Strictly speaking this is not an Excess pattern, but one which arises out of a combination of
Deficiency and Excess. It is a deficiency of Liver-Blood or Liver-Yin or Kidney-Yin (or a
combination of these) that gives rise to Liver-Yang rising.
Liver-Yang rising causes tiredness in much the same way as Liver-Qi stagnation, i.e. the
derangement of Liver-Yang impairs the proper movement and direction of Qi which results in
tiredness.
Additionally, the underlying deficiency of Liver and/or Kidneys also contributes to the feeling of
tiredness. The tiredness deriving from Liver-Yang rising is also worse in the afternoon.
Principle of Treatment
Subdue Liver-Yang, nourish Liver and/or Kidneys.
Acupuncture
General Prescription
- LIV-3 Taichong with reducing method to subdue Liver-Yang.
- LIV-8 Ququan, SP-6 Sanyinjiao, KI-3 Taixi, Ren-4 Guanyuan with reinforcing method
to nourish Liver or Kidneys. - P-7 Daling (for women) or HE-7 Shenmen (for men) with even method to calm the
Mind.
Herbal Treatment
Prescriptions
Tian Ma Gou Teng Yin
(Gastrodia-Uncaria Decoction)
Tian Ma Rhizoma Gastrodiae elatae 9 g
Gou Teng Ramulus Uncariae 9 g
Shi Jue Ming Concha Haliotidis 6 g
Sang Ji Sheng Ramulus Loranthi 9 g
Du Zhong Cortex Eucommiae ulmoidis 9 g
Chuan Niu Xi Radix Cyathulae 9 g
Zhi Zi Fructus Gardeniae jasminoidis 6 g
Huang Qin Radix Scutellariae baicalensis 9 g
Yi Mu Cao Herba Leonori heterophylli 9 g