A 29-year-old woman has had poor appetite for six months, abdominal distention after meals, loose stool, and fatigue of the limbs that worsens after work. Her complexion is sallow. Tongue is pale and slightly swollen with white coat. Pulse is slow and weak. What is the most likely pattern?
Four training angles
Poor Appetite, Loose Stool, and Fatigue: Pattern
Poor Appetite, Loose Stool, and Fatigue: Treatment Principle
Poor Appetite, Loose Stool, and Fatigue: Formula
Poor Appetite, Loose Stool, and Fatigue: Points
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Poor Appetite, Loose Stool, and Fatigue: Pattern
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Poor Appetite, Loose Stool, and Fatigue: Treatment Principle
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Poor Appetite, Loose Stool, and Fatigue: Formula
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Poor Appetite, Loose Stool, and Fatigue: Points
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Case-to-knowledge links
White Coating
A white coating often suggests cold, an exterior pattern, or a relatively mild stage of disease. A thick white greasy coat may suggest cold-damp or phlegm-damp.
Slow Pulse
A slow pulse often suggests cold and may also appear in Yang deficiency.
Fatigue
Fatigue commonly appears in qi deficiency and after prolonged illness.
Spleen Qi Deficiency
Spleen Qi Deficiency is one of the highest-yield foundational patterns. Its core is weakness of transformation and transportation, often seen with fatigue, poor appetite, loose stools, pale tongue, and weak pulse.