Too low fire - not warming the earth
Heart (fire) unable to warm spleen (earth)
Dislike of cold, cold in extremities, early morning diarrhea, urinary symptoms, edema, distended abdomen, fatigue, weakness
Too low metal - metal not producing water
Lungs (metal) not sending water to kidney
Shortness of breath, thirst, weak knees, lower back pain, scanty dark urine.
Too much wood - Wood overpowers the earth
Liver (wood) qi dominates spleen (earth)
Headache, sore eyes, gas, poor appetite, weakness, pain in flanks, vertigo, chest distress
Too much metal - Fire cannot control metal
Heart (fire) yang cannot control lung (metal) fluids
Frequent urination, shortness of breath, palpitation, insomnia
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