Syndrome/pattern of ascendant hyperactivity of liver yang refers to a series of clinical manifestations caused by liver yin not matching yang, resulting in liver yang not submerging or liver qi rising excessively and yang qi floating above. This syndrome is mostly caused by a combination of factors such as intraventricular overstrain, seven emotions internal damage, and eating disorders.

The main clinical manifestations are: dizziness, slight swelling and pain in the head, dizzy vision, photophobia or unclear vision, general nausea, restlessness, or concurrent flushing, tinnitus, dry mouth and tongue, red tongue edges, and coating Thin yellow or thin white, stringy or thin pulse.

This syndrome should be consistent with "syndrome/pattern of internal stirring of liver wind", "syndrome/pattern of up-flaming liver fire", "liver blood deficiency syndrome/pattern", "liver yin deficiency syndrome/pattern", " Liver-kidney yin deficiency syndrome/pattern” phase identification.

[Identification Processing]

This syndrome has different characteristics and corresponding treatments in different diseases.

1. Among the headache symptoms, hyperactivity of yang is mostly due to liver heat, so it presents as a throbbing attack, which is aggravated by rage, and is often accompanied by restless sleep, dysphoria, irritability, hypochondriac pain, and red eye bitter taste. in mouth, pulse string or string number, suitable for pacifying liver and subduing yang, commonly used Gastrodia and Uncaria Drink (Zabing Syndrome and Treatment New Meaning) to Gastrodia Tuber , Gardenia, motherwort herb, add Chrysanthemum Flower, Prunella, Kudingcha, Nacre and the like.
2. This syndrome among vertigo symptoms is mostly caused by blood deficiency and internal heat inducing liver yang, so it causes dizziness and slight pain, dizzy vision photophobia, a preference for tranquility, general nausea, and a thready pulse. It should be treated with nourishing yin and subduing yang. Wolfberry and Chrysanthemum Rehmannia Pill ("Medical Grade") combined with Gastrodia and Uncaria Drink (Zabing New Meaning of Syndrome and Treatment) plus subduing yang medicine.
3. This syndrome has two conditions among the deaf ness tinn itus diseases. One is water deficiency that cannot absorb wood. In addition to yang hyperactivity, it must also be accompanied by symptoms of kidney yin deficiency, such as backache, insomnia, amnesia, easy irritability and fatigue, People who are prone to spontaneous sweating due to emotional excitement, and have a history of sexual intercourse or seminal emission from masturbation should be treated with nourishing water to moisten wood, using Left-Restoring Decoction ( Jingyue Quanshu ) or Anemarrhena, Phelloendron and Rehmannia Pill ( Yifangkao ) combined with Gastrodia and Uncaria Drink ( Zabing New meaning of disease treatment) plus Magnetite and Cinnabar Pill ( Beiji Qianjin Yaofang ) and other prescriptions; the second is ascendant hyperactivity of liver yang and liver-gallbladder dampness - Heat, symptoms include red eye, bitter taste in mouth, constipation, yellow urine, wet and itchy scrotum, stringy and rapid pulse, etc. The appropriate treatment is pacifying liver and subduing yang, accompanied by clearing fire draining dampness, such as Gentian Liver-Draining Decoction ("The Golden Mirror of Medical Zong") and the like.

The clinical manifestations of this syndrome and its complications often vary from person to person.

