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Yibian
 Shen Yaozi 
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patternUp-flaming of Liver Fire
aliasLiver Fire、Liver Fire Upward and Reverse、Excessive Liver Fire、Liver Fire Burning
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[Concept]

Syndrome/pattern of up-flaming liver fire refers to the symptoms and signs of liver qi depression turning into fire, fire rising of qi inverse, with headache red eye and tinn itus bitter taste in mouth as the main symptoms. It is mostly caused by the lack of wood and excessive liver function.

The main clinical manifestations are: vertigo headache, tinnitus, or even sudden deafness, red eye, bitter taste in mouth, dry throat, flank pain, dysphoria, irritability, insomnia dreamfulness, or hematemesis. Blood, acid swallow, yellow stools, red tip of tongue, yellow coating, stringy and rapid pulse.

Syndrome/pattern of up-flaming liver fire is commonly seen in "headache", "tinn itus deafness", "bleeding", "insomnia", "acid swallow", "mania" and other diseases.

This syndrome should be distinguished from "syndrome/pattern of gallbladder heat" and "syndrome/pattern of ascendant hyperactivity of liver yang".

[Identification Processing]

syndrome/pattern of up-flaming liver fire can be seen in a variety of diseases, each with its own clinical characteristics and different treatments.

  1. If seen in the headache, it manifests as a top of the headache, pain as if cut by a knife or distension and discomfort, or conscious pulling pain of the muscles and pulses in the head, often accompanied by inability to control vertigo, red eyes, dizziness, and red tongue Yellow coating, stringy and slippery pulse. It is caused by emotional depression, qi depression transforming into fire, fire inflammation, disturbing the clearing house, and blood counterflow disorder. It should be treated with direct repulsion with bitter cold, clearing the liver and draining fire, and use Gentian Liver-Draining Decoction ("The Golden Mirror of Medicine").
  2. If seen in tinnitus deafness, it manifests as an outbreak of tinnitus like tides, or deafness, loss of hearing, upset and irritability, especially when angry, restless sleep at night, dizziness and pain, flushed face, bitter taste in mouth, dry throat , red tongue texture, yellow coating, stringy and rapid pulse, which is caused by emotional depression, stagnation turns into fire, or anger damages the liver, liver fire is blocked in the ears along the meridians, and seven orifices are caused by obstruction. The treatment is suitable for clearing the liver and draining fire, relieving stuffy orifices, also use Gentian Liver-Draining Decoction and Qi-Unblocking Powder (Yilin Gaicuo).
  3. If seen in bleeding, it may manifest as hematemesis, epistaxis, bright red color, hypochondriac pain, bitter taste in mouth, dry throat, irritability, restlessness, red eye discharge, red tongue with yellow coating, pulse The number of strings is caused by emotional damage to the liver, qi depression transforming into fire, fire yin qi and yang qi meeting together, damage to the yang collaterals, failure to store blood, and blood with the nature of fire, overflowing the mouth and nose. It should be treated clearing the liver and draining fire, cooling blood and stopping bleeding, still use Gentian Liver-Draining Decoction combined with Rhinoceros Horn and Rehmannia Decoction ( Qianjin Fang ).
  4. If it is seen in insomnia, it will manifest as sleeplessness at night, inability to lie down, easy to panic, aversion to hearing noises, anger, upset, red eyes, bitter taste in mouth, or dizziness, tinnitus, and constipation. A knot, a red tongue with yellow coating, and a heavy pulse are caused by liver fire disturbing the mind and failure of mind to keep to its abode. The treatment should be clearing the liver and draining fire, calming the mind and calming the mind, and then use Green -Blue-Draining Pill ( Xiao'er Yaozheng Zhijue ).
  5. If it is seen in acid swallow, which manifests as burning pain in the flanks or epigastrium, acid regurgitation, gastric stuffiness, epigastric upset belching, dry and bitter mouth, red tongue and stringy pulse, this is caused by the liver failing to act freely. qi depression transforming into fire, malpractice of heat therapy, gastric upset, gastric insufficiency and depression. Treatment should be pungent dispersing and bitter descending, clearing the liver and draining fire, and Left Metal Pill ( Danxi Xinfa ) should be used.
  6. If seen in mania, it manifests as headache insomnia, glaring eyes, red eyes, or even madness and ignorance, climbing over walls, swearing endlessly, not avoiding close relatives, or beating people and destroying things, with greater strength than ordinary people, and severe Constipation, red and astringent urine, red tongue with yellow and rough coating, stringy and slippery pulse, are caused by anger damaging the liver, qi-fire burning and body fluid refining into phlegm, phlegm-fire blocking and disturbance, and mental activity reversal, and are suitable for treatment. Clearing the liver and draining fire, eliminating phlegm and calming the mind, use Angelica, Gentian and Aloe Pill (Xuanming Prescription) combined with biotite schist Rolling Phlegm Pill ( "On Health Preservation").

