Liver LIVER_BLOOD_DEF_COLD

Liver Blood Deficiency with Cold

💊 Treatment principle: Nourish Liver Blood, expel Cold, calm liver.

Description

Dizziness, pale face, cold limbs and pale tongue.

Clinical features

Dizziness, pale face, pale lips, cold hands and feet, blurred vision, pale tongue, deep pulse.

🏥 Scientific research

Western understanding:

Clinical understanding of LIVER_BLOOD_DEF_COLD. 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. Systematic reviews show acupuncture benefits for respiratory diseases, digestive disorders, and neurological conditions. Studies demonstrate efficacy for asthma, COPD, GERD, and IBS. 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 asthma. Cochrane Database. 2019. Wang L, et al. Acupuncture for GERD. Am J Gastroenterol. 2020. Li M, et al. Acupuncture for Parkinsons disease. Neurology. 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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GB34 Primary
Yanglingquan 阳陵泉
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SP6 Primary
Sanyinjiao 三阴交
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CV-4 Secondary
Guanyuan 關元
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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

SuanZaoRen Tang 酸枣仁汤
🧠 TCM pattern:

Liver-blood deficiency

📋 Indications:

Chronic insomnia with restlessness, dreaminess, fatigue

📖 Classical source: Jingui Yaolue
🚫 Contraindications:

Phlegm-heat pattern

⚠️ Safety warnings:

Generally well tolerated; may cause mild drowsiness

Siwu Tang 四物汤
🧠 TCM pattern:

Blood deficiency

📋 Indications:

Dysmenorrhea, pale face, dizziness, insomnia

📖 Classical source: Xian Shou Huo Ren Fang
🚫 Contraindications:

Damp-heat

⚠️ Safety warnings:

Safe; may cause constipation due to shudi