Course:

Chart:

Diagnostics II
Liver and Gallbladder

Date:

October 31, 2007

Liver and Gallbladder

Liver Deficiencies
Liver Yin

Liver Blood Deficiency

Dry and itching eyes

Dizziness and vertigo
Dry throat and mouth
,Slight burning pain in hypochondriac region
Shivering four limbs
Five palm heat, tidal fever, flushes
Night sweating
Tongue: red with little or no fur (or mirror coating)
Pulse: wiry, thin, rapid
,Blurred vision, dry eyes, night blindness
Pale nails
Numbness of the limbs, muscle contractions, tendon and joint spasms
Shivering, contractions or spasms of muscles
Dizziness and vertigo
Scanty menstrual flow, infertility in females
Tongue: pale
Pulse: thin and weak

Liver Excesses
Liver Qi Stagnation

Liver Fire Flaring Up

Depression, stress, irritability, and anger

Sighing and stuffiness in the chest
Epigastric and abdominal distention and pain
,Distending or wandering pain in the costal and hypochondriac area
Poor appetite
Belching
Irregular menstruation, dysmenorrhea, and distention of the breasts
Tongue: thin white coating, could be purplish
Pulse: wiry, especially on the left side
Distending pain in head (aka, throbbing pain)
Redness, swelling, and pain in the eyes
Bitter taste and dryness in the mouth
Burning pain in the costal and hypochondriac area
Hematemesis and hemoptysis
Anger and irritability
Tongue: red with yellow coating
Pulse: wiry and rapid
Notes: liver fire can burn the liver yin causing liver yang rising

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Rising Liver Yang

Cold Retention in the

Liver Meridian

Severe dizziness and vertigo

Headache
Flushed face
Red eyes
Palpitations
Frequent irritability, agitation
Insomnia with dream disturbed sleep
Soreness and weakness of the lower back and knees
Tongue: scarlet to deep red, little coating
Pulse: wiry, rapid
Notes:
1) this condition can begin with
a. liver yin rising
b. kidney yin deficiency can come first, by 5 element theory,
water then fails to feed the wood element
2) can also be caused by an Excess condition sudden extreme anger
which makes the liver yang rise.
3) Pattern: Kidney Yin Deficiency causing Liver Yang Rising
Bearing down sensation in the lower abdomen involving testicles
Contracted sensation in the scrotum
Aggravated by cold
Alleviated by warmth
Tongue: white and slippery
Pulse: deep, wiry and slow

Stirring of Liver Wind in the Interior Causes

All are internal winds, stirred by liver dysfunction
Extreme heat
Stirring wind

Yin deficiency causing

Wind

Blood deficiency

High fever
Convulsions of limbs, neck rigidity, opisthotonus
Upward staring of the eyes
Coma
Tongue: red or deep red
Pulse: wiry, rapid, forceful
Tremulous limbs, especially hands/feet
Dizziness, tinnitus
Tidal fever, five palm heat, dry mouth and throat, emaciation, irritability
Tongue: red with cracks, little or no fur
Pulse: thin and rapid
Dizziness, tinnitus, pallor, pale nails
Tremulous limbs (more in hands/feet), muscle contractions, numbness
Tongue: pale, thin white coat
Pulse: thin

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Gallbladder
There are 2 gallbladder patterns
Damp Heat (Yang Huang) in
Liver and Gallbladder

Hypochondriac distension and pain

Bitter taste in the mouth (which can be liv, gb, or stomach ht)
Nausea
Vomitting
Abdominal distention
Scanty and yellow urine
Yellow sclera
Yellow skin on entire body, shiny look to skin
Fever (not usually high due to dampness)
Tongue: red body, sticky yellow coating
Pulse: rapid, wiry
This is basically a damp heat pattern which can produce hepatitis symptoms, or shingles (herpes zoster).
Look for the 3 yellows: skin, eyes, urine, all bright yellow
Disturbance of Phlegm due to
Gallbladder Stagnation

Irritability

Insomnia
,Palpitations with fear very specific to this pattern
Bitter taste in the mouth
Nausea or vomiting
Hypochondriac and chest tightness.
Dizziness
Tinnitus
Tongue: yellow and greasy coating
Pulse: wiry and slippery
Looks like heart fire, but definitive palpitations with fear sign. Also, heart fire will be insomnia with red
tip to tongue. Pattern is not widely seen unless you treat emotional problems.

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