Main clinical manifestations: dizziness, tinnitus, head swelling and headache, top-heaviness, red face and red eyes, impatience and irritability, insomnia and dreaminess, soreness of waist and knees, or five senses of upset, flushed face, red tongue and deep and thin pulse.
Pathogenesis analysis: This syndrome is characterized by liver (kidney) yin deficiency and liver yang hyperactivity. Yin deficiency of liver and kidney, hyperactivity of liver yang, leading to dizziness and tinnitus, head swelling and headache, top-heavy, red face and red eyes; Liver qi stagnation leads to liver depression, while irritability leads to irritability, insomnia or dreaminess; Yin deficiency of liver and kidney and insufficient tendons and veins lead to soreness of waist and knees. Internal heat due to yin deficiency, feverish sensation of five nerves, facial heat, red tongue, strong or thin pulse. Yang Can with hyperactivity of liver yang can't control it, but the collection system of large websites can't control hyperactivity of liver yang, which leads to hyperactivity of liver yang syndrome.
Differentiation and analysis of similar syndrome: the syndrome of hyperactivity of liver yang should be distinguished from the syndrome of hyperactivity of liver fire, which are related in pathogenesis and have heat syndrome in clinical manifestations. However, this syndrome is the deficiency of the original standard, and the syndrome of hyperactivity of liver fire is characterized by the clinical manifestations of qi and fire. This syndrome should also be distinguished from liver yin deficiency, which is characterized by insufficient yin fluid and weakened nourishing function. This syndrome has both symptoms of liver yin deficiency and clinical manifestations of yang hyperactivity.
Points for attention in syndrome differentiation: grasp the characteristics of deficiency of essence and excess of essence, that is, there are both clinical manifestations of yin deficiency of liver and kidney and symptoms of hyperactivity of liver yang.
Cold coagulation of liver pulse syndrome is caused by stagnation of cold pathogen, stagnation of liver meridian qi and poor circulation of qi and blood. Most of them are caused by cold pathogen.
The main clinical manifestations are: cold pain of testis and scrotum caused by abdominal traction, refusal to press due to uplift, or thigh traction pain. It will be aggravated when it is cold, and will be relieved when it is warm, accompanied by cold symptoms such as body cold and pale face. Light tongue, white or dark fur, and deep pulse.
Pathogenesis analysis: This syndrome is characterized by stagnation of liver meridian qi caused by cold pathogen. The liver meridian of the foot Jue Yin reaches the lower abdomen around the yin organ, and the stagnation of cold pathogen leads to cold pain and swelling of the lower abdomen, testis and scrotum, which affects femoral traction. Cold leads to yin evil, and when cold evil invades, the channels and veins are restrained, and the qi and blood stagnate, so the pain will slow down if it refuses to be pressed or becomes warmer when it is aggravated by cold. Feel that cold pathogen and yang qi are inhibited, or the effects of yang deficiency and warmth are weakened. Ba u is cold, pale, pale tongue with white fur. Sinking pulse is the pulse of liver disease.
Differentiation of similar syndrome: this syndrome should be differentiated from cold hernia in hernia disease. Hernia Cold hernia is also called flatulence pain because its small intestine hangs down from the scrotum, which is mainly pain and generally has no cold symptoms. In addition to pain, this syndrome also has obvious cold symptoms.
Matters needing attention in syndrome differentiation: Testicular swelling and abdominal pain are the main symptoms, and cold symptoms such as body cold and aggravated pain occur in case of cold.