1. Liver Physiology Liver Pathology Cases
Roger M Clemmons, DVM, PhD, CVA
CDR, IRC, USPHS
Aso Prof Neurology & Neurosurgery
University of Florida
TCM Liver Disease
Liver Physiology
Liver Pathology
Cases

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

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

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 Excess Deficiency 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. Scanty dark yellow urine
Liver Damp Heat
Jaundice
Scanty dark yellow urine
Swollen, hot, itchy, painful vagina, scrotum or prostate
Tongue: Red or Yellow
Pulse: Wiry and rapid
GB34, GB40-41, BL19, LI-11, SP-9
Yin Chen Hao plus
Liver Fire Blazing Upwards
Epistaxis
Red, swollen, painful eyes
Weak vision or Corneal opacity
Ocular discharge
Dry feces or constipation
Thick, dark yellow urine
Tongue: Red and dry
LIV-3, GB-34, GB-1, Tai Yang, ST-1, GB-37
Snake & Dragon (Long Dan Xie Gan)
Extreme Heat Generating Liver-Wind
High fever
Rigidity of Neck
Tremors or Convulsions
Opisthotonus or Coma
Running into walls or circling
Tongue: Red
GB-20, LIV-3, BL-17, SP-10, GB-41, GB-34, GV-14, LI-4, hemo-12 Ting points
Ling Yang Gou Teng
Retention of Cold in the Liver Meridian
Hind limb stiffness
Cold ears and nose
Cold trunk and limbs
Swollen, cold scrotum and testes
Swollen or painful prostate
Infertility due to coldness in the uterus
Tongue: Purple and wet
Pulse: Deep and slow
Moxa LIV-3 / 8 / 14, LIV-1, LIV-3, GB-34
Hui Xiang
(Foeniculum powder)

12. 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

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

14. Liver Blood Deficiency Dry or cracked paws or hooves Dandruff
Lethargy and prefers to lie on ground
Tongue: Pale and dry
Pulse: Wiry and thready
BL-18, SP-10, BL-17, SP-6
Si Wu Tang
Liver Yin Deficiency
Red eyes
Tearing or watery eyes
Slightly swollen eyelids
Nebula
Tongue: Red and dry
Pulse: Thready or wiry and rapid
LIV-3, BL-18, BL-23, KID-3, SP-6
Liu Wei Di Huang Wan
Internal Wind due to Liver Blood Def
Tremor or convulsions
Pulse: Weak and thready
BL-18, SP-10, BL-17, SP-6, GB-20, GB-34, GV-21
Tian Ma San
Internal Wind due to Liver Yin Def
Liver Yang Rising Wind
Prolonged low fever
Night sweating
Tongue: Red and Dry (no coating)
LIV-3, BL-18, BL-23, KID-3, SP-6, GB-20, GB-34, GV-21
Tian Ma plus

15. 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

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

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

18. Liver & Kidney Yin Deficiency Qi Ju Liu Wei Di Huang Wan
Liver Heat
Conjunctivitis or keratitis
Congestion of the conjunctival vessels
Red or swollen eyes
Clear to mucoid ocular discharge
Tongue: Red
Pulse: Wiry, rapid and surging
Fang Feng San
Liver Stagnation
Swollen eyelids
Ocular discharge
Photophobia
Miosis
Nebula (blue or grey) or corneal opacity
Tongue: Red or pale
Pulse: Surging & fast or Deep & weak
Jue Ming Sna
Bo Yun San (topically)
Liver & Kidney Yin Deficiency
Atrophied pupil
Scant, thick, mucoid discharge (at medial canthus)
Corneal opacity
Yellow or grey sclera
Tongue: Red and dry
Pulse: Weak and thready
Qi Ju Liu Wei Di Huang Wan

19. 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)

20. 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

21. 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

22. Pogo Treatment Acupuncture Herbal
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

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