Report of Findings

Personal Report of Findings for

Date

Your Health Concerns

What We Found

Lung & Large Intestine Meridian/Organ Network

Allergies
Arm/Wrist/Elbow Pain
Asthma/Bronchitis
Constipation
Cough/Sneeze/Phlegm
Eczema/Psoriasis/Rash
Flatulence
Frequent Colds
Front/Sinus HA
Grief/Sadness
Lethargy/Fatigue
Loose Stools
Mucus
Nasal Problems
Shoulder Pain
Sinusitis
Smell Problems
Stiff Joints/Neck
Sweating Prob.
Weak Voice
Wheezing/SOB
Other

Kidney & Bladder Meridian/Organ Network

Adrenal Weakness
Back/Hip/Knee Pain
Bladder Infec./Control
Brittle Bones
Cold Hands/Feet
Dark/Puffy Around Eyes
Depression/Fear
Edema/Water Retention
Hot Flashes
Impotence/Libido
Infertility/Sterility
Lethargy/Fatigue
Loss/Thinning Hair
Night Sweats
Poor Memory
Premature Gray
Sciatica/Back Pain
Sore Throat in A.M.
Tight Hamstrings
Tinnitus
Urine Problems
Other

Liver & Gallbladder Meridian/Organ Network

Anger/Irritability
Breast Tenderness
Brittle/Coarse Nails/Hair
Bruising
Depression
Distention/Bloating
Eye/Vision Problems
Flatulence
Headaches
Hemorrhoids
Indegestion
Irritable Bowel
IT Band Tightness
Lack of Flexibility
Menstrual Irreg.
Migraines
Nausea/Vomiting
PMS
Stiff Neck/Shoulders
Tension/Cramps
Tinnitus
Other

Heart & Small Intestine Meridian/Organ Network

Abdominal Pain
Anemia
Anxiety/Dread
Digestive Troubles
Dream Dist. Sleep
Elbow/Shoulder Pain
Hearing Problems
Heart Problems
Hot Flashes
Hot/Painful Joints
Lack of Joy/Humour
Mouth Sores
Neck Pain
Palpitations
Poor Circulation
Restlessness
Sleep Problems
Tongue/Speech
Upper Back Pain
Urine Problems
Wrist Pain
Other

Spleen & Stomach Meridian/Organ Network

Abdominal Pain
Aching/Heavy Limbs
Anemia
Appetite/Digestive Prob.
Belching
Bruise Easily
Colic/Indegestion
Difficulty Focusing
Distention/Bloating
Headaches
Heaviness At Head
Hemorrhoids
Hiccups
Irritable Bowel
Lethargy/Fatigue
Loose Stools
Muscle Weakness
Nausea/Vomiting
Poor Memory
Prolapse
Worry/Overthinking
Other

Additional Notes