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Chinese patterns
Liver Qi Stagnation
Diagnoses

definition and etiology

» conventional diagnoses: depression; neurosis; impatience; anger which explodes after periods of repression; nervous and emotional disorders; plum-pit globus; stroma; scrofula; chest and rib pain and distension; tightness in chest; mastitis; fibrocystic and other breast masses; liver and gallbladder diseases; jaundice; ulcerative diseases; gastrointestinal disorders; menstrual disorders

» etiology: chronic frustration, anger or resentment; unexpressed emotions in general; lack of exercise; Invasion of Exogenous Damp-Heat; Liver Xue Xu (Blood Deficiency), which deprives Liver of nourishment; sequelae of surgery, esp. hernia or vasectomy (Matsumoto)

signs and symptoms

signs and syptoms:

• headache

moodiness

• sighing

depression

• feeling "stuck" frustration

• anger without a cause

• feeling of a lump in the throat

• sensation of difficulty in swallowing

• nausea

• vomiting

• poor appetite

• sour regurgitation

• belching

pain and/or distension along the course of the Liver channel, in the chest, hypochondrium and lower abdomen

• premenstrual breast distension

• borborygmi

• diarrhea

premenstrual pain and irritability

• menstrual pain or irregularity

• formation of lumps

» pulse: wiry, esp. on left side

» tongue: often normal; even in more severe cases may be purplish

course and prognosis

» principle of treatment: disperse the Liver; stimulate and regulate the flow of Qi

differential diagnosis

footnotes