Tumour - Liu
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Definition
Accumulation of stagnated blood, turbid qi and phlegm causes outgrowths in the tissue. These outgrowths are called Liu (tumour) in TCM. They are divided into qi liu, rou liu, jin liu, xue liu and gu liu.
Causes and Pathological Mechanisms
- Genuine Qi weakness and Exogenous Evils take advantage to invade and gather in the Jingluo and Zang Fu, which leads to Qi Stagnation, Blood Stasis and the formation of Phlegm
- Qi, Blood and Phlegm are the main pathological factors. Other pathological factors include Dampness accumulation, Liver and Kidney deficiency and Heart Fire blazing.
- Qi Stagnation: Improper Diet and drink (water) and emotional disorder.
- Blood Stasis: following Qi Stagnation or injuries.
- Phlegm Formation: Qi Stagnation and fluid gather to form Phlegm
- Jingluo and Zang Fu: Ren, Du, Liver and Kidney
Patterns
Qi Liu
- Symptoms: Trunk, face and limbs, various sizes and numbers, bunches, soft, dented when pressed and bounce back quickly, no pain, normal skin or dark pigmentation, smooth surface. Family history.
- Tongue:
- Pulse:
- Treatment strategy: Regulate lung qi and resolve phlegm to dissipate Liu
- Formula: Tong Qi San Jian Wan
- Acupoints:
Rou Liu
- Symptoms: Neck, back, shoulder, thigh and buttock, various sizes and number, soft flattened when pressed, no adhesion with skin, movable but with a wider base and no pain.
- Tongue:
- Pulse:
- Treatment strategy: Strengthen spleen qi and resolve phlegm to soften hardness
- Formula: Gui Pi Tang and Er Chen Tang
- Acupoints:
Jin Liu
- Symptoms: Ganglion: tendons in ankle and wrist, round, smooth and movable, cyst-like feeling at first but becoming harder later, single or a few, slight pain and lack of power, repetitive. Varicose veins: legs, cord-like veins, dark blue colour, heavy feeling in legs, lifting up legs or pushing blood towards the heart can make it smaller. Complications are eczema and shank ulcer.
- Tongue:
- Pulse:
- Treatment strategy: Ganglion: no internal medicine. Varicose veins: dredge the vessel and activate blood circulation
- Formula: Tong Jin Huo Xue Wan
- Acupoints:
Xue Liu
- Symptoms: Limbs, face and neck, semi-sphere, or flat or protruding, soft as sponge, clear border, red or purple colour
- Tongue:
- Pulse:
- Treatment strategy: Cool ying and blood, clear heart fire and nourish yin
- Formula: Xie Xin Tang and Tao Hong Si Wu Tang
- Acupoints:
Gu Liu
- Symptoms: Osteoid osteoma: no subjective symptoms, outgrowth in bone with clear border, mostly in long bones. Osteosarcoma: mostly occurs in 10-25 years old at the proximal end of the humerus, the distant end of the femur and the proximal end of the tibia. Local symptoms similar to acute osteomyelitis, persistent severe pain, redness, swelling and hot feeling. Tumour grows rapidly. Outgrowth of bone can be felt and X-ray and biopsy can determine the diagnosis.
- Tongue:
- Pulse:
- Treatment strategy: Nourish kidney and remove cold, phlegm and blood stasis
- Formula: Tiao Yuan Shen Qi Wan
- Acupoints:
References
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