this is liver and kidney yin deficiency with ascendant liver yang, which in severe cases leads to internal movement of liver wind with rebellious qi and blood.

these patterns are commonly precursors to wind-stroke, which can occur when severe, ascendant liver yang transforms into wind. the wind and liver yang ascend to attack the head causing dizziness, vertigo, a distended sensation in the eyes, tinnitus, a feverish sensation in the head, headache, irritability, and flushed face.

liver and stomach disharmony may develop and cause the stomach qi to rebel, manifested as frequent belching. ascendant liver yang may cause the blood to follow the rebellious qi upward. depending on the individual constitution and other factors, this can lead to severe dizziness and vertigo, sudden loss of consciousness, and mental confusion, or a more gradual, progressive motor dysfunction that can lead to hemiplegia and other symptoms of wind-stroke. the wiry, long, and forceful pulse reflects vigorous, ascendant liver yang.