Wood Element = Liver and Gall Bladder
Liver- Gan
Functions
1. Rules Free flowing of Qi for:
a. Harmony of Emotions.
b. Harmony of Digestion.
c. Secretion of Bile.
d. Harmony of Menstruation.
2. Stores Xue.
3. Rules the Tendons.
4. Opens into the Eyes; Manifests in the Nails.
Stagnation Qi in Liver- Very common
Causes: . Emotional disharmony, especially depression,
frustration, irritability and anger.
Signs
Channel- Sighing. Feeling of obstruction in throat like a "plumstone"-
becoming worse with emotional upset. Facial color dark and dull.
Sensation of distention in hypochondrium and chest. Emaciation. Emotions-
Depression, frustration, irritation and anger.
Digestion- Poor appetite, poor digestion, nausea, belching,
sour regurgitation and vomiting, epigastric pain, abdominal distention
and pain, borborygmus, loose stools.
Bile- Jaundice, bitter taste, vomiting yellow fluid. Rib pain.
P- wiry. T- normal or purplish.
Treatment: Invigorate Gan Qi, and to disperse stagnation.
Points
Taichong- Liv 3 Invigorates Liv, and regulates circulation
or Qi and Xue; relieves pain.
Xingjian- Liv 2 Cool and harmonise Liv.
Hegu- LI 4 Clears the channels and suppresses pain.
Gongsun Sp 4 Regulates Spleen and Stomach; relieves pain.
Diji- Sp 8 Accumulation point of Spleen; regulated Xue and
uterus, especially for dysmenorrhea.
Qimen Liv 14 Especially for pain in hypochondriac and breast
region.
Rugen- St 18 Specific for breast problems.
Herbs: Bie Jia Jian wan- Turtle shell pill.
(JM,JR).
Stagnation of Qi in Liver channel.
Causes: Emotional frustration and pressed anger. Sometimes
external perverse Dampness & Heat or inappropriate diet.
Signs
Distention and pain in sides, Suffocating sensation in
chest, tendency to sigh, melancholy, depression, anxiety, irritability,
sudden inappropriate anger. T- scanty white coating. P- wiry.
Associated western medical conditions: Neurosis. Menstrual
disorders. Premenstrual tension. Mastitis. Goiter.
Treatment: Soothe Liver and clear stagnation.
Points
Taichong- Liv 3 Shu- stream, Yuan- source point. Clear
Qi obstruction in channel- ribs and hernia.
Xingian- Liv 2 Cool and Clear Qi obstruction in channel-
ribs and hernia.
Zhongfeng- Liv 4 Hernia and lower abdominal pain.
Ligou Liv 5 Irregular menses, hernia.
Qimen- Liv 14 Pain in chest, ribs.
Zhangmen- Liv 13 Pain in chest, ribs. Used for treating
blockage in Daimai.
Sanjinjiao- Sp 6 Irregular menses, dymenorrhea, hernia.
Ganshu- Bl 18 Back- Shu point of Liver. Pain in sides,
ribs.
Qiuxu- GB 40 Distention & pain in chest & sides,
hernia, tendency to sigh.
Foot-Linqi- GB 41 Master point of Daimai. Pain in ribs,
distention & pain in breasts, mastitis, menstrual disorders.
Neuguan- PC 6 Suffocating sensation in chest, for melancholy
and anxiety. "Plum-stone throat".
Zhigou- SJ 6 Pain in chest and ribs. "Plumstone thoat".
Herbs: Chai Hu Shu Gan San = Bupleurum soothe Liver
powder.
(JM).
Liver Yang Hyperactivity
Signs:
Deficient Liv Yin- Palms and soles hot, insomnia, dry eyes,
spots in visual field, dizziness, dry mouth. Headache- Distending, throbbing
headache, especially in temples and/or vertex; tinnitus.
Emotions- Anger and irritability.
Tendons- Numbness, spasm, tremor.
T- Red with little coat, perhaps dry. P- Wiry and rapid. Can
be floating if hyperactive Yang predominates.
Treatment: Pacify Liv Yang, and to nourish Liv Yin.
Points
Taichong- Liv 3 Pacify hyperactive Liv Yang. More chronic.
