Patients may experience pain in one or both flanks due to various potential causes. Liver stagnation can cause left or right flank pain that is relieved by addressing mental stress but worsened by emotions, and is associated with a thin tongue coating and wiry pulse. Damp-heat pathogens can cause right flank pain along with bitter taste, chest distress, jaundice and a greasy tongue coating. Blood stasis from trauma can cause fixed night pain and a dark purple tongue. Yin deficiency can cause dull flank pain made worse by exertion and is linked to a red tongue with little coating. Treatment focuses on foot massage and acupuncture at specific points to regulate liver qi, blood, and yin.
Patients may experience pain in one or both flanks due to various potential causes. Liver stagnation can cause left or right flank pain that is relieved by addressing mental stress but worsened by emotions, and is associated with a thin tongue coating and wiry pulse. Damp-heat pathogens can cause right flank pain along with bitter taste, chest distress, jaundice and a greasy tongue coating. Blood stasis from trauma can cause fixed night pain and a dark purple tongue. Yin deficiency can cause dull flank pain made worse by exertion and is linked to a red tongue with little coating. Treatment focuses on foot massage and acupuncture at specific points to regulate liver qi, blood, and yin.
Patients may experience pain in one or both flanks due to various potential causes. Liver stagnation can cause left or right flank pain that is relieved by addressing mental stress but worsened by emotions, and is associated with a thin tongue coating and wiry pulse. Damp-heat pathogens can cause right flank pain along with bitter taste, chest distress, jaundice and a greasy tongue coating. Blood stasis from trauma can cause fixed night pain and a dark purple tongue. Yin deficiency can cause dull flank pain made worse by exertion and is linked to a red tongue with little coating. Treatment focuses on foot massage and acupuncture at specific points to regulate liver qi, blood, and yin.
Differential diagnosis: Patients with liver stagnation may suffer from pain in flank of left or right side alleviated after relief from mental depression but aggravated by emotional distress, annoyance, anger, impairment of sleep, thin tongue coating, and wiry pulse. Patients with damp-heat pathogens may suffer from pain in flank of right side, bitter taste in mouth, chest distress, nausea, vomiting, red or yellow eyes, jaundice, discharge of dark yellow urine, yellow and greasy tongue coating, and wiry pulse. Patients with blood stasis may suffer from fixed pain in flank worse at night with history of external trauma, mass in abdomen, dark purple tongue, and deep and uneven pulse. And patients with Yin deficiency may suffer from dull pain in flank without fixed location and aggravated by physical exertion, sallow complexion, hot sensation in heart, vertigo, red tongue with scanty coating, and thready and rapid pulse. Acute and chronic diseases of the liver, gallbladder, pleura and intercostal neuralgia recognized by modern medicine may be treated by the following methods.
Treatment: (1) Foot massage: The massage is applied to liver (18), gallbladder (19), spleen (34), stomach (15) and coeliac plexus (20) reflecting areas (Fig. 50). (2) Foot acupuncture: At Xingjian (LR 2), Taichong (LR 3), Qiuxu (GB 40), Zulinqi (GB 41) and Zuqiaoyin (BL 67) acupoints, a reducing technique is applied to patients with liver qi stagnation and blood stasis and a balanced reinforce-reducing technique is applied to patients with Yin deficiency.
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