This pattern comes from exposure to exterior damp heat (such as hot and humid weather). It can also be caused by eating unclean or contaminated food. The pathology is essentially the same as for cold damp invading the spleen, with the difference that in this case there is heat. The unpleasant odour of the stool, the burning sensation of the anus and the scanty dark-yellow urination are indicative of heat.
Symptoms:
Stuffiness of the epigastrium and lower abdomen, no appetite, feeling of heaviness, thirst without desire to drink, nausea, vomiting, abdominal pain, loose stools with strong smell, burning sensation of the anus, scanty and dark yellow urination, low-grade fever, headache.

VCM

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