syndrome/pattern of up-flaming liver fire In the evolution of the mechanism of disease, because the fire pathogen has the characteristics of inflammation and damage to fluid, both symptoms and signs often appear: such as up-flaming of Liver fire, when multiplied by lung metal, will cause symptoms such as coughing, flushed face and dry throat, pain in the flanks when coughing, yellow tongue and less fluid, stringy and rapid pulse; because the liver uses yin to use yang, it relies on the kidneys. Water is used to nourish the body. If the liver fire burns internally for a long time, it will not only burn the yin of the internal organs, but also absorb the kidney water, resulting in dizziness, dryness of the head, soreness and weakness of the waist and knees, vexing heat in the chest, palms and soles, and dry throat pain. , red tongue with less coating, thin pulse and other symptoms of liver-kidney yin deficiency.

[Type Evidence Identification]

  1. syndrome/pattern of gallbladder heat and syndrome/pattern of up-flaming liver fire: gallbladder is attached to the liver, and qi depression turns into heat. Heat is the gradual of fire, and fire is the extreme of heat, so gallbladder heat follows The main disturbances in the meridian are dizzy vision, tinnitus, dry throat, and bitter taste in mouth. Although headache and red eye can also be seen, they are not as serious as the syndrome/pattern of up-flaming liver fire. Moreover, the liver governs anger, so the former often sighs more, while the latter will be irritable and impatient.
  2. syndrome/pattern of ascendant hyperactivity of liver yang and syndrome/pattern of up-flaming liver fire: syndrome/pattern of ascendant hyperactivity of liver yang is mostly due to insufficient yin in the liver and kidney, water failing to nourish wood, yin deficiency. Controlling yang causes the liver yang to rise and become overactive; the syndrome/pattern of up-flaming liver fire is mostly caused by excessive seven emotions and qi depression transforming into fire. syndrome/pattern of ascendant hyperactivity of liver yang is the deficiency in the origin and excess in the excess, and deficiency in the lower part and excess excess in the upper part; syndrome/pattern of up-flaming liver fire is purely excess syndrome/pattern. The disease cause mechanism of the two diseases is different, and the clinical manifestations are also different: syndrome/pattern of ascendant hyperactivity of liver yang, the headache that appears is mostly distending pain, vertigo is dizziness and a feeling of unsteady movement, tinn itus is mostly For example, the sound of cicadas starts gradually, starts and stops sometimes, and may even cause apoplexy syncope, with the sequelae of crooked mouth and eyes, slurred speech, hemiplegia, etc. This is caused by yin deficiency at the bottom, yang expansion at the top, and qi counterflow caused by wind movement. Because the liver is deficient in kidney yin and the kidneys are out of support, soreness and weakness in the waist and knees, a lack of strength, such as flushing of cheekbones, red and hot face, red tongue texture or less coating, and thready and rapid pulse, all belong to yin. manifestation of deficiency. These symptoms are not present in up-flaming of liver fire.

[Documentation]

  1. Leizheng Zhicai . "Liver qi": "When fire is attached to wood, when wood is depressed, it will turn into fire, causing acid swallow hypochondriac pain, madness, impotence, convulsions, stuffiness, choking, and loss of blood, all of which are stimulated by liver fire." "Zhao, left hypochondriac pain, pulse tinnitus, vomiting and abdominal pain, all liver fire boils, turbid blood stasis refuses to release, it is advisable to avoid anger and drink to heal. Imitation gardenia soup: stir-fry gardenia and ginger juice , Coptis Rhizome Evodia Fruit Juice Stir-fried, Peony Root, Oyster Shell Raw Pestle, Dan Peel, Golden Tangerine Peel, take effect."
  2. Wangxugao Yishu Liuzhong. Xixi Bookstore Night Talk: "Liver fire is burning, marching in triple energizer, and there are diseases all over the body, inside and outside, too numerous to list. Red eyes and cheeks, convulsive syncope, dysuric stranguria sore and ulcer, good hunger and polydipsia, Vomiting insomnia, bleeding all over."

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