睡眠差+乏力+纳差

患者59岁，男性，主诉腰椎术后腰痛5天，发热伴乏力3天。腰痛，神疲，乏力，纳差，睡眠差，大便未排。舌红，少苔，脉弦细。中医诊断内伤发热，属气虚血瘀。

57岁，乏力、气短、纳差、肝区不适、两胁胀痛、睡眠差、大便软，病程30余年。肝郁脾虚，气虚血瘀。面色晦暗无光泽，舌淡红，苔薄白，脉平缓。蜘蛛痣，血清谷草转氨酶升高，血红蛋白降低，血小板减少。

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女，39岁，乏力6个月。倦怠乏力，气少懒言，睡眠差，纳差。舌澹苔薄白，脉缓。紫癜病，气虚。病程6个月。

64岁男性，劳累后左侧胸前区疼痛、憋闷，活动后气短，精神不佳，睡眠差，周身乏力，纳差，素腹胀，大便偏干。胸痹，心脾气虚，痰瘀互阻。舌暗，苔白，脉细弦。

患者男性，32岁。主诉右上腹疼痛不适，持续半个月。胁痛、纳差、乏力、腹胀、厌油腻、睡眠差、大便溏薄。舌暗澹，舌体胖大，边有齿痕，苔厚腻，脉弦细滑。中医诊断胁痛，证型为肝郁脾虚兼湿热。

男，49岁，腹胀、乏力1a余，烦躁易怒，胸中时堵，饮食纳差，睡眠差，面黄，小便色黄，大便干燥，苔黄腻，脉弦、右小于左。中医病名未明确，证型为气血不足，肝郁痰凝，脾虚气滞。望诊见面黄，舌苔黄腻。闻诊未提。问诊见烦躁易怒、胸中不适、饮食纳差、睡眠差。切诊见脉弦，右小于左。

李某，女，58岁，遍身出黄汗，色黄量多，质粘，目黄，语言低微，疲乏无力，纳差，脉细弱，舌体胖。中医病名：黄汗，证型：脾虚湿热证。病因病机：脾虚湿热夹杂。望诊：面色萎黄，舌体胖。闻诊：语言低微。问诊：疲乏无力，纳差，发热，睡眠不佳。切诊：脉细弱。