by the distention of the abdomen like a drum. 3.1.
Etiologies and Pathogenesis Emotional
changes Diet
disorders Contact
with contaminated water Jaundice
and abdominal masses 3.2.
Differentiations and Treatments 3.2.1.
Stagnation of qi and retention of dampness
Clinical
manifestation: Distention abdomen, not hard, full pain, white greasy fur, taut
pulse Treatment
principle: Promoting qi circulation and removing dampness
Herb
formula: Chai Hu Shu Gan San or Welling Tang 3.2.2.
Retention of damp-cold Clinical
manifestation: Distention abdomen, edema,
white greasy fur, slow pulse Treatment
principle: Tonifying spleen and removing dampness Herb
formula: Shi Pi Yin 3.2.3.
Retention of damp-heat Clinical
manifestation: Distention abdomen, hard, red tongue with yellow greasy fur,
rapid pulse Treatment
principle: clearing away heat and removing dampness Herb
formula: Zhong Man Fen Qing Wan added Yin Chen Hao Tang 3.2.4.
Blood-stasis Clinical
manifestation: Distention abdomen, very hard, shape and fixed pain, purple
tongue, taut pulse Treatment
principle: Promoting qi and blood circulation
Herb
formula: Tiao Ying Tang 3.2.5.
Deficiency Clinical
manifestation: Chronic abdomen fullness, with deficiency symptoms Treatment
principle: Tonifying Zheng Herb
formula: Yang deficiency: Jin Gui Shen Qi Wan Yin
deficiency: Liu Wei Di Huang Wan 4. Headache 4.1
Etiologies and Pathogenesis Pathogenic
factors invading Internal
disorder: Emotional
changes Kidney
deficiency Blood
deficiency Phlegm
blocking Blood
stasis 4.2.
Differentiations and Treatments 4.2.1.
Pathogenic factors invading 4.2.1.1
Wind-cold Clinical
manifestation: sharp headache, cold worse and warm better, often with neck
sore, Treatment
principle: Dispersing wind-cold Herb
formula: Chuan Xiong Cha Tiao San 4.2.1.2
Wind-heat Clinical
manifestation: Hot, full and shape headache, cold better and warm worse, red
tongue with yellow fur Treatment
principle: Dispersing wind-heat Herb
formula: Qiong Zhi Shi Gao Tang 4.2.1.3
Wind-damp Clinical
manifestation: Heaviness sensation headache, greasy tongue fur
Treatment
principle: Dispersing wind-damp Herb
formula: Qiang Huo Shang Shi Tang 4.2.2.
Internal disorder 4.2.2.1
Liver yang hyperactivity Clinical
manifestation: Headache with dizziness, irritating, red tongue with yellow fur,
taut pulse Treatment
principle: Soothing liver and suppressing yang Herb
formula: Tian Ma Gou Teng Yin 4.2.2.2
Kidney deficiency Clinical
manifestation: Empty headache with dizziness, deep and weak pulse Treatment
principle: Tonifying kidney Herb
formula: Da Bu Yuan Jian 4.2.2.3
Blood deficiency Clinical
manifestation: Headache with dizziness, pale tongue, weak pulse Treatment
principle: Tonifying blood Herb
formula: Si Wu Tang 4.2.2.4
Phlegm Clinical
manifestation: chronic or repeated heaviness sensation headache,
often with dizziness, greasy fur Treatment
principle: Removing phlegm Herb
formula: Ban Xie Bai Zhu Tian Ma Tang 4.2.2.5
Blood stasis Clinical
manifestation: Fixed and stabbing headache, purple tongue Treatment
principle: Promoting blood circulation to remove blood stasis Herb
formula: Tong Qiao Huo Xue Tang 5.
Dizziness 5.1.
Etiologies and Pathogenesis Liver
yang hyperactivity Qi-blood
deficiency Kidney
essence deficiency Phlegmatic obstruction 5.2.
Differentiations and treatments 5.2.1
Liver yang hyperactivity Clinical
manifestation: dizziness, tinnitus, head distending pain, aggravated by angry,
bitter taste in the mouth, red tongue with yellow fur, wiry (taut) pulse Treatment
principle: Nourish yin and reduce hyperactivity liver yang Herb formulae: Tian Ma Gou Teng Yin 5.2.2
Qi-blood deficiency Clinical
manifestation: dizziness, blurred
vision, aggravated by overworking, pale tongue, weak pulse Treatment
principle: Tonify Blood and qi Herb formulae: Gui Pi Tang 5.2.3
Kidney essence deficiency Clinical
manifestation: senior dizziness, poor memory, Treatment
principle: Nourishing kidney
essence Herb formulae: Liu Wei Di Huang Wan 5.2.4
Phlegm obstruction Clinical
manifestation: dizziness, greasy tongue fur, slippery pulse Treatment
principle: Strengthen spleen and
remove phlegm Herb
formulae: Er Chen Tang 6.
Zhong Feng (Wind-stroke) Zhong
Feng is the condition due to qi-blood flow disorders, the channels blocked or
bleeding in the brain, manifested as suddenly lose consciousness, hemiplegia,
numbness or weak of limbs, deviation of mouth and eyes, speaking disorders, etc,
which often belonged to modern medical cerebral stroke. 6.1.
Etiologies and Pathogenesis Liver
yang qi hyperactivity Phlegm
blocking Qi
and blood deficiency Kidney
deficiency 6.2 Differentiations and treatments 6.2.1.
Liver yang hyperactivity suddenly Clinical
manifestation: Suddenly onset, hemiplegia, numbness or weak of limbs, deviation
of mouth and eyes, speaking disorders, often with severe dizziness, wiry pulse Treatment
principle: Subduing liver yang and
open channels Herb
formulae: Zhen Gan Xi Feng Tang 6.2.2
Hot-phlegm blocking Clinical
manifestation: Suddenly onset, hemiplegia, numbness or weak of limbs, deviation
of mouth and eyes, speaking disorders, often with constipation, dizziness, red
tongue with yellow greasy fur Treatment
principle: Draining phlegm and promoting bowel movement Herb
formulae: Xing Lou Cheng Qi Tang 6.2.3
Blood stasis and qi deficiency Clinical manifestation: acute or slowly onset or sequelae stage, hemiplegia, numbness or weak of limbs, deviation of mouth and eyes, speaking disorders, often with pale face, tired, short breath, pale tongue and weak pulse Treatment
principle: Tonifying qi, promoting blood circulation and opening channels Herb
formulae: Bu Yang Huan Wu Tang 6.2.4
Phlegm blocking Heart orifices Clinical
manifestation: suddenly onset, lost consciousness, with hemiplegia, but Zheng
qi still OK, pulse strong Treatment
principle: Removing phlegm and
opening orifices Herb
formulae: An Gong Niu Huang Wan 6.2.5
Yang qi Collapsed Clinical
manifestation: lost consciousness, with hemiplegia, incontinence bowel and
urine, very shallow and weak breath, cold limbs, very weak pulse Treatment
principle: Rescuing yang qi Herb
formulae: Shen Fu Tang Copyright by Kai Chen Ph.D. in Chinese Medicine |