Keywords：专著资料, 全文在线浏览, 4. 白血病
Section Index
3. Liver Disease Differentiation
(1) Liver Qi Stagnation
Bitter taste in the mouth, dry throat, irritability, fullness and distension in the flanks, and a taut pulse are the basic symptoms of this condition. If accompanied by abdominal distension and loss of appetite, it is considered liver-stomach disharmony; if accompanied by a sensation of something stuck in the throat that cannot be swallowed or expelled, it is regarded as liver qi ascending (plum-bone qi). For liver qi stagnation, it is advisable to soothe the liver and relieve qi stagnation, using Chai Hu Shu Gan San (by Zhang Jingyue); for liver-stomach disharmony, soothe the liver and harmonize the stomach, using Xiao Yao San (from the “Bureau Formulas”); for liver qi ascending, soothe the liver and descend the qi, using Ban Xia Hou Pu Tang (by Zhang Zhongjing). When the liver is in good order, stagnation leads to transgression against the stomach (liver-stomach disharmony)—this is the first manifestation; when stagnation ascends and attacks the throat (plum-bone qi)—this is the second manifestation. Both are products of liver qi stagnation.
(2) Liver-Gallbladder Real Fire
Bitter taste in the mouth, dry throat, irritability, fullness and distension in the flanks, dizziness and headache, tinnitus and vertigo, flushed face and red eyes, palpitations and shortness of breath, short and reddish urine, and a taut, sensitive pulse—all call for clearing liver fire, using Long Dan Xie Gan Tang (from the “Medical Treasury”). This condition often arises from prolonged stagnation turning into fire, so the basic symptoms consist of two parts:
Part One: Academic Thought Published by Heji Book Publishing House
(3) Liver Yin Deficiency
Dizziness and vertigo, lower back pain and tinnitus, bone-steaming hot flashes, five-heart discomfort, night sweats, numbness and tremors in the limbs, red tongue with little coating, and a taut, thin pulse—all call for nourishing water and supporting wood, using Qi Ju Di Huang Wan. The liver and kidneys share the same origin; liver Yin draws nourishment from kidney Yin, so the manifestations of liver Yin deficiency comprise three parts:
| Kidney deficiency symptoms | Dizziness and vertigo, lower back pain and tinnitus |
| Yin deficiency group | Bone-steaming hot flashes, five-heart discomfort, night sweats |
| Yin not nourishing the sinews | Numbness and tremors in the limbs |
(4) Internal Liver Wind (All kinds of wind-induced dizziness are attributed to the liver)
| Extreme heat generating wind (fire and wind reinforcing each other) | High fever, palpitations, convulsions, syncope, and a taut, rapid pulse—drain fire and calm the mind, using Ling Yang Gou Teng Tang (by Yu Gen Chu) |
| Excessive yang generating wind (all sudden, violent movements are attributed to wind) | Severe headache, hemiplegia and aphasia, facial asymmetry, convulsions and coma—calm the liver and extinguish the wind, using Zhen Gan Xi Feng Tang (by Zhang Xichun) |
| Blood deficiency generating wind (blood not nourishing the sinews) | Tremors, numbness, and convulsions—nourish the blood and extinguish the wind, using Da Ding Feng Zhu (from the “Detailed Analysis of Warm Diseases”) |
(5) Cold Stagnation in the Liver Meridian
Lower abdominal pain, contraction of the scrotum, and heavy descent of the testicles—all call for warming the liver and dispelling cold, using Nuan Gan Jian (by Zhang Jingyue). The lower abdomen, scrotum, and testicles are all areas traversed by the Foot-Jueyin Liver Meridian.
This chapter is prepared for online research and reading; for external materials, please align with original publications and the review process.