PRESCRIPTIONS FOR TREATING DISORDERS OF THE LIVER AND GALLBLADDER

FUNCTIONS OF LIVER:
-Dredge and regulate
-Promote circulation of blood and metabolism of body fluid
-Assist the spleen and stomach to digest food
-Regulate mental activity
-Regulate menstruation
-Store blood
-Nourish liver itself
-Liver yin
-Yin will prevent liver yang rising
-Harmonize activities of different organs

PATHOLOGICAL CHANGES OF THE LIVER
-Weak in dredging and regulation: blood stasis
-Hyperactivity in dredging and regulating: haematemesis
-Qi obstruction: phlegm, rheum and edema
-Effect spleen and stomach
-Failure of spleen qi to ascend
-Failure of stomach qi to descend
-Effect the secretion and secretion of the bile
-Effect mental activity
-Effect menstruation
-Liver blood insufficiency
-Failure to store blood


PRESCRIPTION FOR SOOTHING LIVER
GB 34 (Yanglinquan)
PC 6 (Neiguan)
LR 3 (Taichong)
LR 14 (Qimen)

FUNCTIONS:
-Spreading liver qi
-Alleviating pain
-Benefitting the chest, lateral costal region and breasts
-Regulating menstruation

MANIPULATIONS:
-Reducing method or even method

INDICATIONS:
-Fullness and pain of the chest and lateral costal region, frequent sighing, breast tenderness in women, breast abscess, pain and fullnessat the epigastric of abdominal area.
-Symptoms related with the emotion
-Irregular menstruation, dysmenorrhea, insufficient lactation
-Depression

PRESCRIPTION ANALYSIS:
GB 34: Lower he sea point of gallbladder, soothes theliver and gallbladder, activates collaterals, regulates te qi and stops pain.
PC 6: Chooses the point from the same name meridians, opens the chest and regulates qi activity, relieves depression
LR 14: Front mu point of liver, regulates the liver and activates blood circulation, soothes liver, benefits hyperchondrium
LR 3: Shu stream point and Yuan source point, soothes liver, moves flow of qi, relieves depression

CLINICAL APPLICATIONS:
-Hypochondrium pain
-SJ 6, SP 15 (very effective)
-Pressure pain in liver area
-Wiry pulse in liver area
GB 24 (front mu of gallbladder)
-Irregular menstration
-Excess (soothing the liver)
-Combine with Zigong, RN 6, SP 6, SP 10, ST 29, BL 18, BL 32


PRESCRIPTION FOR CLEARING LIVER FIRE
LR 14 (Qimen)
LR 2 (Xingjian)
GB 20 (Fengchi)
GB 43 (Xiaxi)

FUNCTIONS:
-Clearing liver fire
-Pacifying liver wind
-Descending excess from head
-Calming the spirit

MANIPULATIONS:
-Reducing method

INDICATIONS:
-Headache, dizziness, bitter taste in the mouth, dry throat, redness and pain of the eyes, lacrimation, eye diseases
-Tinnitis, sudden deafness
-Propensity to anger, insomnia, hypertension
-Menorrhagia, early menstruation

PRESCRIPTION ANALYSIS
LR 14 and LR 2: Clear away liver fire
GB 20: Soothes the liver and clears heat, benefits the head and eye
GB 43: Clears heat from liver and gallbladder

CLINICAL APPLICATIONS:
-Red and swollen eye
-Hypochondrium pain


PRESCRIPTION FOR CLEARING LIVER AND GALLBLADDER DAMP-HEAT
LR 3 (Taichong
GB 40 (Qiuxu)
LR 5 (Ligou)
LR 8 (Ququan)
RN 3 (Zhongji)

FUNCTIONS:
-Clearing away damp-heat in the liver and gallbladder meridian
-Benefitting the genitals

