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ACUPUNCTURE FOR ABDOMINAL DISTENSION AFTER EATING (TRANSVERSE INVASION OF HYPERACTIVE LIVER QI)

Liver Qi is said to be rebellious when its horizontal movement is accentuated. This impairs the Spleen's function of transformation and transportation and prevents Spleen Qi from rising. It is a pattern of mixed Deficiency and Excess: Excess of the Liver (Rebellious Qi) and Deficiency of Spleen Qi. In the Five-Phases theory, it corresponds to Wood overacting on Earth. There are typically two types of presentations for this pattern. The first is when the Excess of the Liver is more important than the Spleen's Deficiency. It is said that the Liver's overactivity invades the Spleen. In this presentation there is constipation (with stools that are dry, difficult and often in small pieces) more frequently than diarrhea and the abdominal distension and pain are quite marked. In the second presentation the Spleen Qi Deficiency is more pronounced. This means the Spleen is weak and ‘allows’ itself to be invaded by the Liver, even when the Liver Excess is relatively mild. In this scenario there are loose stools, even diarrhea, more often than constipation and the abdominal pain is only slight. Those two presentations are the reason why the tongue can either be Red on the sides (first presentation) or normal coloured (second presentation).