This strong sign shows a spleen-heart disharmony, indicating weakness of the spleen and heart blood. Deficiency of heart blood deprives the the heart and mind of nourishment, and its symptoms can include insomnia, palpitations, poor memory, and a weakened pulse. Deficiency of the spleen may impair its function of transportation and cause symptoms of reduced appetite, abdominal distension and loose stools. Spleen and blood support is strongly recommended with this client, from both herbal and food sources. There is also a very strong emotional influence with these markings, and an emphasis on emotional healing such as meditation is advised.