Sémiologie Anxiety & Thinking Bob Flaws & James Lake, MD Liver-Spleen Disharmony pattern S/s : Persistent anxiety and preoccupation, moodiness, vexation, irritability, chest oppression, breast and/or ribside distention and pain, poor appetite, loose stools, possible painful diarrhea, menstrual irregularities and PMS in females, a pale, fat tongue which may also be somewhat dark or dull in color, and a bowstring pulse Heart-spleen dual vacuity pattern S/s: Persistent anxiety and preoccupation, obsessional thinking, shortness of breath, disinclination to talk, lassitude of the spirit, heart palpitations, insomnia, torpid intake, loose stools, a sallow yellow or pale white facial complexion, pale lips and nails, a pale, fat tongue with thin fur, and a fine, weak pulse Tx : Course the liver and rectify the qi, fortify the spleen and boost the qi Pts : 14F, 3F, 13F, 4Rte, 36E Tx : Fortify the spleen and boost the qi, nourish the heart and relieve anxiety Pts : 15V, 20V, 4Rte, 6Rte, 20VG Lung-spleen qi vacuity pattern S/s : Anxiety and preoccupation, moodiness, sorrow, adesire to cry, lassitude of the spirit, fatigue, chest oppression, shortness of breath, a faint voice, sweating on slight exertion, possible persistent, weak cough provoked by talking or exertion, cold hands and feet, loose stools, torpid intake, a pale, fat tongue with thin fur, and a fine, weak pulse Tx : Fortify the spleen and boost the qi, supplement the lungs and relieve anxiety Pts :13F, 43V, 4VC, 6VC, 36E