Liver LIVER_QI_DEF_PHLEGM2

Liver Qi Deficiency with Phlegm

💊 Treatment principle: Strengthen Liver Qi, transform phlegm, calm liver.

Description

Fatigue, hypochondriac pain, nausea, white tongue coating.

Clinical features

Fatigue, dull hypochondriac pain, nausea, poor appetite, white sticky tongue coating, slippery pulse.

🏥 Scientific research

Western understanding:

Clinical understanding of LIVER_QI_DEF_PHLEGM2. This pattern is recognized in Traditional Chinese Medicine. Consultation with TCM literature recommended for detailed clinical application.

Research evidence:

Research evidence for these complex patterns is emerging. Systematic reviews show acupuncture benefits for neurological disorders, psychiatric conditions, and inflammatory diseases. Studies demonstrate efficacy for Parkinsons disease, bipolar disorder, anxiety, IBD, and hepatitis. Large-scale RCTs recommended for complex pattern differentiation with wind, heat, cold, and phlegm components.

⚠️ Cautions

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

📚 References

Zhang Y, et al. Acupuncture for bipolar disorder. J Affect Disord. 2019. Wang L, et al. Acupuncture for IBD. Inflamm Bowel Dis. 2020. Li M, et al. Acupuncture for hepatitis. Hepatology. 2018. Chen X, et al. Acupuncture for anxiety disorders. Am J Psychiatry. 2019. WHO Standard Acupuncture Point Locations. 2008.

✅ Cupping advice

Highly effective
Technique: Flash
⏱️ Duration: 5 minutes
📅 Frequency: 2x per week
💪 Intensity: Light
Clinical notes:

Flash cupping is effectief bij damp, flegm en longaandoeningen

Special notes:

Quick application: cups are placed briefly and removed immediately. Repeat 5-10x per session. Excellent for back in chronic cough, asthma and phlegm.

🚫 Contraindications:

Severe lung diseases (COPD, asthma attack), fever, acute infection, fragile skin

Recommended cupping points:
BL13 primary
Feishu 肺俞
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ST40 primary
Fenglong 丰隆
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BL-20 primary
Pishu 脾俞
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BL-13 secondary
Feishu 肺俞
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LU-1 secondary
Zhongfu 中府
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BL12 secondary
Fengmen 风门
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📍 Acupuncture points

LR3 Primary
Taichong 太冲
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ST40 Primary
Fenglong 丰隆
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GB34 Primary
Yanglingquan 阳陵泉
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ST36 Secondary
Zusanli 足三里
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SP6 Adjuvant
Sanyinjiao 三阴交
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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

Erchen Tang 二陈汤
🧠 TCM pattern:

Phlegm-Damp

📋 Indications:

Chronic bronchitis, nausea, dizziness, swollen tongue

📖 Classical source: Taiping Huimin Heji Jufang
🚫 Contraindications:

Yin deficiency with dryness

⚠️ Safety warnings:

Pinellia must be prepared (fa ban xia)