1. When young adults suffering from kidney essence deficiency suffer from this syndrome, they often have symptoms of tinnitus, soreness in the back, weak legs, and heel pain. In some cases, they may see color and discharge of semen, which is easy to interact with yang and easy to release semen. It can be used The pacifying liver and subduing yang method is complemented by the method of nourishing the kidney and strengthening yin. For example, when using Gastrodia and Uncaria Drink, you should go to Skullcap Root and Gardenia which have direct repulsion with bitter cold, and add Tortoise Carapace, Prepared Rehmannia Root, Anemarrhena, Phelloendron Bark and the like.
2. When people who are fond of tobacco and alcohol and eat too much fat and sweet food suffer from this syndrome, because they are prone to accumulate heat transformation fire, they often have symptoms of liver-gallbladder dampness-heat, such as distending pain in the right flank, bitter taste in mouth, and abdominal fullness. , vomiting, dark urine, scrotal dampness and impotence, yellow and greasy fur, stringy and slippery pulse, etc., the main treatment is still pacifying liver and subduing yang, supplemented by clearing and purging the liver and gallbladder dampness-heat, plus Curcuma Root, Chinaberry Fruit, Gentian, Talc, Gardenia , Immature Orange Fruit, red Poria, Akebia Stem, two or three flavors can be selected according to the disease.
3. In women Jingshui before and after death, the kidney qi gradually weakens, the Chongren pulse becomes weak, the blood sea gradually dries up, and the liver yang is prone to hyperactivity. If you suffer from this syndrome, in addition to the common symptoms of ascendant hyperactivity of liver yang such as dizziness, tinnitus, dysphoria, flushed face, dry mouth and throat, there may also be side effects such as menstruation disorder or light menstrual flow or amenorrhea. Symptoms and age of onset are all after middle age. Occasionally, young adults suffer from this disease, and most of them have a history of gynecological surgery, such as uterus, ovarian resection, etc. Although this condition is similar to the syndrome/pattern of ascendant hyperactivity of liver yang caused by water failing to nourish wood, both are caused by the kidneys and liver, but it has unique characteristics and must be targeted at the kidney qi. The kidney qi is weak and the loss of charge cannot nourishing the liver, resulting in kidney kidney disease. Mechanism of disease due to yin and yang imbalance, corresponding treatment methods should be adopted, which should not only nourishing yin and subduing yang, but also nourish Chong and Ren. You can use Phelloendron Bark, Anemarrhena, Tortoise Carapace, Chinese Angelica and the like to solidify the yin. , then use Deer Horn, Dodder Seed, Common Curculigo Rhizome, Epimedium Herb , Morinda officinalis, Cistanches and the like to replenish the yang. This simple method of nourishing yin has a remarkable effect. Similarly, if the syndrome/pattern of ascendant hyperactivity of liver yang that appears in men around the age of eighty-eight is absolutely related to the decline of kidney qi and reproduction-stimulating essence, and there is a combination of symptoms and signs of liver and kidney yin deficiency, In addition to the main treatment method, giving yin-yang dual supplement is more realistic than simply pacifying liver and subduing yang or nourishing yin and subduing yang.

[Type Evidence Identification]

