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Digest Number 1471/Gallbladder

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Joseph wrote " If yin organs control only

yin and yang organs only yin,

as Nan Lu teaches, this would explain why liver blood xu

headaches travel along the liver channel to the vertex of

the head and

" liver qi " ascending problems travel up the GB channel.

Joseph Garner

 

I always wondered about that. I have had a few patients,

all female, with headaches that are behind one eye, throb,

and are treated like a migraine. The pain travels from the

eye down the back of the neck to GB 21.

 

Some people call those liver-yang headaches. However, this

isn't strictly accurate. The patient does not necessarily

have a wiry pulse, and there is not necessarily problems

with dizziness, a bursting sensation, or irritability, or

red eyes.

 

Therefore, would the anchoring herbs like shi jue ming, mu

li, or long gu still be indicated?

 

Yet, the headache does seem to involve the liver. Often,

the patients have blood deficiency underlying, tense

muscles, a stressful lifestyle and of course, the HA

involves the eyes. However, the herbs that treat liver

headaches like wu yao wouldn't be appropriate. I have not

yet met anyone with a " vertex " headache.

 

The best dx seems to be liver qi stagnation creating

obstruction in the GB channel. I've never seen this listed

as a dx. I like to use herbs like ju hua and huang qin

though, maybe along with some xiao yao san and chuan xiong,

so even though I don't write down this dx it is still

inferrable from the herbs I use.

 

G

 

 

 

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I'm reading the Shan Han Lun (Mitchell Feng Wiseman) and trying to relate

the SHL to the discussion below. (one sided headaches / Yang Organs

treating Yang)

 

Seems the Dx should be Shao Yang Disorder and the treatment Harmonize.

Yang is the upper part of the body, Exterior Channel (GB TB), Both Excess

and Deficiency, Qi and Blood. Alternatives between Excess and Deficiency.

Thus the pivot is out of whack and treatment would be to Harmonize.

 

 

The Zhang Fu Dx would be

Liver Blood Deficiency (Interior Deficient ) then Tonify.

Liver Yang Rising (Interior Excess) then Sedate.

Liver Qi Stagnation (Interior Excess) then Regulate Qi

 

Rx Xiao Yao San (Harmonize Liver and Spleen)

 

Seems neither Shao Yang Stage nor Xiao Yao San mention headaches which is

the main complaint. Although headaches are indicative in all the Zang Fu

presentations but if treated singularly (via Tonify / Sedate / Regulate)

would not be affective treatment.

 

I could also relate this to the discussion on Teachers and Students.

How's a teacher address a students question when the student does not have

the ability to articulate the question, yet is still befuddled. And who

becomes more frustrated - the student or the teacher?

 

Thanks,

Ed Kasper

 

 

 

 

Message: 11

Fri, 20 Jun 2003 13:53:52 -0700 (PDT)

Gabrielle Mathieu <gabriellemathieu

Re: Digest Number 1471/Gallbladder

 

Joseph wrote " If yin organs control only yin and yang organs only yin, as

Nan Lu teaches, this would explain why liver blood xu

headaches travel along the liver channel to the vertex of the head and

" liver qi " ascending problems travel up the GB channel.

Joseph Garner

 

I always wondered about that. I have had a few patients, all female, with

headaches that are behind one eye, throb, and are treated like a migraine.

The pain travels from the eye down the back of the neck to GB 21.

 

Some people call those liver-yang headaches. However, this isn't strictly

accurate. The patient does not necessarily have a wiry pulse, and there is

not necessarily problems with dizziness, a bursting sensation, or

irritability, or red eyes.

 

Therefore, would the anchoring herbs like shi jue ming, mu li, or long gu

still be indicated?

 

Yet, the headache does seem to involve the liver. Often, the patients have

blood deficiency underlying, tense muscles, a stressful lifestyle and of

course, the HA involves the eyes. However, the herbs that treat liver

headaches like wu yao wouldn't be appropriate. I have not yet met anyone

with a " vertex " headache.

 

The best dx seems to be liver qi stagnation creating obstruction in the GB

channel. I've never seen this listed as a dx. I like to use herbs like ju

hua and huang qin though, maybe along with some xiao yao san and chuan

xiong, so even though I don't write down this dx it is still inferrable from

the herbs I use.

 

G

 

 

 

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