Xingjian- Liv2 Pacify hyperactive Liv Yang. More acute.
Fengchi- GB 20 Pacifies Yang in the head, and benefits the
eyes.
Baihui- Du 20 Pacifies Liv, Yang and mind.
Herbs: Long Dan Xie Gan Wan.
(JR).
Liver Fire Flaring up
Causes: Long term Liver Qi stagnation which transforms
into Fire. Excessive smoking and alcohol generate Heat which tranforms
into Fire. Extreme emotions transform into Fire.
Signs:
Full fire- Thirst.. Constipation..-dry stools. Dry mouth. Dark
urine. Red face. Red eyes.. Insomnia.. Hemorrhage.
Head- Severe, splitting headaches.. Dizziness. Sudden tinnitus..,
or deafness..
Emotions- Violent anger.. Restlessness.
Liver invades Spleen and Stomach- Bitter taste.. Sour regurgitation..
Nausea. Pain in hyperchondrium.
May be pain in ribs.
T- Red tip and edges. Thick, dry, rough, yellow coating. P-
wiry rapid and forceful.
Associated western conditions: Migraine headaches. Essential
hypertension. Hemorrhage from upper digestive tract. Acute conjunctivitis.
Glaucome. Retinal hemorrhage. Aural vertigo = Meniere's syndrome. Labrynthitis,
otitis media.
Points
Xingjian- Liv 2 Rong- Spring point. Drain Liver fire..
Ganshu- Bl 18 Back- shu point for Liver.
Danshu- Bl 19 Back- shu point for Gall Bladder. Reduces fire
in Liver & GB.
Head- Wangu- GB 12 Reduces Fire in Live & GB- for
insomnia & headache.
Fengchi- GB 20 Pacifies Liver and Yang and Heat in the
Head.
Zanzhu- Bl 2 and Taiyang Bleed these point to disperse
Heat locally and pacify mind.
Guangming- GB 37 Reduces Fire in Liver and GB- for eyes.
Yanglingquan- GB 34 Clears Heat from Liver & GB.
Yongquan- Ki 1 Pacify Fire, strengthen Yin and Calm Shen.
Indicated for headache at vertex, vertigo, blurred vision and insanity.
Herbs- Long Dan Xie Gan Wan.
(JM,JR).
Damp Heat in Liver and GB
Causes: Transformation and Transportation function
of Spleen being impaired from external Damp or invasion by Liver leads
to formation of internal Damp. Depression of Liver Qi may lead to Damp
stagnation producing Heat. This pattern is aggravated by consumption of
rich, greasy food and alcohol.
Depression of Liver Qi- Sensations of fullness and pain in ribs
on both sides.. Pain in right hypochondrium.. Bitter taste..
"Yang jaundice", sclera and skin bright yellow. Alternating chills
and fever.
In women- vaginal discharge with foul smell.
Pruritus vulvae
In men- pain, swelling and burning sensations
of testicles.
Liver Invades Spleen- Loss of appetite., nausea., vomiting sour.,
abdominal .
Heat- Fever, thirst. Dark urine..
T- Red with greasy yellow coat. P- Wiry, rapid and slippery.
Associated Western conditions: Acute hepatitis. Cholecystitis.
Cholelithiasis. Cirrhosis of Liver. acute pancreatitis.
Points
Yanglingquan GB 34- Drain Damp Heat.
Daimai- GB 26 Strengthens Dai Mai and helps to eliminate
Damp Heat tandherefore discharge.
Qihai- Ren 6 Invigorates Qi circulation, reduces stagnation
and accumulation of Damp.
Sanjinjiao- Sp 6 Strengthens Spleen and eliminate Damp.
Yinlinguan Sp 9 Strenghtens Spleen to eliminate Damp Heat.
Zhongii Ren 3 Crossing point of Ren and Gan channels.
Ligou Liv 5 Lou- Connecting point of the Gan channel.
(JR,JM).
Liver Wind Stirring Internally
Wind is light and yang, and hence affects the upper body.
Internal and external Wind share these characteristics, but have very
different origins and signs, and do not generally give rise to each other.
