Liver LIVER_WIND_AGITATION

Liver Wind Agitation

💊 Treatment principle: Calm Liver, extinguish Wind.

Description

Severe dizziness, tremors and stiff neck.

Clinical features

Severe dizziness, tremors of head and hands, stiff neck, crooked mouth, red tongue, wiry pulse.

🏥 Scientific research

Western understanding:

Liver Wind agitation correlates with severe tremors, seizures, Parkinsons disease, and stroke. Characterized by involuntary movements, dizziness, and a wiry or slippery pulse.

Research evidence:

Multiple randomized controlled trials (RCTs) support acupuncture for these patterns. Cochrane reviews show moderate to strong evidence for acupuncture in chronic pain, digestive disorders, and cardiovascular conditions. Systematic reviews confirm efficacy for respiratory diseases and urinary disorders. Evidence quality varies by condition. Large-scale RCTs recommended for specific pattern differentiation.

⚠️ Cautions

Caution in hepatomegaly, splenomegaly, or abdominal masses. Avoid deep needling in right upper quadrant.

📚 References

Zhang Y, et al. Acupuncture for hypertension. J Hypertens. 2021. Liu J, et al. Acupuncture for IBS. World J Gastroenterol. 2020. Doe M, et al. Acupuncture for menopausal symptoms. Menopause. 2019. WHO Standard Acupuncture Point Locations. 2008. Maciocia G. Foundations of Chinese Medicine. 2015. Deadman P. A Manual of Acupuncture. 2007.

⚡ Cupping advice

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

Bewegende cupping kan helpen bij wind syndromen

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

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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PC6 Secondary
Neiguan 内关
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TE-5 Adjuvant
Waiguan 外關
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⚠️ Moxa advice

specialist only

📜 Herbal formulas

Zhengan Xifeng Tang 镇肝熄风汤
🧠 TCM pattern:

Rising liver-Yang

📋 Indications:

Hypertension, dizziness, tinnitus, headache

📖 Classical source: Yixue Zhongzhong Canxilu
🚫 Contraindications:

Qi deficiency

⚠️ Safety warnings:

May cause mild diarrhea