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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. Sound shout Emotion anger Climate windy-warm Season - PowerPoint PPT Presentation
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TCM Liver DiseaseTCM Liver Disease Liver PhysiologyLiver Physiology Liver PathologyLiver Pathology CasesCases
Roger M Clemmons, DVM, PhD, CVARoger M Clemmons, DVM, PhD, CVA
CDR, IRC, USPHSCDR, IRC, USPHS
Aso Prof Neurology & NeurosurgeryAso Prof Neurology & Neurosurgery
University of FloridaUniversity of Florida
http://neuro.vetmed.ufl.edu/chi-files/http://neuro.vetmed.ufl.edu/chi-files/
WoodWood
SoundSound shoutshout
EmotionEmotion angeranger
ClimateClimate windy-warmwindy-warm
SeasonSeason springspring
DirectionDirection easteast
OpeningOpening eyeseyes
Body PartBody Part ligamentsligaments
Zang/FuZang/Fu LIV/GBLIV/GB
TCM TCM LIVER LIVER PhysiologyPhysiology
Stores the BloodStores the Blood
Maintains the Smooth Maintains the Smooth Flow of Qi & BloodFlow of Qi & Blood
Controls the SinewsControls the Sinews
Opens in the EyesOpens in the Eyes
TCM TCM LIVER LIVER PhysiologyPhysiology
Stores the BloodStores the Blood Acts to regulate blood Acts to regulate blood
volumevolume Similar to WIM function of Similar to WIM function of
the liver (plus spleen the liver (plus spleen function)function)
Closely related to Closely related to tolerance to tirednesstolerance to tiredness
Measure of athletic Measure of athletic performanceperformance
TCM TCM LIVER LIVER PhysiologyPhysiology
Maintains the Smooth Maintains the Smooth Flow of Qi & BloodFlow of Qi & Blood Ensuring SP/ST digestive Ensuring SP/ST digestive
functionfunction Maintaining vital activities Maintaining vital activities
of the bodyof the body Maintaining smooth flow Maintaining smooth flow
of water-dampof water-damp
TCM TCM LIVER LIVER PhysiologyPhysiology
Controls the SinewsControls the Sinews Moistens and nourishes Moistens and nourishes
the tendons and the tendons and ligamentsligaments
Ensures smooth joint Ensures smooth joint movementsmovements
Depends upon Depends upon adequate LIV bloodadequate LIV blood
TCM TCM LIVER LIVER PhysiologyPhysiology
Opens in the EyesOpens in the Eyes
Meridian connectionMeridian connection LIV yin & blood LIV yin & blood
deficiency leads to deficiency leads to dry eyesdry eyes
LIV heat leads to red, LIV heat leads to red, swollen eyesswollen eyes
Liver PatternsLiver Patterns
TCM 24 Hour ClockTCM 24 Hour Clock
GB 11- 1AM
TH 9- 11 PM
PC 7- 9 PM
KID 5- 7 PM
BL 3- 5 PM SI 1- 3 PM
HT 11- 1 PM
SP 9- 11 AM
ST 7- 9 AM
LI 5- 7 AM
LU 3- 5 AMLIV 1- 3 AM
Liver PatternLiver PatternLiver 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
Excess
Deficiency
Liver Damp HeatLiver Damp Heat
JaundiceJaundice Scanty dark yellow urineScanty dark yellow urine Swollen, hot, itchy, painful vagina, scrotum or Swollen, hot, itchy, painful vagina, scrotum or
prostateprostate Tongue: Red or YellowTongue: Red or Yellow Pulse: Wiry and rapidPulse: Wiry and rapid
GB34, GB40-41, GB34, GB40-41, BL19, LI-11, SP-9BL19, LI-11, SP-9
Yin Chen Hao plusYin Chen Hao plus
Liver Fire Blazing Liver Fire Blazing UpwardsUpwards
EpistaxisEpistaxis Red, swollen, painful eyesRed, swollen, painful eyes Weak vision or Corneal opacityWeak vision or Corneal opacity Ocular dischargeOcular discharge Dry feces or constipationDry feces or constipation Thick, dark yellow urineThick, dark yellow urine Tongue: Red and dryTongue: Red and dry Pulse: Wiry and rapidPulse: Wiry and rapid