MANIUPLATIONS:
-Reduce or even method

INDICATIONS
-Fullness and distending pain in the chest, anorexia, bitter mough and nausea, yellowish urination
-Pain an ditching of the genitals, pain of the penis, pain and swelling of the testicles
-Red and white or yellow leucorrhea
-Difficulat urination, retention of urine

PRESCRIPTION ANALYSIS
LR 3 and GB 40: Yuan source point, clear and sooth the liver and gallbladder damp-heat
LR 5: Luo connecting point, clears damp heat from liver and gallbladder meridian
LR 8: He sea point, soothes liver and clears away damp-heat
RN 3: Front mu point of bladder, clears damp-heat from the urine

CLINICAL APPLICATIONS:
-Itching genitals, genitals eczema
-Combine with Bai chong wo


PRESCRIPTION FOR NOURISHING LIVER BLOOD
LR 3 (Taichong)
BL 18 (Ganshu)
SP 6 (Sanyinjiao)
KI 3 (Taixi)

FUNCTIONS:
-Nourishing liver blood and liver yin
-Benefitting eyes
-Nourishing sinews

MANIPULATIONS:
-Reinforcing method

INDICATIONS:
-Insomnia, agitation, headache, vertex headache, dizziness, poor memory
-Blurred vision, dry eyes, night blindness, visual dizziness, cloudy vision
-Amenorrhea, late period, scanty period
-Muscle spasm, cramps, pain of the sinews, trembling limbs

PRESCRIPTION ANALYSIS
LR 3 and BL 18: Back shu and yuan source point combination, nourishes liver yin and blood and softens tendons
SP 6: Nourishes liver and kidney
KI 3: Benefits the kidney and promotes essence

CLINICAL APPLICATIONS:
-Trembling limbs
-Combine with LI 4, GB 20, BL 10, GB 34,
-Blurred vision
-Combine with GB 37, BL 1, SI 6


PRESCRIPTION FOR TREATING DISORDERS OF THE SPLEEN, STOMACH AND INTESTINES

PHYSIOLOGICAL FUNCTIONS OF THE SPLEEN
-Govern the transportation and transformation
-Spleen governs the activity of elevating the lucid
-Spleen is to ascend, disburse
-Fixate organs in place
-Stomach is to descend
-Command blood
-Keep blood in the vessels

STOMACH
-Recieving food
-Digesting food
-Transport nutrition to small intestine

SMALL INTESTINE
-Recieve chyle
-Differentiate lucid from turbid
-Transport turbid into large intestine
-Regulate water

LARGE INTESTINE
-Recieve turbid and let it go out of the body

GALL BLADDER
-Secrete and excrete bile
-To help digestion

PATHOLOGICAL CHANGS OF SPLEEN
-Unhealthy transformation of spleen qi
-Weak digestion and absorption
-Disturbance of water metabolism
-Failure of elevating lucid
-Sinking of spleen qi
-Failure for command the bloodh


PRESCRIPTION FOR TONIFYING SPLEEN
BL 20 (Pishu)
BL 21 (Weishu)
SP 3 (Taibai)
ST 36 (Zusanli)
RN 4 (Qihai)

FUNCTIONS:
-Tonifying spleen
-Promoting the generation of blood
-Holding blood

MANIPULATIONS:
-Reinforcing method, moxa is available (moxa SP 3)

INDICATIONS:
-Disorders of digestive system: Poor appetite, diarrhea, constipation
-Pain of the abdomen: Pain or distention of the epigastrum or abdomen
-Dysfunction of muscles: Heaviness of the body, oppressive sensation of the four limbs, muscular atrophy, lassitude of the body
-Haemorrhagia: Blood in the stools, blood in the urine, peliosis, menorrhagia

PRESCRIPTION ANALYSIS:

BL 20 and SP 3: Back shu and Yuan source point combination, tonify spleen and benefit qi
BL 21 and ST 36: Back shu and He sea point combination, strengthen the spleen and benefit stomach
RN 4: Warms and tonifies spleen and stomach

