Liver Wind agitating Internally due to Liver Fire

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Pattern factsheet

Chinese name: 肝风内动 - 肝火上炎

Pinyin name: Gān Fēng Nèi Dòng - Gān Huǒ Shàng Yán

Associated TCM concepts: Liver Wind Interior Heat pattern

Diagnosis

Common symptoms: Tremor Thirst Tinnitus Deafness Red face and thirteen other symptoms

Pulse type(s): Rapid (Shu), Wiry (Xian)

Tongue description: Red with redder sides and dry yellow coating

Liver Fire may generate Wind when it persists for some years. This phenomenon can be compared to a forest fire that generates strong winds.

Internal Wind is characterized by either movement or lack of movement, such as spasms, tics, tremors, numbness, dizziness, convulsions or paralysis. Which is why we see some of these symptoms together with those associated with Liver Fire.

This is a Full-Heat pattern that is more likely to occur in the elderly.

Diagnosing Liver Wind agitating Internally due to Liver Fire

The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine

Pulse type(s): Rapid (Shu) or wiry (Xian)

Tongue description: Red with redder sides and dry yellow coating

Possible symptoms: Tremor Thirst Tinnitus Deafness Red face Red eyes Dizziness Epistaxis Dry stools Dark Urine Haemoptysis Irritability Constipation Haematemesis Outbursts of anger Temporal headaches Dream disturbed sleep Bitter taste in the mouth

Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners.

In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors. Here patients with Liver Wind agitating Internally due to Liver Fire will tend to exhibit rapid (Shu) or wiry (Xian) pulses.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Liver Wind agitating Internally due to Liver Fire might experience symptoms like tremor, irritability, outbursts of anger and tinnitus (full list here above).

Herbal formulas used to treat Liver Wind agitating Internally due to Liver Fire

Ling Jiao Gou Teng Tang

Source date: Qing dynasty

Number of ingredients: 10 herbs

Key actions: Cools the Liver. Extinguishes Wind. Increases Fluids. Relaxes the sinews.

Formula summary

Ling Jiao Gou Teng Tang is a 10-ingredient Chinese Medicine formula with Saiga Antelope's Horns (Ling Yang Jiao) and Gambir Stems And Thorns (Gou Teng) as principal ingredients. Invented in Qing dynasty, it belongs to the category of formulas that pacify and extinguish Internal Wind.

Besides Liver Wind agitating Internally due to Liver Fire, Ling Jiao Gou Teng Tang is also used to treat Liver Wind agitating Internally due to extreme Heat.

Read more about Ling Jiao Gou Teng Tang

Diet recommendations

One should favor simple and bland foods should be eaten such as rice cereal, soups, vegetables and fruits. 

Most important herbs used to treat Liver Wind agitating Internally due to Liver Fire