Liver-Spleen Disharmony pattern

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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
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