What Chinese patent medicines are used for hyperactivity of liver-yang?

Feb 24, 2021 Source: Cainiu Health
Dr. Ou Chang
Introduction
Traditional Chinese Medicine (TCM) Patent Medicines for Liver-Yang Hyperactivity: 1. Qiju Dihuang Wan – for liver-yang hyperactivity caused by liver-kidney yin deficiency leading to relative excess of yang; 2. Tianma Gouteng Granules – for liver-yang hyperactivity due to internal stirring of liver-wind; 3. Chaihu Shugan San – suitable for liver-yang hyperactivity in young and middle-aged adults; 4. Qingxuan Zhitan Wan – for liver-yang hyperactivity resulting from internal stirring of liver-wind.

Liver Yang Rising is characterized not only by symptoms of Liver Yang Rising but also by signs of Liver Yin Deficiency, with the former predominating. Clinical manifestations of Liver Yang Rising include dizziness, tinnitus, distending pain in the head and eyes, flushed face and bloodshot eyes, irritability and quick temper, palpitations, forgetfulness, insomnia with vivid dreams, soreness and weakness in the lower back and knees, bitter taste in the mouth, dry throat, and a red tongue.

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Which Chinese Patent Medicines Are Recommended for Liver Yang Rising?

1. Qiju Dihuang Wan (Lycii and Chrysanthemum Rehmannia Pill)

Qiju Dihuang Wan comprises eight traditional Chinese herbs, including Poria, Moutan Bark, Prepared Rehmannia Root, Chrysanthemum Flower, and Lycium Fruit. It nourishes the Liver and Kidneys and clears heat while subduing fire. It is indicated for Liver Yang Rising secondary to Liver-Kidney Yin Deficiency. Typical symptoms include dizziness, blurred vision, excessive tearing upon exposure to wind, tinnitus, dry mouth and throat, soreness and weakness in the lower back and knees, and a red tongue with thin coating.

2. Tianma Gouteng Granules

Tianma Gouteng Granules contain Poria, Taxillus Stem, Leonurus Herb, Achyranthes Root, Gardenia Fruit, Uncaria Stem with Hooks, and Gastrodia Rhizome. Its primary actions are calming the Liver and extinguishing internal Wind, particularly for Liver Yang Rising caused by internal Liver Wind. Common symptoms include dizziness, tinnitus, blurred vision, insomnia, and irritability. It is commonly used for hypertension associated with Liver Yang Rising.

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3. Chaihu Shugan San (Bupleurum Powder to Dispel Liver Constraint)

Chaihu Shugan San consists of White Peony Root, Tangerine Peel, Cyperus Rhizome, Bupleurum Root, Honey-fried Licorice Root, Immature Bitter Orange Peel, and Szechuan Lovage Rhizome. Its principal function is to course the Liver Qi and regulate Qi flow. It treats hypochondriac pain, poor appetite, chest tightness, and irritability resulting from Liver Yang Rising. It is especially suitable for hypochondriac pain and chest oppression due to Liver Qi Stagnation and is commonly prescribed for young and middle-aged adults with Liver Yang Rising.

4. Qingxuan Zhitan Wan (Clearing Dizziness and Treating Hemiplegia Pills)

Qingxuan Zhitan Wan contains numerous precious herbs, including Scorpion, Psoralea Fruit, Silkworm Pupa, Gastrodia Rhizome, Aquilaria Wood, Immature Bitter Orange Peel, Water Buffalo Horn, Hawthorn Fruit, Bornel, and Pearl. Its main actions are calming the Liver and extinguishing Wind, unblocking the channels, and resolving phlegm. It treats stroke and related sequelae—including dizziness, vertigo, chest distress, hemiplegia, and facial deviation—caused by Liver Yang Rising secondary to internal Liver Wind.

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The above outlines commonly used Chinese patent medicines for Liver Yang Rising. We hope this information is helpful to you.