1. syndrome/pattern of internal stirring of liver wind and syndrome/pattern of ascendant hyperactivity of liver yang: syndrome/pattern of internal stirring of liver wind including liver yang transforming into wind, liver fire wind and blood deficiency movement There are three types of wind, among which the most easily confused with syndrome/pattern of ascendant hyperactivity of liver yang is liver yang transforming into wind. Both have the mechanism of disease of yin deficiency with yang hyperactivity, and both may have symptoms and signs of yang qi floating on it, such as headache, dizziness, flushing, dizzy vision, tinnitus, dry mouth and tongue, etc., making it easy to be misdiagnosed. Looking at the interrelationship, the syndrome/pattern of ascendant hyperactivity of liver yang, misuse of warming and tonifying, lifting, fire-aiding, liquid-eliminating agents, or other reasons can cause the ascendant hyperactivity of liver yang to turn into liver wind. ; On the contrary, after proper treatment, the syndrome/pattern of liver yang transforming into wind can reverse the changes and become the syndrome/pattern of ascendant hyperactivity of liver yang when the liver wind has extinguished and the liver yang has not subsided. Because the two syndromes are closely related, the ancients often referred to them as Feng Yang without subdividing them. The key points of identification are:
   1. syndrome/pattern of liver yang transforming into wind. Because Yang is too strong, quantitative changes cause qualitative changes, anodizing wind, a group of symbols and signs symbolizing liver wind will appear, such as eyes. Dizziness, blurred vision, numbness in limbs and tendons, palpitation insomnia, vomiting, not eating, frequent sweating, sexual desire immediately upon rising, etc. These symptoms and signs will not occur when the ascendant hyperactivity of liver yang has not yet transformed into wind. appear together.
   2. syndrome/pattern of liver yang transforming into wind If symptoms such as crooked eyes and mouth, coma, aphasia, etc. occur, it is a sign of liver wind peaking; if symptoms such as hemiplegia, limb spasm, etc. occur, it is a sign of liver wind side. Testimonies of walking on all fours can help with identification.
   3. Ascendant hyperactivity of liver yang Once it turns into wind, the pulse manifestation often changes from string buttons or string number to string length, strength or string strength.
2. syndrome/pattern of up-flaming liver fire and syndrome/pattern of ascendant hyperactivity of liver yang: distinguish the two syndromes from the mechanism of disease. Deficiency and excess are different and not easy to confuse, because syndrome/pattern of up-flaming liver fire is qi depression transforming into fire, or anger causing fire, accumulation of heat transformation fire, or wind qi flowing into the liver. Excess heat syndrome/pattern is caused by excessive wind and blazing fire, and the upward impulse of the heat. The excess heat syndrome/pattern is caused by insufficient liver yin, or liver-kidney yin deficiency, which cannot control yang, resulting in excess heat syndrome/pattern caused by excessive yang and interference. However, these two syndromes are different but have similarities. They both have the characteristics of upward tendency of disease. In clinical manifestations, headache, bloated head, flushed face, tinnitus, dysphoria, irritability, dry mouth and tongue at the two great yang points can be seen. Symptoms such as red edges, yellow coating, stringy pulse, etc. are easily misdiagnosed clinically. They should be distinguished carefully:
   1. Headache and bloating at the two great yang points: in the syndrome/pattern of up-flaming liver Fire is caused by the upward impulse of excess fire along the meridians. The pain and swelling are quite severe, and red eyes are often seen. In the syndrome/pattern of ascendant hyperactivity of liver yang, it is caused by deficiency in the lower part and excess in the upper part, and the deficiency Yang rises in the head. , headache and head swelling are mild, often combined with heavy head and light feet and dizzy vision, photophobia or blurred vision.
   2. Blushing: In the syndrome/pattern of up-flaming liver fire, it means that the fire is rushing to the top, so the face will be red at the beginning of the disease, and the touch will feel hot; in the syndrome/pattern of ascendant hyperactivity of liver yang, it means yin deficiency with Internal heat makes the face flush, and the disease will only appear after a long time, looming, and there is almost no heat when touched by the hand.
   3. tinn itus: In the syndrome/pattern of up-flaming liver fire, it is liver fire. It is blocked in the ears along the meridian, and it must be loud as a tide, or even deafness; in the syndrome/pattern of ascendant hyperactivity of liver yang, it is the relationship between the liver and kidneys. The yin cannot rise up to fill the ears, which is caused by the deficiency and yang rising up. Therefore, the tinn itus is like a cicada, whose sound is not noticeable during the day and starts to sound at night.
   4. dysphoria Irritability: In the syndrome/pattern of up-flaming liver fire, due to the surge of real fire, the anger is raging, like an arrow on the string, ready to explode at the first touch. Even in a quiet place, it is difficult to achieve normal circuit qi of the heart; In the syndrome/pattern of ascendant hyperactivity of liver yang, it is a deficiency-heat phenomenon in which the original deficiency is the excess, so it likes to be quiet, undisturbed, and will not get angry.
   5. Dry mouth and tongue: syndrome/pattern of up-flaming liver fire, bitter taste in mouth due to overflow of gall fel, fire damage to yin, dry throat and thirst, syndrome/pattern of ascendant hyperactivity of The liver yang is dry due to the lack of internal heat in the system fluid. Although it is dry, I don’t like to drink.
   6. Manifestations of coating and pulse: syndrome/pattern of up-flaming liver fire. The tip of the tongue must be red and there are prickles on the sides of the tongue. The yellow coating is often thick and dry. The pulse is stringy and slippery, multiple and large; syndrome/pattern of up-flaming liver fire. The pattern of ascendant hyperactivity of liver yang means that the tongue is red but without thorns, and the pulse is stringy and rapid, and is thin but not large.
   In addition. You can also identify the two syndromes from other important symptoms: one is real fire, and the other is different wood types. For example, the syndrome/pattern of up-flaming liver fire has common symptoms of excess fire, such as hypochondriac pain, hematemesis, epistaxis, acid swallow, hiccup, mania, constipation, short red urine and other symptoms. syndrome/pattern of ascendant hyperactivity of liver yang □Common symptoms of liver yin deficiency include complexion, vertigo, dreamfulness, dry eyes, tense limbs, numbness, muscular twitching, oligomenorrhea or amenorrhea in women, night sweat, bursts of heat Symptoms such as sweating; at the same time, there may also be symptoms of kidney yin deficiency, such as tinnitus amnesia, soreness and weakness in the waist and knees, and vexing heat in chest, palms and soles.
3. liver blood deficiency syndrome/pattern and syndrome/pattern of ascendant hyperactivity of liver yang: liver blood deficiency syndrome/pattern is caused by insufficient blood production or excessive loss of blood, and often occurs with syndrome/pattern of ascendant hyperactivity of liver yang The same clinical symptoms, such as vertigo, tinnitus, dry eyes, blurred vision, dull nails, dreamfulness, scanty menstruation or amenorrhea in women, etc. This is because part of the syndrome/pattern of ascendant hyperactivity of liver yang develops from liver blood deficiency, so it has the clinical manifestations of liver blood deficiency. However, the syndrome/pattern of ascendant hyperactivity of liver yang is ultimately characterized by hyperactivity of yang, and the two syndromes also have their own characteristics in terms of their common manifestations. The key points of identification are as follows:
   1. liver blood deficiency syndrome/pattern Because the blood does not ascend, complexion and nails are not prosperous; syndrome/pattern of ascendant hyperactivity of liver yang occurs because the yang is hyperactive. It turns the dull complexion into tender red.
   2. The vertigo and tinnitus of liver blood deficiency syndrome/pattern are aggravated during ascendant hyperactivity of liver yang. Vertigo is often seen together with dry eyes, slight pain in the head, and slight swelling.
   3. Liver blood deficiency syndrome/pattern has a pale tongue and thin or heavy pulse. In ascendant hyperactivity of liver yang, the edges of the tongue turn from pale to red, which may be accompanied by yellow coating. The mouth and tongue are dry, and the pulse becomes stringy and stringy. Both images.
4. liver yin deficiency syndrome/pattern and syndrome/pattern of ascendant hyperactivity of liver yang: liver yin deficiency syndrome/pattern is more likely to develop into syndrome/pattern of ascendant hyperactivity of liver yang than liver blood deficiency syndrome/pattern, and its clinical manifestations are also More similarities. Because liver yin deficiency syndrome/pattern not only has the general symptoms of liver blood deficiency that are easily confused with syndrome/pattern of ascendant hyperactivity of liver yang, but also has yin deficiency leading to internal heat, such as zygomatic redness and night sweat. , insomnia, red tongue, rapid pulse, etc., so it is more likely to be confused with syndrome/pattern of ascendant hyperactivity of liver yang. The key point of identification lies in the internal heat of liver yin deficiency, which is mostly a static manifestation; ascendant hyperactivity of liver yang has a dynamic manifestation of rising and floating. Quietness is yin, so the heat is mostly at night, and sweating is mostly after falling asleep. It likes to be quiet, without the tendency of overestimating yang; movement is yang, so the ascendant hyperactivity of liver yang is mostly irritating heat. When Yang is present, there may be paroxysmal spontaneous sweating, dizzy vision, slight redness, dizziness, swelling and pain, general vomiting, nausea, irritability and other symptoms. In terms of pulse manifestation, liver yin deficiency is often stringy and thin; ascendant hyperactivity of liver yang is often stringy and strong, rising up to an inch, and due to yang hyperactivity, thready pulse may temporarily disappear. It is not difficult to identify based on this.
5. liver-kidney yin deficiency syndrome/pattern and syndrome/pattern of ascendant hyperactivity of liver yang: The relationship between liver-kidney yin deficiency syndrome/pattern and syndrome/pattern of ascendant hyperactivity of liver yang is also compared with liver yin deficiency syndrome/ The pattern is close, because the syndrome/pattern of ascendant hyperactivity of liver yang is the most common transformation from the liver-kidney yin deficiency syndrome/pattern. The key point of identification is still the difference between liver yin deficiency, which means heat is static, and ascendant hyperactivity of liver yang, which is dynamic. In addition, it should be added: liver-kidney yin deficiency syndrome/pattern In addition to liver yin deficiency, there are also mechanisms of disease and clinical manifestations of kidney yin deficiency, such as soreness and weakness in the waist and knees, vexing heat in chest, palms and soles, cerebral tinnitus Amnesia, internal burning of dragon fire, easy lifting and leaking, seminal emission, leukorrhea, etc. are all the basis for clinical identification.

