Impaired liver free coursing

Any pathological disturbance of free coursing. It is due to numerous causes. Depression and anger are frequent causes. Spleen-stomach damp-heat or external evils are sometimes a factor. It can also result from insufficiency of liver yīn or liver blood. In most cases, more than one factor is operant. There are two pathological disturbances of free coursing: deficiency and excessiveness.

Patterns

Deficient free coursing (疏泄不及 shū xiè bù jí) is insufficiency of the upbearing and effusing action of liver qì that causes liver qì to become depressed and stagnant. This is called depressed liver qì (also called depressed liver qì and or liver depression and qì stagnation). It manifests in, amongst other things, distending pain in the rib-sides, the breasts, or the lesser abdomen (both sides of the lower abdomen), and affect-mind disturbances such as anger, frustration, and depression. It is important to understand that deficient free coursing manifests in repletion, not vacuity.

Excessive free coursing (疏泄太过 shū xiè tài guò) is excessiveness of the upbearing and effusing action of liver qì that expresses itself in counterflow ascent of liver qì, manifesting in upper body signs, such as dizziness, red eyes, heavy head and light feet (a subjective feeling of top-heaviness), and affect-mind signs such as impatience, agitation, and irascibility. It is observed in several liver dis-ease patterns: liver fire flaming upward, ascendant hyperactivity of liver yáng, and liver yáng transforming into wind.