A patient complains of chronic fatigue, loose stools, and a feeling of cold. Upon observation, you note: a dull, pale complexion, a pale and slightly swollen tongue with white, moist coating, and teeth marks on the sides.The predominant TCM pattern suggested by these observations is:

Question

BlackTom AI · Accepted Answer

Pale, swollen tongue with teeth marks, white moist coating, chronic fatigue, loose stools and a feeling of cold are classic features of Spleen Yang deficiency with cold-damp.

1) Relevant knowledge points and concepts
- Spleen (Pi) governs transformation and transportation of food and fluids; its deficiency produces fatigue, poor appetite, loose stools and tongue scalloping (teeth marks).
- Yang deficiency (of the Spleen) produces cold sensations, a pale/dull complexion and a swollen, moist tongue.
- Failure of the Spleen to transform fluids leads to damp accumulation; damp is indicated by a white, greasy or moist tongue coating.
- Distinguishing patterns: Kidney Yin deficiency presents with heat signs and a red, peeled tongue; Heart blood stasis gives dark/purple complexion and a purple tongue; Liver Qi stagnation produces distention, emotional symptoms and a wiry pulse, not a pale swollen tongue with moist coating.

2) Step‑by‑step reasoning
- Chronic fatigue and loose stools → indicates Spleen deficiency (reduced transport function).
- Feeling cold and pale, dull complexion → suggests yang deficiency (cold signs), not yin deficiency (which produces heat signs).
- Pale, slightly swollen tongue with teeth marks (scalloped borders) → classical sign of Spleen Qi/Yang deficiency (inability to buttress and hold the tongue tissues).
- White, moist coating → presence of cold‑damp rather than heat; moisture = damp, white = cold nature.

3) Intermediate mapping of signs to pattern
- Fatigue + loose stools = Spleen deficiency.
- Feeling cold + pale = yang deficiency (cold).
- Teeth marks + swollen moist tongue = Spleen failing to hold tissues + damp accumulation.
→ Combined = Spleen Yang deficiency with Cold‑Damp.

4) Why the correct answer is correct
Option B directly matches the full constellation: Spleen Yang deficiency (cold signs, pale swollen tongue with teeth marks, fatigue, loose stools) complicated by cold‑damp (white moist coating). This explains all presenting signs.

5) Why other options are incorrect
- A (Kidney Yin deficiency): would present with heat signs (night sweats, five‑center heat), red or peeled tongue, not a pale, moist tongue or feeling cold.
- C (Heart Blood Stasis): would show fixed sharp pains, palpitations, dark/purple complexion or tongue, not pale swollen tongue with moist coating.
- D (Liver Qi Stagnation): features distension, hypochondrial pain, emotional symptoms and a wiry pulse; tongue is often normal or slightly red on the sides, not pale with teeth marks and a white moist coating.

Conclusion: The signs point to Spleen Yang Deficiency with Cold‑Damp; therefore the correct answer is B, which matches the provided answer.

A patient complains of chronic fatigue, loose stools, and a feeling of cold. Upon observation, you note: a dull, pale complexion, a pale and slightly swollen tongue with white, moist coating, and teeth marks on the sides.The predominant TCM pattern suggested by these observations is:单项选择题

类似问题

Is this a correct citation of this scholarly article? Ehrenman, G. (2004). From sea to sink. Mechanical Engineering, 126(10), 38-43.

The article is a scholarly source in a journal named Mechanical Engineering. At the top of the article you see Vol. 125, Iss. 4. How would you put this information in the reference?

How would you write the following article title on the references page? Title: From Sea to Sink

If there is an article written by Gayle Ehrenman in 2004, what is the correct way to write the name and year on the reference page?

On scholarly articles, you also write the page range. These are the pages that the article appears on in the journal it came from. If this article is from page 38 to page 43, how do you write that in the reference that appears on the reference list?

更多留学生实用工具

智能学习助手

风格化写作助手

论文查重助手

文献引用助手

课堂转译助手

课堂笔记助手

Quiz搜索助手

学校历年真题

智能刷题助手

智能匹配练习

希望你的学习变得更简单