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TCM Liver Disease

Roger M Clemmons, DVM, PhD, CVA CDR, IRC, USPHS Aso Prof Neurology & Neurosurgery University of Florida rmc@neuro.vetmed.ufl.edu http://neuro.vetmed.ufl.edu/chi-files/. TCM Liver Disease. Liver Physiology Liver Pathology Cases. Sound shout Emotion anger Climate windy-warm Season

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TCM Liver Disease

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  1. Roger M Clemmons, DVM, PhD, CVA CDR, IRC, USPHS Aso Prof Neurology & Neurosurgery University of Florida rmc@neuro.vetmed.ufl.edu http://neuro.vetmed.ufl.edu/chi-files/ TCM Liver Disease Liver Physiology Liver Pathology Cases

  2. Sound shout Emotion anger Climate windy-warm Season spring Direction east Opening eyes Body Part ligaments Zang/Fu LIV/GB Wood

  3. Stores the Blood Maintains the Smooth Flow of Qi & Blood Controls the Sinews Opens in the Eyes TCM LIVER Physiology

  4. TCM LIVER Physiology • Stores the Blood • Acts to regulate blood volume • Similar to WIM function of the liver (plus spleen function) • Closely related to tolerance to tiredness • Measure of athletic performance

  5. TCM LIVER Physiology • Maintains the Smooth Flow of Qi & Blood • Ensuring SP/ST digestive function • Maintaining vital activities of the body • Maintaining smooth flow of water-damp

  6. TCM LIVER Physiology • Controls the Sinews • Moistens and nourishes the tendons and ligaments • Ensures smooth joint movements • Depends upon adequate LIV blood

  7. TCM LIVER Physiology • Opens in the Eyes • Meridian connection • LIV yin & blood deficiency leads to dry eyes • LIV heat leads to red, swollen eyes

  8. Liver Patterns

  9. TCM 24 Hour Clock

  10. Liver Pattern Liver Damp Heat Liver Fire Blazing Upwards Extreme Heat Generating Liver-Wind Retention of Cold in the Liver Meridian Excess Liver Blood Deficiency Liver Yin Deficiency Internal Wind due to Liver Blood Def Internal Wind due to Liver Yin Def Deficiency

  11. Callie (3 yr F/S DLH) • Jaundice • Anorexia • Dark yellow urine • Fever (103.5) • Tongue: Red/Yellow • Pulse: Wiry and rapid • Dx: Liver Damp Heat

  12. Callie Treatment • Acupuncture • GB34, GB40-41, BL19, LI-4, LI-11, SP-9, LIV-3, LIV-8 • Herbal • Yin Chen Hao plus

  13. Bojangles (7 yr F/S Mix) • Lethargic • Seeks cool, hard surfaces • Dry, brittle hair • Mild intention tremor • Tongue: Pale and dry • Pulse: deep, weak and thready particularly on left • Dx: Liver Blood Deficiency with Internal Wind

  14. Bojangle Treatment • Acupuncture • GB-20, LIV-3, SP-6, SP-10, BL-17, BL-18 • Herbal • Si Wu Wan • Di Tan Tang Bu Xue Zi Feng Tang

  15. Eye Pattern Liver Heat Liver Stagnation Excess Deficiency Liver & Kidney Yin Deficiency

  16. One For the Money (2 yr M QH) • Wood personality • Swollen, red, painful eyes • Congested conjunctival vessels • Scant, clear discharge • Tongue: Red • Pulse: Wiry, superficial and fast • Dx: Liver Heat (Liver Yang Rising)

  17. One For the Money Treatment • Acupuncture: • BL-2/1, LIV-1-3, GB-40, GB-44, LI-4, GV-14, ST-44/45, SP-6 • Herbal • Fang Feng San

  18. Pogo (3 yr M Rottweiler) • Thick mucus discharge from eyes • Corneal opacification • KCS • Tongue: Red and dry • Pulse: Weak and thready (particularly on the right) • Dx: Liver & Kidney Yin Deficiency

  19. Pogo Treatment • Acupuncture • SP-6, SP-9, LI-4, LIV-3, KID-3, BL-23, BL-2/1, GB-1, ST-1 • Herbal • Qi Ju Liu Wei Di Huang Wan

  20. TCM Liver Disease • Don’t get angry • Smooth and easy gets it every time

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