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Pattern: Liver overacting on Spleen

Type: pattern; difficulty: 4. Choose first, submit, then reveal the answer and explanation.

Pattern: Liver overacting on Spleen
Stem

A 47-year-old woman presents with chronic fatigue, loose stools, and abdominal distention. Symptoms worsen with stress. She also reports irritability and frequent sighing. Tongue is pale with teeth marks. Pulse is wiry on the left and weak on the right. What is the most likely diagnosis?

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