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Insomnia – Liver-Fire Invading the Heart

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Presentation on theme: "Insomnia – Liver-Fire Invading the Heart"— Presentation transcript:

1 Insomnia – Liver-Fire Invading the Heart
Insomnia and dreamy sleep, sometimes kept awake the whole night, edgy and irritable, slight dizziness and heavy head, red eyes and tinnitus, dry and bitter mouth, poor appetite, constipation and yellowish urine, red tongue and yellow coating , wiry and speedy pulse. Insomnia – Liver-Fire Invading the Heart

2 Insomnia- Deficiency of the Spleen and Heart
Difficulty sleeping, dreamy sleep and easily awaken, palpitation and forgetful, reduced appetite and fatigue, sometimes felt dizzy and blurred vision, tired limbs, bloated abdomen and loose stools, pale facial complexion, pale tongue with thin white coating, weak pulse. Insomnia- Deficiency of the Spleen and Heart

3 Liver Blood Deficiency Resulting Floating of False Yang
Male, 38, have been doing dark-room photofinishing job for more than 20 years. Often stayed up all night and only slept after midnight. Experienced dry eyes and tinnitus on the right ear during the last 1 year. Often felt dizzy, insomnia and easily awaken. Lassitude. Wiry pulse and normal tongue color and coating. Liver Blood Deficiency Resulting Floating of False Yang

4 Constipation – Yin Deficiency阴虚便秘
Dry and hard stools, flushed face, irritable and scanty sleep, tidal fever and night sweating, weak and sore lower back, red tongue with scanty coating, thready fine pulse. Constipation – Yin Deficiency阴虚便秘

5 Constipation- Qi Deficiency
Difficult defecation but stool’s texture normal, forcing it out would feel short breath and perspiring. Felt tired after defecation. Pale facial complexion and look fatigue. Weak limbs and dislike talking. Pale white tongue with white coating, weak pulse. Constipation- Qi Deficiency

6 Abdominal Pain – Blood Stasis in the Abdomen
Abdomen stabbing and prickling pain at fixed painful spots. Pain worsen after pressing and in the middle of the night. Occasional hematemesis and dark color stool, purple tongue coating and tense pulse. Abdominal Pain – Blood Stasis in the Abdomen

7 Cough- Exhaustion of Lung Yin
Dry cough, scanty and sticky white sputum, or cough out bloody sputum, or hoarse voice, dry throat and dry mouth; or tidal fever, red cheek, night sweating, red tongue with no or scanty coating, thready and fine pulse. Cough- Exhaustion of Lung Yin

8 Cough -Liver Fire Invaded Lung
Frequent cough, flushed face when coughing, bitter taste and dry throat; often felt sputum stuck in the throat but unable to expectorate; stuffiness of hypochundrium, painful when coughing. Symptoms improved when emotionally relaxed. Red tongue especially along the edge of the tongue; scanty yellow coating and insufficient moist. Wiry and speedy pulse. Cough -Liver Fire Invaded Lung

9 Cough – Accumulation of Phlegm-Damp in the Lung
Coughing for sometime, loud voice and abundant sputum. Felt better after expectoration of sputum; sticky, thick and greasy sputum; white color or grey color sputum, expectorate more visibly in the morning or after food and consumption of sweet and oily foodstuff. Chest distension, bloated stomach, nausea, reduced appetite and physically tired, loose stools, white and thick tongue coating, slippery pulse. Cough – Accumulation of Phlegm-Damp in the Lung

10 Dizziness- Upward Acute Rising of Liver Yang
Dizzy and tinnitus, headache, painful eyes, bitter mouth, insomnia and dreamy sleep, symptoms worsen when exhausted or irritated, flushed face, easily irritated, numb or shivering limbs, red tongue with yellow coating, wiry or speedy pulse. Dizziness- Upward Acute Rising of Liver Yang

11 Dizziness -Qi and Blood Deficiency
Dizzy worsen when moving started, physical exhaustion would induce dizziness, pale facial complexion, lassitude, dislike talking, pale lips and nails, dry hair, palpitation and insomnia, poor appetite and bloated abdomen, pale white tongue with thin white coating, weak pulse. Dizziness -Qi and Blood Deficiency

12 Dizziness- Insufficient Kidney Essence
Chronic dizzy, low essence and spirit, soreness of limbs and lumbar, insomnia and dreamy sleep, poor memory, dry eyes and reduced vision, or seminal emission, or tinnitus and shaking teeth, or flushed cheeks and dry mouth, felt heat around chest, palms and sores, red tongue with no or scanty coating, thready and speedy pulse. Dizziness- Insufficient Kidney Essence

13 Diarrhea- Accumulation of Cold-Dampness
Diarrhea with watery stools, bloated abdomen and poor appetite, or abdominal pain and borborygums, and sore limbs, white tongue with sticky white coating, slow and slippery pulse. Diarrhea- Accumulation of Cold-Dampness

