Liver Wind agitating Internally due to Liver Yang Rising

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Pattern factsheet

Chinese name: 肝风内动 - 肝阳化风

Pinyin name: Gān Fēng Nei Dòng - Gān Yáng Huà Fēng

Associated TCM concepts: Liver Wind Yang Yang Excess or Full Yang Liver Yang Rising

Related conditions: Vertigo Aphasia Apraxia and eleven other conditions

Diagnosis

Common symptoms: Coma Tremor Vertigo Insomnia Tinnitus and twenty other symptoms

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

Tongue color: Red

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. 

Related conditions

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

Diagnosing Liver Wind agitating Internally due to Liver Yang Rising

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

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 Yang Rising will tend to exhibit rapid (Shu), empty (Xu), wiry (Xian), fine (Xi) or floating (Fu) pulses as well as a red tongue.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Liver Wind agitating Internally due to Liver Yang Rising might experience symptoms like coma, convulsions, insomnia and tremor (full list here above).

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 with Prepared Rehmannia (Shu Di huang) as a principal ingredient. 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 with Prepared Rehmannia (Shu Di huang) as a principal ingredient. 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 Kidney and Liver Yin Deficiency.

Read more about Qi Ju Di Huang Wan

Tian Ma Gou Teng Yin

Source date: 1958 AD

Number of ingredients: 11 herbs

Key actions: Calms the Liver. Extinguishes wind. Invigorates the blood. Clears heat. Tonifies the Liver and Kidneys.

Formula summary

Tian Ma Gou Teng Yin is a 11-ingredient Chinese Medicine formula with Gastrodia Rhizomes (Tian Ma) and Gambir Stems And Thorns (Gou Teng) as principal ingredients. Invented in 1958 AD, it belongs to the category of formulas that pacify and extinguish Internal Wind.

Besides Liver Wind agitating Internally due to Liver Yang Rising, Tian Ma Gou Teng Yin is also used to treat Liver Yang Rising or Liver Wind agitating Internally due to extreme Heat.

Read more about Tian Ma Gou Teng Yin

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 with Donkey-Hide Gelatin (E Jiao) and Chicken Egg Yolks (Ji Zi Huang) as principal ingredients. 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.

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 with Achyranthes Roots (Niu Xi) as a principal ingredient. 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.

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.