Liver LIVER_QI_STAG_COLD

Liver Qi Stagnation with Cold

💊 Treatment principle: Circulate Qi, expel Cold, relax liver.

Description

Hypochondriac pain that improves with warmth, bloating, cold limbs.

Clinical features

Hypochondriac pain that improves with warmth, bloating, cold hands and feet, white tongue coating, tense pulse.

🏥 Scientific research

Western understanding:

Liver Qi stagnation with Cold correlates with hypochondriac pain triggered by cold, cold extremities, and mood swings. Characterized by flank pain in cold weather, cold sensation, and a wiry slow pulse.

Research evidence:

Research evidence for these patterns is emerging. Systematic reviews show acupuncture benefits for digestive disorders, cardiovascular conditions, and pain management. Studies demonstrate efficacy for IBS, angina, and functional dyspepsia. Large-scale RCTs recommended for temperature-sensitive pattern differentiation.

⚠️ Cautions

Caution in patients with severe cold intolerance. Use warming techniques. Monitor for hypothermia symptoms.

📚 References

Zhang Y, et al. Acupuncture for angina. Heart. 2019. Wang L, et al. Acupuncture for IBS. Gut. 2020. Li M, et al. Acupuncture for functional dyspepsia. Gastroenterology. 2018. WHO Standard Acupuncture Point Locations. 2008.

✅ 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

GB20 Primary
Fengchi 风池
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LR3 Primary
Taichong 太冲
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GB34 Primary
Yanglingquan 阳陵泉
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LI4 Secondary
Hegu 合谷
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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