CLINICAL APPLICATIONS:
-Diarrhea
-Undigested food
-Can be morning diarrhea, caused by spleen yang deficiency
-Combine ST 25 and ST 37
-Anemia
-Fibromyalgia
-Back jia ji points
-Front mu points


PRESCRIPTION FOR REGULATING SPLEEN AND RESOLVING DAMPNESS
BL 20 (Pishu)
SP 9 (Yinlingquan)
RN 12 (Zhongwuan)
SJ 5 (Waiguan)

FUNCTIONS:
-Regulating the spleen and resolving dampness

MANIPULATIONS:
Even method, or with moxa

INDICATIONS:
-Dizziness, heaviness in the head and body, edema, swelling of the lower limbs
-Pain of the abdomen, rugitus (intestinal rumbling) and no desire to eat, loose stools

PRESCRIPTION ANALYSIS
BL 20 and SP 9: Combines together to strengthen spleen and drain dampness
RN 12: Regulates spleen and stomach, removes dampness
SJ 5: Moves Sanjiao qi activity, helps stomach and spleen to expel dampness

CLINICAL APPLICATIONS
-Edema
-Dizziness



PRESCRIPTION FOR TONIFYING STOMACH
BL 21 (Weishu)
ST 36 (Zusanli)
SP 6 (Sanyinjiao)

FUNCTIONS:
-Strengthening stomach qi
-Nourishing stomach yin

MANIPULATIONS:
-Reinforcing or even method

INDICATIONS:
-Uncomfortable feeling in the epigastrium, lack of appetite, tiredness
-Dull or slightly burning epigastric pain, thin body, slight hungry but with no desire to eat, difficult ingestion, dry vomiting, constipation, dry moth and throat with a desire to drink in small sips, a slight feeling of fullness after eating

PRESCRIPTION ANALSYIS:
BL 21 and ST 36: Combine together to tonify spleen and stomach, regulate middle jial and promote fluid
SP 6: Nourishes stomach yin

CLINICAL APPLICATIONS:
-Epigastric pain
-Constipation

.......................................................................MIDTERM.......................................................................
2-3 case analysis
diagnosis, treatment principle, prescription
some may require prescription analysis



PRESCRIPTION FOR EXPELLING STOMACH HEAT
RN 12 (Zhongwan)
LI 4 (Hegu)
ST 44 (Neiting)

FUNCTIONS:
-Clearing away heat from te stomach channel
-Harmonizing middle and descending rebellion

MANIPULATION:
-Reducing Method

INDICATIONS:
-Severe epigastric pain, burning sensation in stomach, refuse pressure, easy to get hungrym constipation, blood in te stool, dark scanty urine, thirsty, bitter taste, preferring cold drinks. Red tongue, yellow coating, slippery or rapid pulse
-Hiccup, vomitingm nausea
-Toothache, bad breath, swollen or ulcerate gums

PRESCRIPTION ANALYSIS:
RN 12: Front mu of the stomach, clears away heat from stomach, regulates middle and descends rebellion
LI 4: Clears heat and stops pain
ST 41: Clears stomach fire digests dyspepsia

CLINICAL APPLICATIONS:
-Toothache
-Stomachache


PRESCRIPTION FOR REGULATING BOWEL MOVEMENT
ST 25 (Tianshu)
RN 12 (Zhongwan)
ST 37 (Shangjuxu)

Functions
-Expelling food accumulation
-Regulating stomach and moving the stool

MANIPULATION:
-Reducing or even method

INDICATIONS:
-Diarrhea and constipation alternated, vomiting or belching, regurgitation, pain in abdomen or stomach, which is refusing to tough and relieved by vomiting or bowel moevement
-constipation

PRESCRIPTION ANALYSIS
ST 25 and ST 37: Front mu and lower he sea point combination, regulate stomach and large intestine, ascend lucid and descend turbid
RN 12: Front mu of stomach and fu meeting point, regulates stomach and helps digestion

CLINICAL APPLICATIONS:
-Irregular bowel movment syndrome
-Constipation