LIV-3, GB-34, GB-1, LIV-3, GB-34, GB-1, Tai Yang, ST-1, GB-Tai Yang, ST-1, GB-
3737Snake & Dragon Snake & Dragon
(Long Dan Xie Gan) (Long Dan Xie Gan)
Extreme Heat Extreme Heat Generating Liver-WindGenerating Liver-Wind
High feverHigh fever Rigidity of NeckRigidity of Neck Tremors or ConvulsionsTremors or Convulsions Opisthotonus or ComaOpisthotonus or Coma Running into walls or circlingRunning into walls or circling Tongue: RedTongue: Red Pulse: Wiry and rapidPulse: Wiry and rapid
GB-20, LIV-3, BL-17, GB-20, LIV-3, BL-17, SP-10, GB-41, GB-34, SP-10, GB-41, GB-34, GV-14, LI-4, hemo-12 GV-14, LI-4, hemo-12
Ting pointsTing pointsLing Yang Gou Teng Ling Yang Gou Teng
Retention of Cold in Retention of Cold in the Liver Meridianthe Liver Meridian
Hind limb stiffnessHind limb stiffness Cold ears and noseCold ears and nose Cold trunk and limbsCold trunk and limbs Swollen, cold scrotum and testesSwollen, cold scrotum and testes Swollen or painful prostateSwollen or painful prostate Infertility due to coldness in the uterusInfertility due to coldness in the uterus Tongue: Purple and wetTongue: Purple and wet Pulse: Deep and slowPulse: Deep and slow
Moxa LIV-3 / 8 / 14, Moxa LIV-3 / 8 / 14, LIV-1, LIV-3, GB-34LIV-1, LIV-3, GB-34
Hui XiangHui Xiang(Foeniculum powder)(Foeniculum powder)
Callie (3 yr F/S DLH)Callie (3 yr F/S DLH)
JaundiceJaundice AnorexiaAnorexia Dark yellow urineDark yellow urine Fever (103.5)Fever (103.5) Tongue: Red/YellowTongue: Red/Yellow Pulse: Wiry and rapidPulse: Wiry and rapid Dx: Liver Damp HeatDx: Liver Damp Heat
Callie TreatmentCallie Treatment
AcupunctureAcupuncture GB34, GB40-41, BL19, LI-4, LI-11, GB34, GB40-41, BL19, LI-4, LI-11,
SP-9, LIV-3, LIV-8SP-9, LIV-3, LIV-8
HerbalHerbal Yin Chen Hao plusYin Chen Hao plus
Liver Blood DeficiencyLiver Blood Deficiency
Dry or cracked paws or hoovesDry or cracked paws or hooves DandruffDandruff Lethargy and prefers to lie on groundLethargy and prefers to lie on ground Tongue: Pale and dryTongue: Pale and dry Pulse: Wiry and threadyPulse: Wiry and thready
BL-18, SP-10, BL-17, BL-18, SP-10, BL-17, SP-6SP-6
Si Wu TangSi Wu Tang
Liver Yin DeficiencyLiver Yin Deficiency
Red eyesRed eyes Tearing or watery eyesTearing or watery eyes Slightly swollen eyelidsSlightly swollen eyelids NebulaNebula Tongue: Red and dryTongue: Red and dry Pulse: Thready or wiry and rapidPulse: Thready or wiry and rapid
LIV-3, BL-18, BL-23, LIV-3, BL-18, BL-23, KID-3, SP-6KID-3, SP-6
Liu Wei Di Huang Liu Wei Di Huang Wan Wan
Internal Wind due to Internal Wind due to Liver Blood DefLiver Blood Def
Tremor or convulsionsTremor or convulsions DandruffDandruff Tongue: Pale and dryTongue: Pale and dry Pulse: Weak and threadyPulse: Weak and thready
BL-18, SP-10, BL-17, BL-18, SP-10, BL-17, SP-6, GB-20, GB-34, SP-6, GB-20, GB-34,
GV-21GV-21Tian Ma San Tian Ma San
Internal Wind due to Internal Wind due to Liver Yin DefLiver Yin Def
Liver Yang Rising WindLiver Yang Rising Wind Tremor or convulsionsTremor or convulsions Prolonged low feverProlonged low fever Night sweatingNight sweating Tongue: Red and Dry (no coating)Tongue: Red and Dry (no coating) Pulse: Weak and threadyPulse: Weak and thready
LIV-3, BL-18, BL-23, LIV-3, BL-18, BL-23, KID-3, SP-6, GB-20, KID-3, SP-6, GB-20,
