The cause is normally excessive reflection, mental activity, worry. Example: student during exam periods, with nervousness and lack of concentration. Excessive reflection exhausts Heart-Blood. Spleen depleted, cannot transform and nourish the blood that nourishes the Heart. Heart (Fire) produces Spleen (Earth), so the weakness of one affects the other. See: Heart Syndromes, Spleen Syndromes

Symptoms:

• Palpitations
• Insomnia
• Abundant dreams
• Poor concentration, poor memory
• Tendency to be worried and restless
• Poor appetite
• Physical and mental fatigue
• Abdominal Distension
• Loose stools
• Subcutaneous ecchymosis
• Irregular menstruation, profuse and pale menses, metrorrhagia, scanty menses or Amenorrhoea
• Pale tongue with white coating
• Fine and weak pulse