Liver Wind agitating Internally due to Liver Yang Rising

At a glance

Key attributes

Chinese name: 肝风内动 - 肝阳化风      Pinyin name: Gān Fēng Nei Dòng - Gān Yáng Huà Fēng

Pattern nature: Full/Empty

Causes

Precursor patterns: Blood Deficiency Liver Yin Deficiency Liver Yang Rising and one other possible precursors

Common causes: 1. Diet, 2. Emotional stress

Diagnosis

Common symptoms: Tremor Tinnitus Dry eyes Headaches Back pain and ten other symptoms

Pulse type(s): Rapid (Shu), Empty (Xu), Wiry (Xian), Fine (Xi), Floating (Fu)

Tongue description: Red, pale normal color with no coating

Treatment

Treatment principle: subdue Liver Yang, extinguish Wind, nourish Liver and Kidney Yin, nourish Liver Blood

Common formulas: Liu Wei Di Huang Wan Qi Ju Di Huang Wan E Jiao Ji Zi Huang Tang and one other formulas

Pathology

Liver Yang Rising can create Interior Wind if the condition is left unchecked for a long time. This pattern is normally seen among the elderly.

Liver Yang Rising has different symptoms based on what caused it in the first place. If caused by Liver Yin Deficiency the symptoms includes tremors, facial tics, severe dizziness, tinnitus, and headache. Use formula like Liu Wei Di Huang Wan or Qi Ju Di Huang Wan

If by Liver and Kidney Yin Deficiency the symptoms will be the same as for Liver Yin Deficiency with the addition of backache, scanty urination and night sweats. Use formula such as Zhen Gan Xi Feng Tang

Lastly if caused by Liver Blood Deficiency the symptoms will be similar to Liver Yin Deficiency without the facial tics and with the addition of insomnia. Use formulas like E Jiao Ji Zi Huang Tang

Many factors can result in this pattern, emotional stress and diet are the two most dominant reasons. Other causes include excessive exercises and sexual activities, prolonged physical exertion and chronic menorrhagia. 

Causes

Precursor patterns: Liver Wind agitating Internally due to Liver Yang Rising can derive from Blood Deficiency Liver Yin Deficiency Liver Yang Rising Kidney and Liver Yin Deficiency

Diet: If excessive Liver Qi rises, it can cause Liver Yang Rising. If not treated for some year, it agitates internal Liver Wind. Eating in a hurry, eating while working or getting angry at meal time can lead to the pattern.

Emotional stress: Emotional problems, such as anger, frustration and resentment, are the most obvious causes for this pattern, especially if these emotions are suppressed over a very long time. Anger drives Rebellious Liver Qi upwards and cause Liver Yang Rising. If not treated for some year, it agitates internal Liver Wind.

Diagnosing Liver Wind agitating Internally due to Liver Yang Rising

Pulse type(s): Rapid (Shu), empty (Xu), wiry (Xian), fine (Xi) or floating (Fu)

Tongue description: Red, pale normal color with no coating

Main symptoms: Tremor Tinnitus Dry eyes Headaches Back pain Facial tic Dry throat Poor memory Hypertension Night sweats Blurred vision Severe dizziness Scanty urination Tingling of limbs Numbness in the limbs

Treating Liver Wind agitating Internally due to Liver Yang Rising

Treatment principle

subdue Liver Yang, extinguish Wind, nourish Liver and Kidney Yin, nourish Liver Blood 

Herbal formulas used to treat Liver Wind agitating Internally due to Liver Yang Rising

Liu Wei Di Huang Wan

Source date: 1119 AD

Number of ingredients: 6 herbs

Key actions: Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system).

Formula summary

Liu Wei Di Huang Wan is a 6-ingredient Chinese Medicine formula. Invented in 1119 AD, it belongs to the category of formulas that nourish Yin and tonify.

Besides Liver Wind agitating Internally due to Liver Yang Rising, Liu Wei Di Huang Wan is also used to treat Blood Deficiency or Yin Deficiency.

Read more about Liu Wei Di Huang Wan

Qi Ju Di Huang Wan

Source date: 1350 AD

Number of ingredients: 8 herbs

Key actions: Nourishes Kidney and Liver Yin. Improves vision.

Formula summary

Qi Ju Di Huang Wan is a 8-ingredient Chinese Medicine formula. Invented in 1350 AD, it belongs to the category of formulas that nourish Yin and tonify.

Besides Liver Wind agitating Internally due to Liver Yang Rising, Qi Ju Di Huang Wan is also used to treat Liver Yang Rising or Interior Wind.

Read more about Qi Ju Di Huang Wan

E Jiao Ji Zi Huang Tang

Source date: the Qing dynasty

Number of ingredients: 10 herbs

Key actions: Nourishes Yin. Nourishes Blood. Calms the Liver. Extinguishes Wind.

Formula summary

E Jiao Ji Zi Huang Tang is a 10-ingredient Chinese Medicine formula. Invented in the Qing dynasty, it belongs to the category of formulas that pacify and extinguish Internal Wind.

Besides Liver Wind agitating Internally due to Liver Yang Rising, E Jiao Ji Zi Huang Tang is also used to treat Liver Wind agitating Internally due to Liver Blood Deficiency or Interior Wind.

Read more about E Jiao Ji Zi Huang Tang

Zhen Gan Xi Feng Tang

Source date: 1918 AD

Number of ingredients: 12 herbs

Key actions: Sedates the Liver. Axtinguishes Wind. Nourishes the Yin. Anchors the yang.

Formula summary

Zhen Gan Xi Feng Tang is a 12-ingredient Chinese Medicine formula. Invented in 1918 AD, it belongs to the category of formulas that pacify and extinguish Internal Wind.

Besides Liver Wind agitating Internally due to Liver Yang Rising, Zhen Gan Xi Feng Tang is also used to treat Empty-Wind agitating in the Interior or Interior Wind.

Read more about Zhen Gan Xi Feng Tang

Diet recommendations

Eat a simple diet of legumes, grains, cooked vegetables and greens. The foods that decongest and help the Liver include vegetables, bitter foods and dark leafy greens, such as kale, collards, dandelion, mustard, beet and mustard greens. Lemons also clear Heat and congestion from the Liver.

Avoid foods which are raw and cold, fried and greasy, hot and spicy and any caffeinated drinks including coffee, black tea, cocoa colas. Also avoid chips of all kinds, turkey and red meats, chocolate, nuts and nut butters, avocados, cheese and dairy, alcohol, drugs  and stimulants. 

Try other therapies such as meditation or contemplation.

Pay a lot of attention to get good and sufficient rest and sleeping. 

Deal with mental stress. Find a solution to express these emotional issues instead of keeping them inside. 

As for exercise, gentle stretches are helpful, such as Yoga, Tai Chi and Qi Gong. You should avoid strenuous exercise and exertion.

Related conditions

Hypertension Epilepsy Cerebrovascular disease Insomnia Neurosis Headache Dizziness Vertigo Tinnitus Transitory ischemic attacks Renal hypertension Hypertensive encephalopathy Aphasia Apraxia