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Blood deficiency causing intestinal dryness

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

Blood deficiency causing intestinal dryness
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A 58-year-old woman presents with chronic constipation. Stools are dry and difficult to pass, but she does not complain of significant abdominal fullness. She also reports dizziness, palpitations, dry skin, and a pale complexion. Tongue is pale and dry. Pulse is choppy. What is the most likely diagnosis?

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