WESTERN DX: _______________________ EASTERN DX: ________________________

WESTERN DX: Peptic Ulcer Disease EASTERN DX: Damp Heat affecting the Spleen Tai Yin Earth_SP Pain: increases with touch Diminishes with cold compress Robust Broad shoulders Assertive Constipated Tongue: greasy yellow Pulse:”full” & “wiry” C/C: epigastric pain

WESTERN DX: Peptic Ulcer Disease EASTERN DX: Deficient Yin affecting the Stomach Jue Yin_Fire_MH Thin Complexion:ashen, cheeks ruddy Palms sweaty: “Handkerchief sign” Nervous, fidgety Insomnia “on the go” Irritable stomach Constipation Tongue: 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_Liver She is moody Emotions, anger precipitates Pain Sharp abdominal Pain Frustrated Tongue: normal Pulse: “wiry” C/C: epigastric pain

WESTERN DX: Peptic Ulcer Disease EASTERN DX: Deficient Cold Affecting The Spleen Exhausted fire of the Middle Heater ShaoYin_Water_KI Timid, shy Prefers warm weather Avoids eye contact Massage and heat alleviates pain Tongue: moist and pale Pulse: “empty” C/C: epigastric pain

WESTERN DX: Peptic Ulcer Disease EASTERN DX: Excess Cold Dampness affecting the Spleen and Stomach YangMing_Earth_ST Round, ponderous, heavy 40 y/o man lives with mother Pain relieved if unbuckles Loose stools Tongue: thick, white, moist coating Pulse: “tight” and “slippery” C/C: epigastric pain

WESTERN DX: Peptic Ulcer Disease EASTERN DX: Disharmony of Congealed Blood in Stomach YangMing_Metal_Li Thin, gaunt Vomiting vlood Black stool Looks for hidden threats Tongue: darkish purple with red eruptions on the side Pulse: “choppy” C/C: epigastric pain