Liver LIVER_COLD_DEF

Liver Cold Deficiency

💊 Treatment principle: Warm Liver, expel Cold, smooth Qi.

Description

Lower abdominal pain that improves with warmth, chills, fatigue and muscle tension.

Clinical features

Lower abdominal pain that improves with warmth, chills, fatigue, muscle tension, white tongue coating, deep tense pulse.

🏥 Scientific research

Western understanding:

Clinical understanding of LIVER_COLD_DEF. This pattern is recognized in Traditional Chinese Medicine. Consultation with TCM literature recommended for detailed clinical application.

Research evidence:

Research evidence for these patterns is emerging from both Chinese and Western studies. Systematic reviews show acupuncture benefits for respiratory diseases, cardiovascular conditions, and gastrointestinal disorders. Case series demonstrate positive outcomes for organ prolapse and chronic stasis patterns. Large-scale RCTs recommended for specific pattern differentiation.

⚠️ Cautions

Standard acupuncture precautions apply. Assess patient individually. Screen for contraindications including pacemaker, seizures, anticoagulation therapy.

📚 References

Zhang Y, et al. Acupuncture for COPD. Chest. 2020. Wang L, et al. Acupuncture for GERD. J Gastroenterol. 2019. Li M, et al. Acupuncture for chronic kidney disease. Kidney Int. 2018. WHO Standard Acupuncture Point Locations. 2008. Maciocia G. Foundations of Chinese Medicine. 2015.

✅ Cupping advice

Highly effective
Technique: Dry
⏱️ Duration: 10 minutes
📅 Frequency: 1-2x per week
💪 Intensity: Moderate
Clinical notes:

Standaard droge cupping is effectief bij koude syndromen

Special notes:

Local cupping on painful points or along the affected meridian. Suitable for chronic pain, joint disorders and muscle stiffness.

🚫 Contraindications:

Acute inflammation, fever, bleeding tendency, skin infections, pregnancy (back/abdomen)

Recommended cupping points:
LI4 primary
Hegu 合谷
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ST36 primary
Zusanli 足三里
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GV-14 primary
Dazhui 大椎
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BL23 secondary
Shenshu 肾俞
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GB-20 secondary
Fengchi 風池
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GB20 secondary
Fengchi 风池
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BL12 secondary
Fengmen 风门
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📍 Acupuncture points

LR3 Primary
Taichong 太冲
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CV-4 Primary
Guanyuan 關元
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ST36 Secondary
Zusanli 足三里
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GV-4 Adjuvant
Mingmen 命門
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🔥 Moxa advice

strongly recommended
Recommended moxa points:
ST36 indirect moxa (ginger)
Zusanli 足三里
⏱️ Duration: 600 seconds
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LV3 indirect moxa (ginger)
Taichong 太冲
⏱️ Duration: 600 seconds
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📜 Herbal formulas

Xiaoyao San 逍遥散
🧠 TCM pattern:

Liver-Qi stagnation

📋 Indications:

PMS, depression, bloating, flank pain

📖 Classical source: Taiping Huimin Heji Jufang
🚫 Contraindications:

Zheng qi deficiency

⚠️ Safety warnings:

Safe; may cause mild diarrhea with prolonged use