- Sharp, stabbing epigastric pain with fixed location
- Epigastric or abdominal pain and distention
- The pain may start intermittently but becomes more constant
- Pain is severe after eating
- The pain may radiate to the back
- Dislike of pressure and Heat on the epigastrium
- Pain predominates over distention or
- Pain but no distention
- Dysphagia
- Epigastric rumbling
- May be abdominal or epigastric lumps or masses
- Nausea
- Vomiting purple/black blood or "coffee grounds"
- Indeterminate gnawing hunger
- Anorexia
- Weight loss
| - Weakness
- Dry stools with blood like tar (melaena)
- Hemafecia with dark, purple Blood or mixed dark and fresh Blood
- Constipation
- Dry, rough skin
- Darkish, purplish or a blotchy complexion, lips and conjunctiva
- Dark rings around the eyes
- Spider naevi on the cheeks, epigastrium, trunk and around the inner ankle and knee
- Maybe hemorrhoids
- Maybe irregular menstruation with dark, purple, clotted Blood
- T: Dark purple with purple spots or dots and dark, distended sublingual veins
- C: White or Grayish white or Yellow
- P: Wiry and choppy or Wiry or Choppy or Thready and choppy or Deep and thready
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