This pattern affiliated with haemorrhoids, chronic fatigue syndrome, chronic gastritis and is caused by irregular meals, unhealthy eating habits, overwork, constant rushing or eating while working or on the run.
Symptoms:
Chronic diarrhoea, prolapse anus, haemorrhoids, tiredness after bowel movements, cold limbs, no appetite, mental exhaustion, desire to drink warm liquids, desire to have the abdomen massaged.

VCM

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