Internal Wind is generally associated
with Liver disharmony, since it is sudden, irregular movement, the opposite
of the smooth, even flow promoted by the Liver. The disruptive effect
of these rapid, abnormal gusts and squalls of movement of the circulation
of Qi and Xue, may have drastic consequences, resulting in dizziness or
even loss of consciousness.
There are 3 types of Liver Wind according to cause:
I. Extreme Heat producing Wind.
II. Yin Xu and Hyperactive Yang producing Wind
III. Xue Xu and Liver Xue Xu producing Wind.
I. Extreme Heat
Signs: Severe high fever. Convulsions., rigidity. Neck
stiffness. Opisthotonos. Coma. Delirium. Oculogyric crisis. P- Wiry,
rapid full. T- Scarlet.
Associated Western conditions: Febrile diseases. Encephatilitis
B. Epidemic meningitis.
Treatment Principle: Reduce Heat and pacify Liver wind,
using reducing method and the bleeding of certain points. Moxa is contra-indicated.
Points
Fenchi- GB 20 Pacify Yang, Fire and Wind of Liver, and calm
the mind.
Taichong- Liv 3 Cool and regulate Fire and Wind of Liver.
Xingjian- Liv 2 Drains Heat from Liver.
Fengfu- Du 16 Pacifies Wind. Clears the mind.
Dazhui- Du 14 Clear Heat. Clears the brain.
Quche- LI 11 Eliminates Wind & cools Heat.
Renzhong- Du 26 Clears the senses, cools Heat and elminates internal
Wind.
Jing- Well points of the six hand channels.
Hegu- LI 4 Clears Heat, and thus relieves muscle spasms.
Baihui- Du 20 Extinguishes Liver Wind.
Herbs: Ling Yang Gou Teng Tang.
(JM,JR).
Liver Blood Xu
Cause: Hemorrhage. Chronic disease consumes Blood.
Signs: Pale sickly yellow face.. Pale lips. Blurrred or failing
vision.. Spots before eyes.. Dizziness.. Dry eyes.. Pale nail bed..
Brittle nails. Irritability. Easily frightened. Insomnia with
much dreaming. Tinnitus. Numbness/weakness of the limbs.. Tremor.,
spasms., or involuntary movements = chorea. Involuntary shaking of
the head. Emaciation. Light menses or amenorrhea: late menses.. T-
Pale P- Wiry, Fine.
Treatment Principle: Nourish Liver and Reinforce Blood.
Ganshu- Bl 18 Back-Shu point of Liver..
Taichong- Liv 3 Yuan- Source point of Liver channel..
Geshu- Bl 17 Meeting point for Blood. More for Blood stagnation
than Blood Xu- but does treat dried Blood.
Pishu- Bl 20 Back- Shu point fo Spleen which is major source of
Blood production..
Sanyinjiao- Sp 6 Benefits Spleen & Kidney.
Guan yuan- Ren 4 Major point for nourishing.
Zusanli- St 36 Reinforces Spleen and Stomach..
Guangming- GB 37 Regulates Liver, clears vision.
Herbs: Bu Gan Tan, Si Wu Tang, Qi Ju Hua Huang Wan.
(JM).
Liver Yin Xu
Causes: Kidney Yin Xu due to Ki Jing insufficiency. Liver
Blood Xu- Blood does not nourish Yin. Chronic Illness.
Signs: Dizziness. Blurred vision. Impaired vision. Dry eyes. Night
blindness. Tinnitus. Headache. Nervousness. Insomnia with much
dreaming. Dry throat. Thirst. Five Heart Hot- Palms soldes and
centre of chest. Night sweats. Menses light of late. Ammenoorhea.
T- Red with little coating. P- wiry, fine and rapid.
Associated Western conditions: Neurosis. Essential hypertension.
Anicteric hepatitis. Menopause syndrome. Menstrual disorders. Chronic eye
disease.
Treatment principle: Nourish Yin and Nourish Liver.
Points
Ganshu- Bl 18 Back- Shu point for Liver.
Shenshu- Bl 23 Back- Shu point for Kidney- since Kidney Yin is the
source of Liver Yin.
Taichong- Liv 3 Yuan-source point.
Taixi- Ki 3 Yuan- source point.
Herbs: Yi Guan Jian.
(JM).