clinical snapshots lv

7/28/2019 Clinical Snapshots LV

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NESAActions & Effects of the Points & Channels IIFall 2008Instructor: Meredith St. John, Lic. Ac.Clinical Snapshots LV Pathology

Conditions illustrated1. Liver qi stagnation2. Liver Fire3. LV Yang Rising headache4. LV SP5. LV ST6. LV qi/Blood stagnation7. Damp heat LV/GB channels8. LV Blood deficiency9. LV yin deficiency

1. Liver qi stagnation - headachechief complaint: severe, chronic headache at the temples

sharp pain, moves side to side, affects GB meridianworse during periods of stress

symptoms: ribside pain, plum pit qi, tight neck & shoulderstongue: normalpulse: wirydiagnosis: Liver qi stagnationtx strategy: regulate LV qi (release LV qi constraint,

move & soothe LV qi)

points:

2. Liver Fire - headachechief complaint: extremely severe headache related to stress as in LV qi

stagnation, same locationssymptoms: red face, red eyes, hot temper, any sx LV qi stagnationtongue: redpulse: wiry & rapiddiagnosis: Liver Fire

tx strategy: Quell LV Firepoints:


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3. Liver Yang Rising - headachechief 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 visiontongue: palepulse: thin & wirydiagnosis: LV Yang Rising/ Blood deficiencytx strategy: Anchor or subdue LV Yang, Nourish Bloodpoints:

4. LV qi stagnation with SP qi deficiency fatigue & irritabilitychief complaint: fatigue and irritability

tired all the time despite adequate sleep, tired > mealsworse stress

symptoms: reduced appetite, loose stoolsfeels chilly, vulnerable to coldirritable with family & at work

tongue: palepulse: weak overall, wiry 2nd position leftdiagnosis: Liver qi stagnation overacting on SP/ST

LV qi stagnation with SP qi deficiencytx strategy: tonify SP qi, regulate LV qipoints:


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5. Liver qi stagnation overacting on ST GI symptoms

chief complaint: irritability and GI distressbloating, heartburn, worse lately with increased stress,frequent episodes of feeling angry & difficulty letting it

subside.symptoms: bitter taste, belching, hungry again soon after eatingtongue: red, thin yellow coatpulse: wiry, rapiddiagnosis: Liver qi stagnation overacting on ST

LV qi stagnation with ST Fire, rebellious ST qitx strategy: regulate LV qi, quell ST Fire, descend ST qi

points:

6. Liver qi/Blood stagnation menstrual cramps, PMSchief complaint: menstrual cramps with PMS

severe lower abdominal pain 1st 1-2 days of flowbright red menstrual flow with dark, purple clots, pain relieved bypassage of clots.with irritability 1 week prior to the period, breast distention,relieved by onset of flow

symptoms: ribside pain, plum pit qitongue: purplepulse: wirydiagnosis: Liver qi/Blood stagnationtx strategy: Invigorate LV qi & Bloodpoints:


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7. Damp Heat LV channel genital herpes

chief complaint: red, raised, painful areas on the genitalssymptoms: or discharge with yellow, sticky mucustongue: red, thin yellow coat

pulse: wiry, rapid, slipperydiagnosis: Damp Heat LV channeltx strategy: Rid Damp & Clear Heatpoints:

8. LV Blood deficiency anxiety & depression, insomniachief complaint: low-level anxiety & depression, trouble falling asleep

symptoms: postural dizziness, dry skin, hair, and nailstongue: palepulse: weak, thindiagnosis: LV Blood deficiencytx strategy: Tonify or Nourish Bloodpoints:

9. LV/KI Yin deficiency insomniachief complaint: insomnia with frequent wakingsymptoms: blurred vision, dry eyes, malar flush, dark & scanty urinetongue: redpulse: floating & emptydiagnosis: LV/ KI yin deficiencytx strategy: Tonify or Nourish yinpoints:

clinical snapshots lv

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