NESA Actions & Effects of the Points & Channels II Fall 2008 Instructor: Meredith St. John, Lic.

Ac. Clinical Snapshots LV Pathology

Conditions illustrated
1. 2. 3. 4. 5. 6. 7. 8. 9. Liver qi stagnation Liver Fire LV Yang Rising headache LV SP LV ST LV qi/Blood stagnation Damp heat LV/GB channels LV Blood deficiency LV yin deficiency

1. Liver qi stagnation - headache chief complaint: severe, chronic headache at the temples sharp pain, moves side to side, affects GB meridian worse during periods of stress symptoms: ribside pain, plum pit qi, tight neck & shoulders tongue: normal pulse: wiry diagnosis: Liver qi stagnation tx strategy: regulate LV qi (release LV qi constraint, move & soothe LV qi) points:

2. Liver Fire - headache chief complaint: extremely severe headache related to stress as in LV qi stagnation, same locations symptoms: red face, red eyes, hot temper, any sx LV qi stagnation tongue: red pulse: wiry & rapid diagnosis: Liver Fire tx strategy: Quell LV Fire points:

3. Liver Yang Rising - headache chief complaint: severe, chronic headache related to stress, located on GB channel, or LV channel eyes or vertex symptoms: excess-type pain and some sx deficiency, eg., dryness, dizziness, blurred vision tongue: pale pulse: thin & wiry diagnosis: LV Yang Rising/ Blood deficiency tx strategy: Anchor or subdue LV Yang, Nourish Blood points:

4. LV qi stagnation with SP qi deficiency fatigue & irritability chief complaint: fatigue and irritability tired all the time despite adequate sleep, tired > meals worse stress symptoms: reduced appetite, loose stools feels chilly, vulnerable to cold irritable with family & at work tongue: pale pulse: weak overall, wiry 2nd position left diagnosis: Liver qi stagnation overacting on SP/ST LV qi stagnation with SP qi deficiency tx strategy: tonify SP qi, regulate LV qi points:

5. Liver qi stagnation overacting on ST GI symptoms chief complaint: irritability and GI distress bloating, heartburn, worse lately with increased stress, frequent episodes of feeling angry & difficulty letting it subside. symptoms: bitter taste, belching, hungry again soon after eating tongue: red, thin yellow coat pulse: wiry, rapid diagnosis: Liver qi stagnation overacting on ST LV qi stagnation with ST Fire, rebellious ST qi tx strategy: regulate LV qi, quell ST Fire, descend ST qi points:

6. Liver qi/Blood stagnation menstrual cramps, PMS chief complaint: menstrual cramps with PMS severe lower abdominal pain 1st 1-2 days of flow bright red menstrual flow with dark, purple clots, pain relieved by passage of clots. with irritability 1 week prior to the period, breast distention, relieved by onset of flow symptoms: ribside pain, plum pit qi tongue: purple pulse: wiry diagnosis: Liver qi/Blood stagnation tx strategy: Invigorate LV qi & Blood points:

7. Damp Heat LV channel genital herpes chief complaint: red, raised, painful areas on the genitals symptoms: or discharge with yellow, sticky mucus tongue: red, thin yellow coat pulse: wiry, rapid, slippery diagnosis: Damp Heat LV channel tx strategy: Rid Damp & Clear Heat points:

8. LV Blood deficiency anxiety & depression, insomnia chief complaint: low-level anxiety & depression, trouble falling asleep symptoms: postural dizziness, dry skin, hair, and nails tongue: pale pulse: weak, thin diagnosis: LV Blood deficiency tx strategy: Tonify or Nourish Blood points:

9. LV/KI Yin deficiency insomnia chief complaint: insomnia with frequent waking symptoms: blurred vision, dry eyes, malar flush, dark & scanty urine tongue: red pulse: floating & empty diagnosis: LV/ KI yin deficiency tx strategy: Tonify or Nourish yin points: