WESTERN DX: _______________________EASTERN DX: ________________________

WESTERN DX: Peptic Ulcer Disease EASTERN DX: Damp Heat affecting the Spleen

Tai Yin Earth_SPPain: increases with touchDiminishes with cold compressRobustBroad shouldersAssertiveConstipatedTongue: greasy yellowPulse:”full” & “wiry”

C/C: epigastric pain

WESTERN DX: Peptic Ulcer Disease EASTERN DX: Deficient Yin affecting the Stomach

Jue Yin_Fire_MHThinComplexion:ashen, cheeks ruddyPalms sweaty: “Handkerchief sign”Nervous, fidgetyInsomnia“on the go”Irritable stomachConstipationTongue: dry, red, no “moss”Pulse: “thin” and “fast”

C/C: epigastric pain

WESTERN DX: Peptic Ulcer Disease EASTERN DX: Disharmony of the Liver invading the Spleen

Jue Yin_Wood_LiverShe is moodyEmotions, anger precipitates PainSharp abdominal PainFrustratedTongue: normalPulse: “wiry”

C/C: epigastric pain

WESTERN DX: Peptic Ulcer Disease EASTERN DX: Deficient Cold Affecting The SpleenExhausted fire of the Middle Heater

ShaoYin_Water_KITimid, shyPrefers warm weatherAvoids eye contactMassage and heat alleviates pain

Tongue: moist and palePulse: “empty”

C/C: epigastric pain

WESTERN DX: Peptic Ulcer Disease EASTERN DX: Excess Cold Dampness affecting the Spleen and Stomach

YangMing_Earth_STRound, ponderous, heavy40 y/o man lives with motherPain relieved if unbucklesLoose stools

Tongue: thick, white, moist coatingPulse: “tight” and “slippery”

C/C: epigastric pain

WESTERN DX: Peptic Ulcer Disease EASTERN DX: Disharmony of Congealed Blood in Stomach

YangMing_Metal_LiThin, gauntVomiting vloodBlack stoolLooks for hidden threatsTongue: darkish purple with red eruptions on the sidePulse: “choppy”

C/C: epigastric pain