This pattern is affiliated with eating habits; for example vegetarians who primarily eat cold and raw foods. The main cause is malnourishment and lack of protein, but it can also be caused by excessive consumption of cold drinks, ice-cream, salads, fruit and iced drinks.
Discomfort in the epigastrium which is worse after bowel movements, better after eating and better with pressure or massage; no appetite, preference for warm drinks and foods, vomiting of clear fluid; loose stools, no thirst, cold limbs, tiredness.

Jost Sauer Spiritual attunement acupuncture

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