14 Edema – Confrontation of Wind and Water
Started with puffy eyes, followed by acute edema over limbs and body, aversion to cold, sore and heavy joints, difficulty in urination. Pale white tongue with think white tongue coating, floating and slippery pulse. Edema – Confrontation of Wind and Water

15 Edema –Deficiency of Spleen Yang
Chronic edema, symptoms especially acute below the lumbar, slow to recover after pressing, bloated abdomen, poor appetite and loose stools, pale facial complexion, lassitude and weak limbs, scanty urine, white tongue with thick white stick or white slippery pulse. Edema –Deficiency of Spleen Yang

16 Depression – Deficiency of Heart and Spleen
Suspicious of things and people, dizziness and lassitude, palpitation, insomnia and poor memory, poor appetite, pale facial complexion, pale white tongue with thin white coating, thready pulse. Depression – Deficiency of Heart and Spleen

17 Insomnia – Heart Invaded by Liver Fire
Difficulty to sleep, or staying awake the whole night, irritable and easily angered, dizziness and heavy head, blood-shot eyes and tinnitus, dry and bitter mouth, poor appetite, constipation and dark urine, red tongue and yellow coating, wiry pulse. Insomnia – Heart Invaded by Liver Fire

18 Obese– Stomach Heat Blocked the Spleen
Eat incessantly, easily hungry, obese, bloated abdomen, red and moist facial complexion, irritable and dizzy, dry and bitter mouth, heartburn symptoms improved after food, red tongue and thick yellow coating, slippery pulse. Obese– Stomach Heat Blocked the Spleen

19 Obese – Yang Deficiency of Spleen and Kidney
Obese, bloated face, prefer to lie down and lassitude, short breath, loose stools, simultaneous sweating, worsen after moving, aversion to cold and cold limbs, edema seen in lower limbs, less urination in the day and more frequent at night, enlarged pale tongue and thin white coating, deep pulse. Y Obese – Yang Deficiency of Spleen and Kidney

20 Wind-Cold Blocked the Exterior Synrome
Severe aversion to cold, mild fever, absence of perspiration, headache, ache limbs, block nose or itchy nose and sneeze, watery nasal discharge regularly, itchy throat and cough, cough clear white sputum, not thirsty or prefer hot drinks. Thin white and moist tongue coating, floating or floating tight pulse. Wind-Cold Blocked the Exterior Synrome

21 Wind-Heat Invading the Lung Syndrome
Visible hot body, slight aversion to wind, unsmooth perspiration, heavy head, flushed face, coughing of sticky or yellow sputum, dry throat, blocked nose, sticky and yellow nasal discharge, desire to drink, thin white or slight yellow tongue coating, edge of the tongue or tip of the tongue is red, rapid and floating pulse. Wind-Heat Invading the Lung Syndrome

22 Cold Syndrome – Qi-Deficiency
Severe aversion to cold, mild fever without perspiration, headache and ache body, cough, white sputum and having difficulty to cough it out, usually felt lassitude and weak, short breadth and dislike to talk, vulnerable to contract cold, pale white tongue and white coating, floating and weak pulse. Cold Syndrome – Qi-Deficiency

23 Summer-Heat and Dampness Invaded the Exterior Syndrome
Feverish body, slight aversion to wind, absence of perspiration, heavy or ache body, heavy or dizzy head, cough sticky sputum and sticky nasal discharge, chest distension and thirsty, or felt sticky in the mouth but dislike drinking, bloated abdomen, nausea, or loose stools, yellowish urine, thin yellow and sticky tongue coating, rapid and slippery pulse. Summer-Heat and Dampness Invaded the Exterior Syndrome

24 Warm body, slight aversion to wind and cold and slight perspiration, dizzy and irritable, dry mouth, cough and scanty sputum, red tongue with scanty coating, thready and rapid pulse. Yin-Deficiency Cold

25 Wind-Cold Invading the Lung Syndrome
Loud cough, itchy throat, white and watery sputum, often accompanied with blocked nose, watery nasal discharge, headache and ache body, pale white tongue with thin white coating, floating or floating tense pulse. Wind-Cold Invading the Lung Syndrome

26 Wind-Heat Invading the Lung Syndrome
Frequent and loud cough, dry and sore throat, unsmooth coughing of sputum, sticky or yellowish sputum, perspiring when coughing, or accompanied with blocked nose, yellowish nasal discharge, thirsty, headache and body ache, red tongue with thin yellow tongue coating, floating, rapid pulse. Wind-Heat Invading the Lung Syndrome

27 Heat stagnated at Middle Warmer
Felt abdomen burning pain more than 2 years, dry mouth and extremely thirsty, desire cold drinks, yellow urine and dry stool, thick, red tongue with yellow and dry tongue coating, rapid pulse. Heat stagnated at Middle Warmer

28 Sinking of Spleen Qi Syndrome
Increased frequency of urination the last 3 weeks,1-2 times during day time and 5-6 times at night. No major changes of urine volume. Skinny and lassitude and felt sinking sensation around lower abdomen area. Pale enlarged tooth-mark tongue with thin white coating, thready pulse. Sinking of Spleen Qi Syndrome

