Liver and Spleen Disharmony   肝脾不和证

Disclaimer    For educational purposes only.  Do not use as medical advice

Pattern Names
Liver and Spleen Disharmony肝脾不和证 • Gān Pí Bù Hé Zhèng
Classification
Category: Zang Fu Syndrome: Complex
Symptoms
Tongue: white coating Pulse: weak, wiry
Indications: Distention and pain in abdominal and hypochondriac area, sigh frequently, depression, irritability, easily anger, poor appetite, bloating, loose stool with incomplete feeling, or rumbling sound in intestine, gas, or abdominal pain and diarrhea, pain relieved after diarrhea, or watery stool. Alternating constipation and loose stools. White tongue coating, wiry or weak pulse [Qiao]
Keywords
Distension and pain the hypochondriac region, abdominal pain and intestinal rumbling, borborygmus, irregular bowl movement, poor appetite [Qiao]   
Treatment 
tonify Spleen, spread Liver Qi, nourish Blood
Acupuncture 
GB34, LV5, LV13, LV14, REN6, REN12, PC6, SJ6, ST25, ST36, SP4, SP6, SP15
Herb
Xiao Yao San, Si Ni San
Etiology
Liver failed to disperse and soothe the flow of qi, and spleen failed transportation and transformation, manifest with hypochondriac pain and distention, abdominal bloating, loose stool. It has been called liver and spleen disharmony pattern. –  Emotional stress, improper diet, chronic illness –  Liver qi stagnation failed to conduct and disperse, lead hypochondriac distention and pain, irritable, anger, frequent sigh and depress –  Qi stagnate in the LI, cause difficult BM –  Spleen qi deficiency failed T/T, cause loose stool, poor appetite, bloating and fatigue [Qiao]
Notes
AKA: Liver Qi Stagnation With Spleen Qi Deficiency, Liver Overacting on Spleen
Use Case 1
Use Case 2