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liver qi xu

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> TODD wrote: there is nothing about the

> symptom complex labeled " liver qi xu " that would lead me to make a

> different therapeutic choice than if I called it liver blood xu with qi

> xu. Thats the crux of the issue for me.

 

I have one book (unfortunately, not here) from China, a large paperback but thin

in Mainland China font which is an exhaustive listing on all matters of

diagnosis: Zang-fu, Shan Hun, 8 princibles etc. It mentions Liver Qi Xu but only

in the introduction but not in the body of the

book. I assume it reflects some ambilivance in Chinese academia as well.

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Todd

' However, I consider it (BZYQT) to treat liver depression and blood xu with

dang gui and chai hu.'

 

The Chai Hu may course the liver, however, the key components are Qi tonics. I

view the Chai Hu more as a guide to the liver that induces the upbearing of Qi

with Sheng Ma. Yes if one adds Dang Gui, blood xu can be treated. So, In my

experience, if the left guan is floating, without

root, Bu Zhong Yi Qi Tang is the most reliable method of correcting the implied

issue regarding Liver Qi Xu.

 

Will

 

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Dear All

At the risk of sounding like a complete cretin, I have to confess that my

approach to the liver qi vacuity/deficiency questions has been exclusively

pragmatic and entirely reactive. Qin Bowei would probably be appalled. First

I identify some permutation of liver spleen imbalance that I believe requires

more liver coursing than middle supplementing, or more importantly middle

supplementing and qi raising. When that doesn't work, I say to myself, " gee,

where have I blown it? Maybe there's really more vacuity and qi-sinking here

than I realized. " This is often more apparent once I've cleared away some of

the initial stagnation. For reasons evident in the current discussion, I

don't get too wrapped up in trying to identify a discrete pattern. Ultimately

its too comfusing. Better just to look at the entire clinical picture in the

context of how the therapy has proceeded thus far. We can call it whatever we

like but I see liver qi Xu as a good strategy to explore or at least rule out

when the obvious choice doesn't pan out. In that capacity I've found it quite

useful. There are many other options of course, but the liver qi vacuity

scenario is a quite common one in my clinical practice.

 

Chip

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