Liver Blood and Kidney Essence Deficiency

TCM Education Center > Patterns of disharmony > Liver Blood and Kidney Essence Deficiency

Pattern factsheet

Related conditions: Absence of menstruation

Diagnosis

Common symptoms: Fatigue Dry skin Knee pain Dizziness Dark face and nine other symptoms

Pulse type(s): Deep (Chen), Weak (Ruo)

Tongue color: Pale

Liver Blood and Kidney Essence Deficiency is a pattern of disharmony in Chinese Medicine.

Chinese Medicine views the human body as a complex system that tends toward harmony. A pattern of disharmony is a disorder that prevents that harmony from occurring.

Patterns give rise to symptoms that may at first glance seem unrelated from a Western standpoint but that actually make a lot of sense when one understands Chinese Medicine theory. For instance here Liver Blood and Kidney Essence Deficiency gives rise to such diverse symptoms as no menstruation by 18, lower back pain, fatigue and knee pain (as well as ten others).

To diagnose a pattern, analyzing a patient's pulse as well as their tongue is common practice. In the case of Liver Blood and Kidney Essence Deficiency patients tend to exhibit deep (Chen) or weak (Ruo) pulses as well as a pale tongue.

Patterns aren't exactly the Chinese Medicine equivalent to Western diseases, they're rather the underlying causes behind diseases or health conditions. Here Liver Blood and Kidney Essence Deficiency is thought to sometimes induce conditions such as absence of menstruation.

Diagnosing Liver Blood and Kidney Essence Deficiency

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 Blood and Kidney Essence Deficiency will tend to exhibit deep (Chen) or weak (Ruo) pulses as well as a pale tongue.

Practitioners also learn to read from a long list of seemingly unrelated symptoms. Here patients with Liver Blood and Kidney Essence Deficiency might experience symptoms like no menstruation by 18, lower back pain, fatigue and knee pain (full list here above).

Herbal formulas used to treat Liver Blood and Kidney Essence Deficiency

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 Blood and Kidney Essence Deficiency, Liu Wei Di Huang Wan is also used to treat Blood Deficiency or Yin Deficiency.

Read more about Liu Wei Di Huang Wan

He Che Da Zao Wan

Number of ingredients: 11 herbs

Key actions: Tonifies the Kidneys. Strengthens the Directing and Penetrating Vessels. Regulates the periods.

Formula summary

He Che Da Zao Wan is a 11-ingredient Chinese Medicine formula with Human Placentas (Zi He Che) as a principal ingredient. It belongs to the category of formulas that tonify Yin and Yang.

Besides Liver Blood and Kidney Essence Deficiency, He Che Da Zao Wan is also used to treat Spleen or Kidney Qi Deficiency or Kidney-Deficiency.

Read more about He Che Da Zao Wan

Dang Gui Di Huang Yin

Source date: 1640 AD

Number of ingredients: 7 herbs

Key actions: Nourishes Blood. Tonifies Kidney and Liver Yin. Regulates the menstrual cycle.

Formula summary

Dang Gui Di Huang Yin is a 7-ingredient Chinese Medicine formula with Dong Quai (Dang Gui) and Prepared Rehmannia (Shu Di huang) as principal ingredients. Invented in 1640 AD, it belongs to the category of formulas that tonify Blood.

Besides Liver Blood and Kidney Essence Deficiency, Dang Gui Di Huang Yin is also used to treat Kidney Yin Deficiency or Kidney-Deficiency.

Read more about Dang Gui Di Huang Yin

Special highlight: the link between absence of menstruation and Liver Blood and Kidney Essence Deficiency

Dong Quai (Dang Gui) is the key herb for Dang Gui Di Huang Yin, a formula used for absence of menstruation caused by Liver Blood and Kidney Essence Deficiency

Typical symptoms for absence of menstruation caused by Liver Blood and Kidney Essence Deficiency: Fatigue Dry skin Knee pain Dizziness Dark face Dry mouth Depression Amenorrhea Low energy Dry throat Night sweats Lower back pain Feeling of cold No menstruation by 18

Recommended herbal formulas: Dang Gui Di Huang Yin, Liu Wei Di Huang Wan, He Che Da Zao Wan

According to TCM Kidney Essence is the origin of menstrual Blood. Also TCM believes that the Liver stores Blood. The malfunction of these two Organs together causes the emptiness of the Penetrating and Directing Vessels, in charge of directing Blood to the Uterus. Kidney Essence Deficiency can also cause Kidney Yang Deficiency which leads to the pattern of Cold in the Uterus and amenorrhoea as a symptom.

This pattern is seen more often among young women, especially for the primary amenorrhoea...Read more about absence of menstruation