29 Stomach invaded by phlegm-heat and disturbed the heart’s spirit
Insomnia and dreamy sleeps for years, easily awaken. Unable to sleep without taking sleeping pills and tendency of increased dosage. Insomnia worsen two months ago. Failed to sleep the whole night and consumption of TCM herbs and sleeping pills failed to improve the symptoms. Red tongue with thick, greasy yellow coating, slippery and rapid pulse. Stomach invaded by phlegm-heat and disturbed the heart’s spirit

30 40 year-old male accompanied by family
40 year-old male accompanied by family. Patient claimed forehead felt an overwhelming weight pressing against it. Drowsy and sleepy. No appetite. Occasional unclear conscious. According to the family, patient fell ill as a consequence of failing to receive positive work performance appraisal. Normal tongue color, coating and pulse. Mind blocked by Phelgm

31 Patient lost her father a year ago and couldn't cope with the loss
Patient lost her father a year ago and couldn't cope with the loss. Life and work problems worsen her depressed state. Started to fell dizzy and headache 2 months ago. Insomnia and dreamy sleep. Irritable and angered easily. Suddenly became insane and mania one moth ago after praying for her father’s anniversary. Incoherent speech, doesn’t stop crying and restlessness. When she calmed down, felt dizzy and heavy head, chest distension, sigh often, frightened of hearing human’s voice, prefer cold drink, dry stools and move her bowels once a few days. Yellow urine. Crimson tongue with thick yellow coating, rapid and slippery pulse. Depressive psychosis- Stagnation of Liver Qi Transformed Fire and Blocked the Mental Spirit

32 Whole body edema and abdominal dropsy for 6 years
Whole body edema and abdominal dropsy for 6 years. Yellow and dark facial complexion, scanty urine and loose stool. No appetite, coughing and panting, watery clear sputum, occasional nausea. White tongue with thick white slippery coating, deep and thready pulse. Yang Deficiency of Lung, Spleen and Kidney; Internal Accumulation of Cold-Dampness

33 Fire caused Liver Stagnation
Female, 32, fell ill after mother’s death. Perturbed, dizzy, insomnia, chest distension, low fever in the afternoon and symptoms would relieve after touching cold objects. No appetite, bitter mouth, regular sighing, irregular menstruation, hypomenorrhea with purple color and blood clot. Red tongue with scanty coating and wiry pulse. Fire caused Liver Stagnation

34 Insufficient Kidney Yang causing weak Liver and Spleen
Male, 42, married. Had medical history of emission and premature ejaculation. Impotence the last half year and absence of sexual desire. Atrophy of scrotum. Cold pain around the lumbar area and soft, weak lower limbs. Lassitude and no appetite. Pale and green facial complexion, cold limbs and severe aversion to cold. Pale white tongue and white coating with deep, slow pulse. Insufficient Kidney Yang causing weak Liver and Spleen

35 Dampness and Heat Blocking the Abdomen
Male, 52. often felt bloated abdomen and chest distension. Frequently sighed. Insomnia and dreamy sleep. The last 10 days felt nausea and dizzy. Normal appetite and urine, feces. Dark tongue and thick yellow tongue coating. Wiry and slipper pulse. Dampness and Heat Blocking the Abdomen

36 Deficiency of Liver and Kidney resulted Upward flow of Liver Yang
Female, 40 with medical history of hypertension for 4 years and worsened the last two months. Dizzy often, flushed face and dry mouth. Unable to walk steadily. Constipation, insomnia and dreamy sleep. Red tongue with thin white coating. Wiry and thready, rapid pulse. Deficiency of Liver and Kidney resulted Upward flow of Liver Yang

37 Tinnitus- Kidney Yin Deficiency
Male, 40. had a medical history of spermatorrhea and involuntary emission. Both ears hard to hear suddenly, lassitude, poor appetite, dreamy sleep, weak limbs. Pale tongue with thin white coating, slow pulse. Tinnitus- Kidney Yin Deficiency

38 Dysfunctions of both Triple Warmer and Bladder
Female, 28. Just 9 days after giving birth. Started to have difficulty in urination. Have to exert full strength before passing urine. Lumbar pain and bloated abdomen. Dry stools and unable to sleep well. White tongue with thick sticky coating, slippery and weak pulse. Dysfunctions of both Triple Warmer and Bladder

39 Heat Stagnation in Middle Warmer
Male 28. suffer from bloated and painful abdomen for 2 years. Symptoms worsen lately. Dry mouth and craving for cold drinks. Yellow urine and dry stools. Yellow tongue with thick yellow coating, wiry and rapid pulse. Heat Stagnation in Middle Warmer

40 Damp-Phlegm Stagnated the Upper and Middle Warmer.
Male 31. Prefers cold tea and cold drinks. Chest distention and coughing white sputum for one month. Tastelessness and poor appetite. Painful abdomen. Pale tongue with white and sticky coating, thready slippery pulse. Damp-Phlegm Stagnated the Upper and Middle Warmer.


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