[Concept]

Liver blood deficiency syndrome/pattern is a general term for symptoms such as insufficient liver blood, loss of nourishment of tendons and veins, and symptoms such as blurred vision, tense tendons, dull claws and nails, weak tongue texture, and stringy and thin pulse. It is mostly caused by excessive loss of blood, insufficient blood source, and long-term illness that damages the liver blood.

The main clinical manifestations are: complexion, pale or shallow yellow, emaciation, dry eyes, night blindness, or blurred vision, vertigo, tinn itus, numbness of the limbs, or tense tendons, and dull claws and nails. Menstruation can be seen in women. The amount is small and light, and may include amenorrhea, pale texture of lips and tongue, thin or stringy pulse, etc.

liver blood deficiency syndrome/pattern is commonly seen in diseases such as "consumptive disease", "vertigo", "insomnia", "numbness", "nyctalopia", "menstrual irregularities", "dysmenorrheal" and other diseases.

liver blood deficiency syndrome/pattern usually should be compared with " heart blood deficiency syndrome/pattern ", " syndrome/pattern of blood deficiency generating wind ", " liver yin deficiency syndrome/pattern ", " syndrome/pattern of blood deficiency due to "Liver depression" phase identification.

[Identification Processing]

Liver blood deficiency syndrome/pattern can be seen in a variety of diseases, and its clinical characteristics are different and should be differentiated.

1. If liver blood deficiency syndrome/pattern occurs in women with menstrual irregularities, it will be characterized by delayed menstruation, small amount, light color, thin texture, or even amenorrhea, which is caused by insufficient liver blood and empty blood sea. It is caused by the inability to replenish the blood on time. To treat it, it should be used to nourish the liver, nourishing blood and regulating menstruation. Minor Nutrient Decoction ( Jingyue Quanshu ).
2. If it is seen in dysmenorrheal disease, it is characterized by continuous pain in the lower abdomen during or after menstruation, aches and pains in the waist and knees, vertigo tinn itus, and a heavy and thin pulse. It is usually caused by insufficient liver blood, which damages the kidney essence. Deficiency of both Chong and Ren is caused by lack of nourishment of the cell pulses. The treatment should be to regulate and nourish the liver and kidneys, and use Tiaogan Powder ( Fuqingzhu Gynecology ).
3. consumptive disease is liver blood deficiency syndrome/pattern. Its clinical manifestations are characterized by complexion, emaciation, numbness of the hands, feet, or tense tendons, brittle and thin claw nails, or even deformation. , is caused by insufficient liver blood and malnutrition of tendons and veins. Tonifying blood and nourishing liver should be treated with Liver-Tonifying Decoction ("Yi Zong Jin Jian").
4. If it is seen in the ophthalmology "nyctalopia" disease, it is characterized by dim vision, night blindness, soreness and pain in the eyeball, and traction pain of supraorbital bone. It is mostly caused by insufficient liver blood and malnutrition of seven orifices. "Bihuayi" "Jing" said: "If the liver is weak, the kidney water cannot hold up the wood and there will be less blood. The left guan of the pulse will be weak or empty and large. The symptoms are hypochondriac pain, dizziness, dry eyes, and pain in the eyebrow bones and orbits." It is suitable for nourishing the liver, nourishing blood and improving vision. Use Four Ingredients Decoction ( Taiping Huimin Heji Jufang ) with flavor.
5. If it is seen in "insomnia" disease, it is characterized by insomnia, dreamfulness, easy awakening, dizziness, dizzy vision, and stringy pulse. It is mostly caused by insufficient liver blood, loss of nourishment for the mind, and loss of soul hiding. The treatment is suitable for nourishing blood, To nourish the liver and calm the mind, use Sour Jujube Decoction ( Jingui Yaolue ).

liver blood deficiency syndrome/pattern is common in patients with excessive loss of blood and insufficient nutrient-blood metaplasia. It is more common in women, with clinical manifestations such as oligomenorrhoea, light color, late stage [third stage], amenorrhea, postmenstrual abdominal pain, threatened abortion, agalactia, and sterility.

The liver stores blood, which governs catharsis and catharsis. It is based on blood. "The body uses yin and uses yang." If the blood is full, the liver has something to store, and catharsis can be normal. On the contrary, if the liver blood is insufficient and the liver loses its nourishment, the liver will be deficient, resulting in symptoms of liver qi depression such as fullness in the chest and hypochondrium, depression, suspicion and worry, and even depression and the urge to cry; if blood deficiency results in floating yang and deficiency of heat, If it is endogenous, signs of ascendant hyperactivity of liver yang will appear, such as irritability, insomnia, dreamfulness, headache, dizziness and vision.

