Pattern Full/Empty

Liver Yang Rising with Blood and Yin Deficiency

Gān Yáng Shàng Kàng Jiān Yīn Xuè Xū 肝阳上亢兼阴血虚
Affects: Liver

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Diagnostic Signs

Pulse

Fine (Xi), Wiry (Xian)

Diagnostic Considerations

dizziness, irritability, palpitations, restless sleep, anxiety, and a thin, wiry pulse.

Causes & Pathology

Common Causes

Pathological Mechanism

This pattern is characterized by an imbalance where Deficient Yin and Blood fail to anchor and control Yang, leading to its hyperactivity and ascendance. This manifests in various symptoms:

Dizziness and Irritability: Due to the uncontrolled Yang ascending to the Upper Burner, patients experience dizziness, reflecting the Yang's disturbance of the head and sensory organs. The internal movement of Yang Qi also manifests as irritability.

Heart-related Symptoms: The Liver's overactive Yang entering the Heart can cause palpitations, restless sleep, and anxiety, indicating an imbalance between the emotional and physiological functions of these organs.

This pattern represents a complex interplay of Deficiency and Excess within the body, where the lack of nourishing Yin and Blood allows the energetic Yang to become erratic and disruptive. Treatment strategies typically focus on nourishing Yin and Blood to restore balance and subduing the hyperactive Liver Yang.

Treatment Approach

Treatment Principle

Nourish Yin and Blood, suppress rising Yang.

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Related TCM Concepts

Liver Yang Blood Yin Deficiency / Empty