Liver LIVER_BLOOD_STASIS_COLD2

Liver Blood Stasis with Cold

💊 Treatment principle: Move Liver blood, dispel cold, resolve stasis.

Description

Hypochondriac stabbing pain, cold limbs, purplish tongue.

Clinical features

Hypochondriac stabbing pain worsened by cold, cold hands and feet, bloating, dark purplish tongue with white coating, tense pulse.

🏥 Scientific research

Western understanding:

Clinical understanding of LIVER_BLOOD_STASIS_COLD2. 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 well-established for many conditions. Cochrane reviews show strong evidence for acupuncture in chronic pain, nausea/vomiting, and headache. Moderate evidence exists for insomnia, anxiety, depression, and allergic rhinitis. Systematic reviews demonstrate efficacy for IBS, GERD, COPD, and hypertension. Large-scale RCTs recommended for complex 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 chronic pain. JAMA. 2019. Wang L, et al. Acupuncture for IBS. Gastroenterology. 2020. Li M, et al. Acupuncture for allergic rhinitis. Allergy. 2018. Chen X, et al. Acupuncture for insomnia. Sleep Med Rev. 2019. WHO Standard Acupuncture Point Locations. 2008. Cochrane Database Systematic Reviews. Various years.

✅ 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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BL40 Primary
Weizhong 委中
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GB34 Primary
Yanglingquan 阳陵泉
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ST36 Secondary
Zusanli 足三里
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PC6 Adjuvant
Neiguan 内关
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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

Xuefu Zhuyu Tang 血府逐瘀汤
🧠 TCM pattern:

Blood stasis

📋 Indications:

Angina pectoris, migraine, insomnia, chest tightness

📖 Classical source: Yilin Gaicuo
🚫 Contraindications:

Severe qi deficiency

⚠️ Safety warnings:

Monitor bleeding risk with anticoagulants