Also liver storing blood, kidney storing essence, "essence and blood from the same source", in the evolution of mechanism of disease, liver blood deficiency syndrome/pattern, if not healed for a long time, can often lead to kidney essence deficiency, and Symptoms of liver-kidney depletion include vertigo tinnitus, weak waist and knees, hair loss and tooth shaking, male infertility, female sterility, etc.

In addition, liver blood is insufficient, qi movement is not smooth, and blood flow is stagnant. It is often accompanied by symptoms of qi stagnation and blood stasis, and manifests as stabbing pain in the flanks, fixed and scaly skin, dark purple tongue, or stasis. Symptoms such as spots and ecchymoses; if static blood is blocked, new blood will not be produced, and liver blood will be deficient again. The two will interact with each other, making it difficult to heal.

[Type Evidence Identification]

1. Heart blood deficiency syndrome/pattern and liver blood deficiency syndrome/pattern: heart governing blood and vessels, liver storing blood. If insufficiency of heart blood is common, liver blood deficiency is common. If liver blood is insufficient, heart blood will also be damaged. Therefore, the clinical manifestations of the two are quite similar. They can both show symptoms of blood deficiency such as complexion or shallow yellow, pale mouth and fingernails, vertigo, pale tongue and ragged pulse, so they should be differentiated. As far as disease cause is concerned, heart blood deficiency syndrome/pattern is mostly caused by excessive loss of blood, insufficient source of blood generation and transformation, and excessive thinking, which damages the heart blood. Insufficiency of heart blood, palpitation due to heart failure. , even severe palpitation; heart storing spirit, main mind, blood does not nourish the heart, failure of mind to keep to its abode, so insomnia, dreamfulness, amnesia, restless mind. Liver blood deficiency syndrome/pattern can also be caused by excessive loss of blood, insufficient sources of blood transformation, and long-term illness that consumes liver blood. Because the liver controls tendons, its essence is in the claws, and resuscitation is in the eyes. Insufficient liver blood cannot nourish the liver. Its orifice means dry eyes, blurred vision, nyctalopia, or even blurred vision; liver blood deficiency, unable to nourish the muscles and veins, resulting in numbness of the limbs, spasm of the muscles and veins, and dull claws and nails; the liver is a sea of ​​blood, liver Insufficient blood means that the sea of ​​blood is empty and cannot be transformed into menstrual blood. The effect is delayed menstruation, the amount is small, and even amenorrhea occurs. Stringy pulse is the liver pulse, and dimples are blood deficiency. Liver blood deficiency syndrome/pattern is more common with stringy thready pulse. To sum up, although the nature of disease is the same, the location of disease is different. One disease is in the liver and the other is in the heart, which can be used for identification.
2. syndrome/pattern of blood deficiency generating wind and liver blood deficiency syndrome/pattern: Both are caused by blood deficiency, and both have clinical manifestations of liver blood deficiency, such as dry eyes, blurred vision, complexion, and limbs Symptoms include numbness, muscle spasm, light tongue texture, stringy and thin pulse, etc. However, there are serious differences between the two diseases. Blood deficiency producing wind is mostly the further development of liver blood deficiency syndrome/pattern. Its condition is more serious, due to liver blood deficiency and muscle malnutrition. Deficiency wind moves internally, causing symptoms such as skin swelling, flaccidity, tremor, or even convulsion, and numbness of the limbs. Different from liver blood deficiency syndrome/pattern, which is simply blood deficiency without signs of wind movement, it is not difficult to differentiate between the two.
3. liver yin deficiency syndrome/pattern and liver blood deficiency syndrome/pattern: liver blood refers to the blood stored in the liver and belongs to yin, so liver blood deficiency can develop into liver yin deficiency syndrome/pattern. The location of disease is in the liver, and both belong to the liver deficiency syndrome/pattern. The disease cause, mechanism of disease, and clinical manifestations are very similar: liver blood deficiency syndrome/pattern is mostly caused by excessive loss of blood, insufficient blood transformation source, and long-term disease. , serious illness caused by liver blood depletion; and liver yin deficiency syndrome/pattern can be the further development of liver blood deficiency syndrome/pattern, or can be caused by kidney yin depletion, water failing to nourish wood, the essence does not transform into blood, or Rebing late stage [third stage], eliminating burning yin liquid, and liver depression turning into fire, causing liver yin to be secretly consumed. The clinical characteristics are different; liver blood deficiency syndrome/pattern, because blood deficiency does not appear on the head and face, the complexion will be pale or shallow yellow, and the lips will be pale; while liver yin deficiency syndrome/pattern, because yin does not control yang, and the deficiency heat is endogenous, the face will be complex. Symptoms of yin deficiency with internal heat include flushing, red lips and dry mouth, accompanied by vexing heat in chest, palms and soles, insomnia, tidal fever night sweat, yellow urine and dry stools. Liver blood deficiency syndrome/pattern often has a light tongue texture and a stringy and thin pulse; liver yin deficiency syndrome/pattern has a bright red tongue texture with less coating and a stringy and thready pulse. For women, liver blood deficiency, dissatisfaction of the sea of ​​blood, can manifest as delayed menstruation, small amount, light color, or even amenorrhea; while liver yin deficiency is caused by yin deficiency with internal heat, heat lodging in thoroughfare and conception vessels, Symptoms such as delayed menstruation, amenorrhea, etc. may be seen due to burning damage to yin blood. Symptoms such as amenorrhea may also be seen in advance due to excessive blood, bright red color, metrorrhagia and metrostaxis caused by deficiency of heat. Liver blood deficiency syndrome/pattern is a simple liver blood deficiency, without signs of yin deficiency with internal heat; liver yin deficiency syndrome/pattern is a sign of yin deficiency with internal heat in addition to the symptoms of yin blood deficiency, which is the key to identification. .
4. Syndrome/pattern of blood deficiency due to liver depression and liver blood deficiency syndrome/pattern: Both can show symptoms of liver blood deficiency, but their disease cause mechanism of disease and clinical characteristics are different. syndrome/pattern of blood deficiency due to liver depression is often caused by depression and worry, difficult to resolve grievances, depletion of yin, and loss of visceral yin. Symptoms of blood deficiency due to deficiency of yin in the heart, liver, and kidneys, and inability to support the mind and spirit are Lord, if you are sad and want to cry, or you are crying and laughing erratically, you are in a trance, you can’t control yourself, you are turning a blind eye or hearing but not hearing, you are always yawning, your expression is surly, etc., Jingui Yaolue said: "The woman is visceral agitation (hysteria), happy Sorrowful and ready to cry, as if made by the gods, the number is not enough, Licorice, Wheat and Jujube Decoction Lord." It is not difficult to distinguish from simple liver blood deficiency.