[Documentation]

1. Linzheng Zhinan Yi'an ． "Apoplexy Gate": "Wood fire constitution, more vigorous, liver yin becomes more depleted, soaring, dizziness, dizzy vision, palpitation. Nourishing liver extinguishing wind, it must be reasonable. Recently, I have been feeling hungry and have less appetite, and I feel like vomiting. Because the stomach is not in good condition, first use Xiemu to calm the stomach: Mulberry Leaf Uncaria Milkwort Root Acorus Fermented Pineilia and Dendrobium Poria."
2. Linzheng Zhinan Yi'an ． "Apoplexy Gate": "In old age, when water is depleted, the liver rises uncontrollably, and the sides of the body are as hot as fire. Then the fire rises and the face becomes red. This is why it is troublesome and laborious. It is advisable to nourish yin and yang as a method."
3. 《Liu Bao-yi Medical Records． "Liver Fire Gate": "If you sleep well, the yang qi will be hidden inside. If the heat reversal is on the outside, the limbs will be like wood; if the yang gathers inside, there will be fear and diarrhea. The disease belongs to the yin-yang two pairs, and there are many liver diseases. It is advisable to nourish yin subduing Yang, calms the liver and calms the stomach. ...Second diagnosis: If the liver yin is insufficient, the liver yang will be disturbed and the sleep will be restless. In fact, if the yang loses the yin and cannot calm down, it is not a medicine that has more yang and qi to relieve the liver. Suitable. Pulse manifestation: The strings are thin and numerous, and the fingers cannot be drummed. Even the liver yang has signs of fatigue, night sweat is spasmodic, dreamfulness is discharged, and the yin is weak and the yang is not internalized. Use the method of nourishing yin and regulating it slowly. Conditioning. . . .