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Liver overacting on Spleen

Type: pattern; difficulty: 5. Choose first, submit, then reveal the answer and explanation.

Liver overacting on Spleen
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A 44-year-old man presents with poor appetite, loose stools, fatigue, and abdominal distention for 8 months. Symptoms are clearly worse during periods of work stress. He also reports frequent sighing and a feeling of fullness in the chest and hypochondrium. Tongue is pale with a thin white coating. Pulse is weak on the right and wiry on the left. What is the most likely diagnosis?

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