Liver-Spleen Disharmony

Star

肝脾不和 (Gān Pí Bù Hé)

Not yet clinically reviewed

Combined

Tongue

Pale or slightly red sides

Pulse

Wiry on the left, weak on the right

Key Symptoms

Alternating loose stools and constipationAbdominal pain relieved by a bowel movementBloatingIrritabilityPoor appetite that worsens with stress

Overview

Wood overacts on Earth. Constraint and weak transformation in the same patient.

Differentiate from

  • Damp-Heat in the Large Intestine (burning, blood and mucus, yellow greasy coat)
  • Spleen Qi xu alone (no irritability or wiry pulse)

Etiology

Constraint plus irregular diet; worry; the most common IBS picture.

Pathomechanism

Constrained Liver Qi invades and disrupts the Spleen's transport.

Treatment Principle

Soothe the Liver; strengthen the Spleen; regulate the bowels.

Representative formulas. Xiao Yao San; Tong Xie Yao Fang when pain-diarrhea is the main complaint; Si Ni San.

Representative points. LIV-13, LIV-3, GB-34, ST-36, SP-6, REN-12, ST-25.

Representative Formulas

Acupuncture Points

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