Liver Qi Stagnation     肝氣鬱結

by: Joe Hing Kwok Chu          按此看中文

Gan qi yu jie (liver qi stagnation)

Liver qi stagnation is a term used in Traditional Chinese medicine. It has nothing to do with the physical organ liver.

The syndrome includes:

Primary: fullness and pain in the chest; depressed mood.

Secondary: tightness and discomfort in the chest area, frequent sighing, lack of appetite, difficulty in ejaculation during intercourse (male), dislike talking, pain before and during menses (female), fullness in the breasts or breasts with lumps, pale tongue with thick fur, tight pulse.

Liver stagnation sufferers have low immune function. It can be due to the imbalance of cAMP and cGMP and over production of cortisol.

A study using Beck Depression Inventory shows that most of the gan qi yu jie (liver qi stagnation) patients were depressed.

Another study shows that the increase of antidiuretic hormone is a significant correlative index of gan qi yu jie ((liver qi stagnation). Gan qi stagnation is closely related with the function of regulating emotion of the central nervous system.

Herb therapy:

Name of formula: chai hu shu gan tang

Composition:

chen pi    chai hu    zhi ke   xiang fu zi  chuan xiong  bai shao   gan cao

Adjustments:

Blood deficient: add dang gui

Blood stasis, insomnia, anxiety: add yan hu suo

Urination difficulty: add chuan lian zi  

Weak digestion: add yu jin  

Editor's Note:

The increase of antidiuretic hormone is usually caused by shenyangxu condition which is common among the liver qi stagnation  patients. Also, the patients usually show condition of blood stasis (xue yu).

Antidiuretic hormone (ADH), is a water-retaining hormone, promotes water retention by increasing the permeability of nephrons (filtering units of the kidneys).

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 肝氣鬱結

主要症狀﹕胸脅脹痛痛或串痛，情志抑鬱。

次证：胸悶不舒，常嘆息，食慾不振，月經不調，經期腹痛，乳脹或結塊，舌淡苔薄, 性交時不能射精，寡言少歡，性慾低下﹐脉弦。

血漿抗利尿激素水平升高是肝氣郁結証相關性較強的指標之一. 肝氣郁結証與中樞神經對精神情緒調節功能異常密切相關. [1]

肝鬱證患者的免疫功能低下。可能與環核苷酸的代謝紊亂、

以及糖皮質激素分泌過多

處方﹕柴胡疏肝湯

組成﹕

陳皮 ，  柴胡，  枳 殼，  香附子，  川 芎，  白 芍，  甘草。

血虛﹕加 當歸

血淤﹐失眠﹐不安﹕加延胡索

小便不利﹕加 川楝子

消化不良﹕加  鬱金

[1] <<世界 華人消化雜誌 >>1998年06期
趙玉秋 , 李學文 , 陳國林 , 陳澤奇