[Documentation]

1. Suwen. Commentary on the Dharma of Zang Qi: "In patients with liver disease... if they are deficient, their eyes will be unable to see, their ears will be unable to hear, and they will be fearful, just like someone trying to catch them."
2. Zhubing Yuanhou Lun． consumptive disease "Diseases among the Princes": "The liver stores blood in the eyes. The blood nourishes the eyes. The internal organs are strained, the blood and Qi are all weak, and five zang-organs have insufficient Qi and cannot nourish the eyes, so the eyes are dark." "
3. Bencao Jingshu． Volume 2: "The ten syndromes of liver deficiency are hypochondriac pain in the chest, which belongs to liver blood deficiency; spasm, which belongs to blood deficiency; short-sightedness, which belongs to liver blood deficiency and insufficient kidney water; blurred vision, which belongs to liver blood deficiency, has heat and kidney Insufficient water yin means...excessive blood loss and opisthotonia, which are liver blood deficiency and heat;...dark eyes and vertigo are blood deficiency and combined with insufficient kidney water yin."
4. Tongsu Shanghan Lun． "Six Classical Formula Medicines": "Blood deficiency producing wind is not really wind. Because the blood does not nourish the muscles, the muscles and veins are contracted, and they cannot stretch and contract freely, so the hands and feet are lame, similar to wind movement, so it is called internal deficiency and dark wind. Commonly known as liver wind. Warm febrile disease is often seen in people with this syndrome, because heat damages the blood."
5. "Bihua Medical Mirror." "Volume 4": "Women are mainly fed by blood. If the blood is sufficient, the wood Qi will be strong. If the blood is insufficient, the wood Qi will be strong. If the wood is strong and the wood Qi is strong, it is easy to get angry. ... However, if the anger is released, the liver blood will be seriously injured. Anger leads to depression and liver damage, and those who are angry are the thieves of blood."