TCM Liver Disease

Transcript TCM Liver Disease

Roger M Clemmons, DVM, PhD, CVA CDR, IRC, USPHS Aso Prof Neurology & Neurosurgery University of Florida [email protected]

http://neuro.vetmed.ufl.edu/chi-files/

TCM Liver Disease

  

Liver Physiology Liver Pathology Cases

Wood

 Sound  shout  Emotion  anger  Climate  windy-warm  Season  spring  Direction  east  Opening  eyes  Body Part  ligaments  Zang/Fu  LIV/GB

TCM

LIVER

Physiology

 Stores the Blood  Maintains the Smooth Flow of Qi & Blood  Controls the Sinews  Opens in the Eyes

TCM

LIVER

Physiology

 Stores the Blood     Acts to regulate blood volume Similar to WIM function of the liver (plus spleen function) Closely related to tolerance to tiredness Measure of athletic performance

TCM

LIVER

Physiology

 Maintains the Smooth Flow of Qi & Blood  Ensuring SP/ST digestive function   Maintaining vital activities of the body Maintaining smooth flow of water-damp

TCM

LIVER

Physiology

 Controls the Sinews    Moistens and nourishes the tendons and ligaments Ensures smooth joint movements Depends upon adequate LIV blood

TCM

LIVER

Physiology

 Opens in the Eyes    Meridian connection LIV yin & blood deficiency leads to dry eyes LIV heat leads to red, swollen eyes

Liver Patterns

TCM 24 Hour Clock

LIV 1-3 AM GB 11-1AM TH 9-11 PM PC 7-9 PM KID 5-7 PM BL 3-5 PM LU 3-5 AM LI 5-7 AM ST 7-9 AM SP 9-11 AM HT 11-1 PM SI 1-3 PM

Excess Deficiency

Liver Pattern

Liver Damp Heat Liver Fire Blazing Upwards Extreme Heat Generating Liver-Wind Retention of Cold in the Liver Meridian Liver Blood Deficiency Liver Yin Deficiency Internal Wind due to Liver Blood Def Internal Wind due to Liver Yin Def

Liver Damp Heat Liver Fire Blazing Upwards Extreme Heat Generating Liver-Wind

      

Retention of Cold in the Liver Meridian

                    

Jaundice Scanty dark yellow urine Swollen, hot, itchy, painful vagina, scrotum or prostate Tongue: Red or Yellow Pulse: Wiry and rapid Epistaxis Red, swollen, painful eyes Weak vision or Corneal opacity Ocular discharge Dry feces or constipation Thick, dark yellow urine Tongue: Red and dry Pulse: Wiry and rapid High fever Rigidity of Neck Tremors or Convulsions Opisthotonus or Coma Running into walls or circling Tongue: Red Pulse: Wiry and rapid Hind limb stiffness Cold ears and nose Cold trunk and limbs Swollen, cold scrotum and testes Swollen or painful prostate Infertility due to coldness in the uterus Tongue: Purple and wet Pulse: Deep and slow GB34, GB40-41, BL19, LI-11, SP-9 Yin Chen Hao plus LIV-3, GB-34, GB-1, Tai Yang, ST-1, GB-37 Snake & Dragon (Long Dan Xie Gan) GB-20, LIV-3, BL-17, SP-10, GB-41, GB-34, GV-14, LI-4, hemo-12 Ting points Ling Yang Gou Teng Moxa LIV-3 / 8 / 14, LIV-1, LIV-3, GB-34 Hui Xiang (Foeniculum powder)

Callie (3 yr F/S DLH)

 Jaundice  Anorexia  Dark yellow urine  Fever (103.5)  Tongue: Red/Yellow  Pulse: Wiry and rapid  Dx: Liver Damp Heat

Callie Treatment



Acupuncture

 GB34, GB40-41, BL19, LI-4, LI-11, SP-9, LIV-3, LIV-8 

Herbal

 Yin Chen Hao plus

Liver Blood Deficiency

    

Dry or cracked paws or hooves Dandruff Lethargy and prefers to lie on ground Tongue: Pale and dry Pulse: Wiry and thready Liver Yin Deficiency

     

Red eyes Tearing or watery eyes Slightly swollen eyelids Nebula Tongue: Red and dry Pulse: Thready or wiry and rapid Internal Wind due to Liver Blood Def

   

Tremor or convulsions Dandruff Tongue: Pale and dry Pulse: Weak and thready Internal Wind due to Liver Yin Def

     

Liver Yang Rising Wind Tremor or convulsions Prolonged low fever Night sweating Tongue: Red and Dry (no coating) Pulse: Weak and thready BL-18, SP-10, BL-17, SP-6 Si Wu Tang LIV-3, BL-18, BL-23, KID-3, SP-6 Liu Wei Di Huang Wan BL-18, SP-10, BL-17, SP-6, GB-20, GB-34, GV-21 Tian Ma San LIV-3, BL-18, BL-23, KID-3, SP-6, GB-20, GB-34, GV-21 Tian Ma plus

Bojangles (7 yr F/S Mix)

 Lethargic  Seeks cool, hard surfaces  Dry, brittle hair  Mild intention tremor  Tongue: Pale and dry  Pulse: deep, weak and thready particularly on left  Dx: Liver Blood Deficiency with Internal Wind

Bojangle Treatment



Acupuncture

 GB-20, LIV-3, SP-6, SP-10, BL-17, BL-18 

Herbal

 Si Wu Wan  Di Tan Tang Bu Xue Zi Feng Tang

Excess

Eye Pattern

Liver Heat Liver Stagnation

Deficiency

Liver & Kidney Yin Deficiency

Liver Heat

     

Conjunctivitis or keratitis Congestion of the conjunctival vessels Red or swollen eyes Clear to mucoid ocular discharge Tongue: Red Pulse: Wiry, rapid and surging Liver Stagnation

      

Swollen eyelids Ocular discharge Photophobia Miosis Nebula (blue or grey) or corneal opacity Tongue: Red or pale Pulse: Surging & fast or Deep & weak Fang Feng San Jue Ming Sna Bo Yun San (topically) Liver & Kidney Yin Deficiency

     

Atrophied pupil Scant, thick, mucoid discharge (at medial canthus) Corneal opacity Yellow or grey sclera Tongue: Red and dry Pulse: Weak and thready Qi Ju Liu Wei Di Huang Wan

One For the Money (2 yr M QH)

 Wood personality  Swollen, red, painful eyes  Congested conjunctival vessels  Scant, clear discharge  Tongue: Red  Pulse: Wiry, superficial and fast  Dx: Liver Heat (Liver Yang Rising)

One For the Money Treatment



Acupuncture:

 BL-2/1, LIV-1-3, GB-40, GB-44, LI-4, GV-14, ST-44/45, SP-6 

Herbal

 Fang Feng San

Pogo (3 yr M Rottweiler)

 Thick mucus discharge from eyes  Corneal opacification  KCS  Tongue: Red and dry  Pulse: Weak and thready (particularly on the right)  Dx: Liver & Kidney Yin Deficiency

Pogo Treatment



Acupuncture

 SP-6, SP-9, LI-4, LIV-3, KID-3, BL-23, BL-2/1, GB-1, ST-1 

Herbal

 Qi Ju Liu Wei Di Huang Wan