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6 Syndrome of endogenous liver wind

Syndrome of endogenous liver wind is the syndrome marked by dizziness, convulsion and tremor. According to the causes, this syndrome is clinically further divided into syndrome of liver yang transforming into wind, syndrome of extreme heat generating wind, syndrome of yin asthenia disturbing wind and syndrome of blood asthenia generating wind.
2.3.4.6.1 Syndrome of liver yang transforming into wind
Syndrome of liver yang transforming into wind refers to wind syndrome due to consumption of liver and kidney yin and hyperactivity of liver yang. This syndrome is usually caused by emotional upsets and qi stagnation transforming into fire and consuming yin; or by constant asthenia of liver and kidney yin, failure of yin to control yang and hyperactivity of liver yang which transforms into wind, therefore leading to the wind syndrome marked by root asthenia and branch sthenia as well as exuberance in the upper and deficiency in the lower.
Clinical manifestations: Dizziness, shaking head, headache, neck stiffness, tremor of limbs, stuttering, numbness of hands and feet, abnormal gait, red tongue with white or greasy fur, powerful pulse, even sudden coma, facial distortion, hemiplegia, aphasia and sputum rale in the throat. Such symptoms are usually seen in hypertension, cerebral arteriosclerosis, cerebral infarction, cerebral hemorrhage, cerebrovascular accident sequela, Parkinson's disease, epilepsy and injury of spinal cord, etc.
Analysis of the symptoms: Dizziness, shaking head and headache are caused by hyperactive liver yang transforming into wind and disturbing the upper part of the body neck stiffness and tremor of limbs are caused by endogenous liver wind and spasm of tendons and vessels; stuttering is caused by wind and yang rising up to disturb the tongue collaterals; numbness of hands and feet is caused by malnutrition of the tendons and vessels due to consumption of liver and kidney yin; abnormal gait is caused by hyperactivity of liver yang and consumption of liver and kidney yin; red tongue with white or greasy fur and powerful pulse are the signs of consumption of yin and hyperactivity of yang; sudden coma, and sputum rale in the throat are caused by abrupt rise of liver wind and yang, disturbance of qi and blood as well as blockage of the upper orifices by liver wind mingled with phlegm; facial distortion, hemiplegia, stiff tongue and aphasia are caused by wandering of liver wind and phlegm in the meridians.
Key points for syndrome differentiation. This syndrome is marked by frequent dizziness and hyperactivity of liver yang as well as sudden severe vertigo, headache, stiff neck, tremor of limbs, stuttering, numbness of hands and feet, even sudden coma and hemiplegia.
2.3.4.6.2 Syndrome of extreme heat generating wind
Syndrome of extreme heat generating wind refers to the syndrome due to exuberant pathogenic heat scorching tendons and vessels. This syndrome is usually seen in exogenous febrile disease in which exuberant pathogenic heat scorching the heart and liver meridians, leading to spasm of tendons and vessels and resulting in endogenous liver wind.
Clinical manifestations: Continuous high fever, restlessness, spasm of hands and feet, stiff necks, upward staring of eyes, even episthotonos, lackjaw, unconsciousness, deep reddish tongue, yellowish dry fur and taut and rapid pulse. Such symptoms are usually seen in epidemic encephalitis B, epidemic cerebrospinal meningitis, brain abscess, tuberculous encephalitis, epidemic hemorrhagic fever, scarlet fever and puerperal infection.
Analysis of the symptoms: Stiff necks, upward staring of eyes or even episthotonos are caused by exuberant pathogenic heat scorching tendons and vessels and causing liver wind; high fever, restlessness and unconsciousness are caused by invasion of heat into the pericardium and disturbance of the brain;deep reddish tongue, yellowish dry fur and taut and rapid pulse are the signs of exuberant heat consuming body fluid.
Key points for syndrome differentiation.. This syndrome is marked by high fever and restlessness accompanied by spasm of the limbs, stiff neck and episthotonos which signify internal stirring of liver wind.
2.3.4.6.3 Syndrome of endogenous wind due to yin asthenia
Syndrome of endogenous wind due to yin asthenia refers to the syndrome due to consumption of yin fluid and malnutrition of tendons and vessels. This syndrome is usually caused by consumption of yin fluid at the advanced stage of exogenous febrile disease; or by consumption of yin fluid due to internal impairment and chronic disease which lead to malnutrition of tendons and vessels and endogenous asthenia wind.
Clinical manifestations: Tremor or flaccidity of hands and feet, dizziness and finnitus, tidal fever in the afternoon or in the evening, feverish sensation over the five centers (palms, soles and chest) or bone-steaming fever, flushed cheeks, emaciation, dry mouth and throat, red tongue with scanty fluid and thin and rapid pulse. Such symptoms are usually seen at the advanced stage of some infectious diseases, such as epidemic encephalitis B, epidemic cerebrospinal meningitis and scarlet fever as well as at the advanced stage of some chronic and consumptive diseases, such as hematopathy and malignant tumor.
Analysis of the symptoms: Tremor or flaccidity of hands and feet is caused by malnutrition of tendons and vessels and endogenous asthenia wind due to consumption of liver and kidney yin fluid; dizziness and tinnitus are caused by malnutrition of ears and eyes due to asthenia of liver and kidney yin; emaciation, dry mouth and throat are caused by failure of asthenic yin fluid to nourish the body; tidal fever in the afternoon or in the evening, feverish sensation over the five centers (palms, soles and chest) or bone-steaming fever, flushed cheeks, red tongue with scanty fluid and thin and rapid pulse are caused by yin asthenia, yang hyperactivity and upward flaming of asthenic fire.
Key points for syndrome differentiation. This syndrome is marked by tremor of hands and feet accompanied by tidal fever in the afternoon or in the evening, feverish sensation over the five centers or bone-steaming fever.
2.3.4.6.4 Syndrome of blood asthenia generating wind
Syndrome of blood asthenia generating wind refers to the syndrome due to consumption of blood and malnutrition of tendons and vessels. This syndrome is usually caused by blood asthenia due to chronic disease, acute or chronic hemorrhage which leads to asthenia of blood, malnutrition of tendons and vessels as well as endogenous wind.
Clinical manifestations: Tremor of hands and feet, fascicular twitching, numbness of limbs, dizziness, tinnitus, pale complexion, light coloured nails, whitish tongue and thin and weak pulse.
Analysis of the symptoms: Tremor of hands and feet, fascicular twitching and numbness of limbs are caused by consumption of blood, malnutrition of tendons and vessels and endogenous asthenia wind; dizziness and tinnitus are caused by failure of blood asthenia to nourish the head; pale complexion, light coloured nails, whitish tongue and thin and weak pulse are caused by failure of blood asthenia to nourish the body.
Key points for syndrome differentiation. This syndrome is marked by tremor of hands and feet, fascicular twitching, numbness of limbs and accompanied manifestations of blood asthenia.

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