GB-34, GV-21GB-34, GV-21Tian Ma plus Tian Ma plus
Bojangles (7 yr F/S Mix)Bojangles (7 yr F/S Mix)
LethargicLethargic Seeks cool, hard surfacesSeeks cool, hard surfaces Dry, brittle hairDry, brittle hair Mild intention tremorMild intention tremor Tongue: Pale and dryTongue: Pale and dry Pulse: deep, weak and Pulse: deep, weak and
thready particularly on leftthready particularly on left Dx: Liver Blood Deficiency Dx: Liver Blood Deficiency
with Internal Windwith Internal Wind
AcupunctureAcupuncture GB-20, LIV-3, SP-6, SP-10, BL-17, GB-20, LIV-3, SP-6, SP-10, BL-17,
BL-18BL-18
HerbalHerbal Si Wu WanSi Wu Wan Di Tan TangDi Tan Tang
Bojangle TreatmentBojangle Treatment
Bu Xue Zi Feng TangBu Xue Zi Feng Tang
Eye PatternEye Pattern
Liver Heat
Liver Stagnation
Liver & Kidney Yin Deficiency
Excess
Deficiency
Liver HeatLiver Heat
Conjunctivitis or keratitisConjunctivitis or keratitis Congestion of the conjunctival vesselsCongestion of the conjunctival vessels Red or swollen eyesRed or swollen eyes Clear to mucoid ocular dischargeClear to mucoid ocular discharge Tongue: RedTongue: Red Pulse: Wiry, rapid and surgingPulse: Wiry, rapid and surging
Fang Feng SanFang Feng San
Liver StagnationLiver Stagnation
Swollen eyelidsSwollen eyelids Ocular dischargeOcular discharge PhotophobiaPhotophobia MiosisMiosis Nebula (blue or grey) or corneal opacityNebula (blue or grey) or corneal opacity Tongue: Red or paleTongue: Red or pale Pulse: Surging & fast or Deep & weakPulse: Surging & fast or Deep & weak
Jue Ming SnaJue Ming SnaBo Yun San Bo Yun San (topically)(topically)
Liver & Kidney Yin Liver & Kidney Yin DeficiencyDeficiency
Atrophied pupilAtrophied pupil Scant, thick, mucoid discharge (at medial canthus)Scant, thick, mucoid discharge (at medial canthus) Corneal opacityCorneal opacity Yellow or grey scleraYellow or grey sclera Tongue: Red and dryTongue: Red and dry Pulse: Weak and threadyPulse: Weak and thready
Qi Ju Liu Wei Di Qi Ju Liu Wei Di Huang Wan Huang Wan
One For the Money (2 yr M QH)One For the Money (2 yr M QH)
Wood personalityWood personality Swollen, red, painful eyesSwollen, red, painful eyes Congested conjunctival Congested conjunctival
vesselsvessels Scant, clear dischargeScant, clear discharge Tongue: RedTongue: Red Pulse: Wiry, superficial and Pulse: Wiry, superficial and
fastfast Dx: Liver Heat (Liver Yang Dx: Liver Heat (Liver Yang
Rising)Rising)
One For the Money TreatmentOne For the Money Treatment
Acupuncture:Acupuncture: BL-2/1, LIV-1-3, GB-40, GB-44, LI-4, BL-2/1, LIV-1-3, GB-40, GB-44, LI-4,
GV-14, ST-44/45, SP-6GV-14, ST-44/45, SP-6
HerbalHerbal Fang Feng SanFang Feng San
Pogo (3 yr M Rottweiler)Pogo (3 yr M Rottweiler) Thick mucus Thick mucus
discharge from eyesdischarge from eyes Corneal opacificationCorneal opacification KCSKCS Tongue: Red and dryTongue: Red and dry Pulse: Weak and Pulse: Weak and
thready (particularly thready (particularly on the right)on the right)
Dx: Liver & Kidney Dx: Liver & Kidney Yin DeficiencyYin Deficiency
Pogo TreatmentPogo Treatment
AcupunctureAcupuncture SP-6, SP-9, LI-4, LIV-3, KID-3, SP-6, SP-9, LI-4, LIV-3, KID-3,
BL-23, BL-2/1, GB-1, ST-1BL-23, BL-2/1, GB-1, ST-1
HerbalHerbal Qi Ju Liu Wei Di Huang Wan Qi Ju Liu Wei Di Huang Wan
TCM Liver DiseaseTCM Liver Disease
Don’t get angryDon’t get angry
Smooth and easy Smooth and easy gets it every timegets it every time