What Chinese patent medicine should be taken for hyperactivity of liver yang?
Dec 12, 2025
Source: Cainiu Health
Dr. Sun Lianqing
Introduction
Hyperactivity of liver yang is mostly caused by yin deficiency of the liver and kidney, along with excessive liver yang. Commonly used traditional Chinese medicine formulations for regulation include Tianma Gouteng Granules, Longdan Xiegan Pills, Zhibai Dihuang Pills, Lingyangjiao Granules, and Zhennao Ning Capsules. When using these medications, it is important to pay attention to their contraindications and precautions, and strictly follow medical instructions to ensure safe and effective use.
Hepatic yang hyperactivity is mostly caused by yin deficiency of the liver and kidney along with excessive liver yang. Commonly used traditional Chinese medicine (TCM) formulations for regulation include Tianma Gouteng Granules, Longdan Xiegan Pills, Zhibai Dihuang Pills, Lingyangjiao Granules, and Zhennao Ning Capsules. A detailed analysis is as follows:
1. **Tianma Gouteng Granules**: The core functions are to calm liver wind, clear heat, and tranquilize the mind. It is suitable for symptoms such as headache, dizziness, tinnitus, blurred vision, tremors, and insomnia caused by hepatic yang hyperactivity. This formulation effectively moderates excessive liver yang and relieves cerebral discomfort.
2. **Longdan Xiegan Pills**: Specializes in clearing heat from the liver and gallbladder and eliminating damp-heat. Suitable for cases of hepatic yang hyperactivity accompanied by liver-gallbladder damp-heat, manifesting as dizziness, bloodshot eyes, tinnitus or hearing loss, bitter taste in the mouth, hypochondriac pain, and dark, painful urination. It simultaneously clears heat and calms the liver.
3. **Zhibai Dihuang Pills**: Functions to nourish yin and reduce deficient fire. Indicated for hepatic yang hyperactivity due to yin deficiency of the liver and kidney with ascending virtual fire, presenting symptoms such as tidal fever, night sweats, dizziness, tinnitus, soreness and weakness of the lower back and knees, dry mouth, and throat dryness. This formula focuses on nourishing yin to subdue liver yang.
4. **Lingyangjiao Granules**: Capable of calming liver wind, clearing liver to improve vision, and clearing heat to detoxify. Suitable for high fever with convulsions, headache, dizziness, red and painful eyes caused by hepatic yang hyperactivity. It is particularly effective in relieving heat-related symptoms resulting from excessive liver yang.
5. **Zhennao Ning Capsules**: Mainly functions to extinguish wind and unblock meridians. Used for headaches, nausea, vomiting, blurred vision, and limb numbness caused by upward disturbance of wind pathogen and hepatic yang hyperactivity. It helps regulate the meridians and calm excessive liver yang.
When using these medications, attention should be paid to contraindications and precautions. Medication must be taken strictly according to medical advice to ensure safety and effectiveness.
