Liver LIVER_QI_DEF_STAG

Liver Qi Deficiency with Stagnation

💊 Treatment principle: Strengthen Liver Qi, resolve stagnation, harmonize liver.

Description

Fatigue, hypochondriac pain, bloating, pale purplish tongue.

Clinical features

Fatigue, dull hypochondriac pain, bloating, irritability, pale purplish tongue, weak tense pulse.

🏥 Scientific research

Western understanding:

Clinical understanding of LIVER_QI_DEF_STAG. 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.

📚 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: Moving
⏱️ Duration: 15 minutes
📅 Frequency: 1x per week
💪 Intensity: Moderate
Clinical notes:

Bewegende cupping is zeer effectief bij dit stagnatie syndroom

Special notes:

Use massage oil on the skin. Slowly glide cups along meridian direction. Very effective for neck pain, shoulder stiffness, low back pain and muscle knots.

🚫 Contraindications:

Pregnancy (back/abdomen), varicose veins, wounds, acute inflammation, fever

Recommended cupping points:
LI4 primary
Hegu 合谷
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LR3 primary
Taichong 太冲
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SP10 primary
Xuehai 血海
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BL-18 primary
Ganshu 肝俞
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GB34 secondary
Yanglingquan 阳陵泉
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TE-5 secondary
Waiguan 外關
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BL-12 secondary
Fengmen 風門
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📍 Acupuncture points

ST36 Primary
Zusanli 足三里
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LR3 Primary
Taichong 太冲
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CV12 Primary
Zhongwan 中脘
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GB34 Primary
Yanglingquan 阳陵泉
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BL40 Secondary
Weizhong 委中
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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

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