Intake | Poppy Health

1

What state are you currently located in?* This field is required.We use your state to confirm availability and match you with a licensed practitioner.

2

Poppy is currently available to clients who are located in or traveling in California.

Join early access to be notified when care becomes available in your state.

3

Please confirm your date of birth.* This field is required.

Date

4

For minors* This field is required.Please confirm if you are completing this on behalf of a minor.

I am the parent or legal guardian of this client and consent to receive herbal care services via telehealth.

5

What is your biological sex?* This field is required.We ask for your biological sex because it can influence which herbal options may be most appropriate for you.

Female

Male

Prefer not to say

6

What is your full legal name?* This field is required.Please enter your full legal name. This helps us maintain accurate health records and properly document your care.

First Name

Last Name

7

Confirm your e-mail address.* This field is required.Your email is required for secure communications about your care.

example@example.com

Confirm Email

8

Now let’s take a closer look at your symptoms.

We'll start with your appetite and thirst.

9

Have you noticed any changes in your appetite, thirst, or cravings lately?* This field is required.

Yes

No

10

Have you noticed a drop in your appetite or interest in food?* This field is required.This might look like skipping meals, forgetting to eat, or not feeling hungry even when you haven’t eaten in a while.

Yes

No

11

How often do you feel uninterested in eating, or end up skipping meals because you’re not hungry?* This field is required.(Please choose one)

Never

Rarely—only now and then

Sometimes—when tired or stressed

Often—at least once a week

Always—nearly every day

12

appetite_colddampES_likert

13

appetite_dampheatES_likert

14

appetite_foodretention_likert

15

appetite_foodretention_badbreath_TRIGGER

16

appetite_kidneyyangxu_likert

17

appetite_LGdampheat_likert

18

appetite_LGdampheat_bittergenital_TRIGGER_score

19

appetite_spleenqisinking_likert

20

appetite_spleenqixu_likert

21

appetite_spleenqixudamp_likert

22

appetite_stomachqixu_likert

23

appetite_stomachyinxu_likert

24

appetite_spleenyangxu_likert

25

appetite_TRIGGER_excesssaliva

26

Do you often feel unusually hungry or not fully satisfied after eating?* This field is required.This refers to a strong, persistent appetite that feels excessive, not just healthy hunger.

Yes

No

27

Excessive Hunger_stomachfire_score

28

Do you often go long periods without feeling thirsty or wanting to drink?* This field is required.This means you rarely feel thirsty, even when you haven’t had much to drink

Yes

No

29

thirst_colddampES_score

30

thirst_dampheatES_score

31

thirst_LIdampheat_score

32

thirst_LGdampheat_score

33

thirst_LGdampheat_bittergenital_TRIGGER_score

34

Thanks, let's check in on your energy

These questions help us get a feel for your usual energy—whether it's steady, low, or somewhere in between.

35

Do you often feel low on energy—even after resting or without doing much?* This field is required.This includes feeling wiped out after activity, or just tired most of the time.

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

36

How would you describe your current stress level?* This field is required.This includes ongoing mental, emotional, or situational stress.

Very low—rarely feel stressed

Low—occasional stress

Moderate—noticeable at times

High—frequent or persistent

Very high—constant or overwhelming

37

energy_kidneyyangxu_likert

38

energy_liverqispleen_likert

39

energy_spleenqisinking_likert

40

energy_colddampES_likert

41

energy_dampheatES_likert

42

energy_spleenqixu_likert

43

energy_spleenqixudamp_likert

44

energy_spleenyangxu_likert

45

energy_stomachqixu_likert

46

energy_TRIGGER_excesssaliva

47

energy_spleenqisinking_prolapseTRIGGER_score

48

Does your body feel heavy or sluggish, especially when trying to get going?* This field is required.(Please choose one)

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

49

body_colddampES_likert

50

body_dampheatES_likert

51

body_LIdampheat_likert

52

body_spleenqixudamp_likert

53

Do you ever feel lightheaded, dizzy, or like the room is spinning, especially when you’re tired, standing up, or haven’t eaten for a while?* This field is required.(Please choose one)

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

54

dizzy_spleenqisinking_likert

55

Thank you. Let’s check how your body responds to cold.

These small signs help us better understand your overall energy.

56

Do your hands, feet, or body often feel cold—even when the room is warm?* This field is required.This means your skin may feel cold to the touch or you may feel cold inside, even when others feel comfortable. (Please choose one)

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

57

coldlimbs_kidneyyangxu_likert

58

coldlimbs_spleenyangxu_likert

59

Do you ever get chills or cold sweats—even when you're not hot, active, or sick?* This field is required.This may feel like sudden chilliness, clamminess, or unexpected sweating while at rest, especially on the chest, back, or limbs. (Please choose one)

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

60

chills_kidneyyangxu_likert

61

chills_spleenyangxu_likert

62

Do you ever notice swelling or puffiness in your body—especially in your ankles, legs, or belly—that tends to come and go or worsen as the day goes on?* This field is required.This could feel like water retention, heaviness, or soft swelling under the skin. (Please choose one)

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

63

edema_spleenyangxu_likert

64

edema_spleenqixudamp_likert

65

Thanks—let's keep going

Now we'll move into a few questions about your digestion. Let us know what applies to you.

66

Do you experience any of the following symptoms?* This field is required.(Select all that apply—these help us understand how your upper digestion feels after eating)

Indigestion

Abdominal bloating

None of the above

67

indigestion_stomachqixu_score

68

Is your indigestion worse after breakfast?* This field is required.Hint: Indigestion feels like your food sits heavily, digests slowly, or causes discomfort in your upper stomach.

Yes

No, timing doesn't matter

69

indigestion_morning_stomachqixu_score

70

After eating, do you ever feel pressure or fullness rising into your chest or upper stomach—like something is pressing upward or stuck?* This field is required.Hint: This is different from slow digestion. It feels more like pressure or blockage under your ribs.

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

71

epigastricfull_colddampES_likert

72

epigastricfull_foodretention_badbreath_TRIGGER

73

epigastricfull_LIdampheat_likert

74

epigastricfull_foodretention_likert

75

How often do you feel abdominal bloating?* This field is required.This means feel bloated, full, or swollen in your lower or entire belly—especially after eating or when you're feeling stressed.

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

76

bloating_dampheatES_likert

77

bloating_LGdampheat_likert

78

bloating_spleenqisinking_likert

79

bloating_spleenqixu_likert

80

bloating_spleenyangxu_likert

81

bloating_spleenqisinking_prolapseTRIGGER_score

82

bloating_LGdampheat_bittergenital_TRIGGER_score

83

You're doing great.

Just a couple more questions to wrap up this section.

84

Do you experience frequent gas?* This field is required.This may include gas that’s loud, difficult to pass, foul-smelling, or causes pressure in your lower abdomen.

Yes

No

85

How often do you feel gassy or pass gas?* This field is required.(Please choose one)

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

86

gas_foodretention_likert

87

gas_liverqispleen_likert

88

gas_spleenqixu_likert

89

gas_spleenqixudamp_likert

90

gas_foodretention_badbreath_TRIGGER

91

Do you experience any of the following symptoms?* This field is required.(Select all that apply)

Nausea

Vomiting

None of the above

92

When you are feeling nauseous or queasy, how often does it happen?* This field is required.(Please choose one)

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

93

nausea_colddampES_likert

94

nausea_dampheatES_likert

95

nausea_LGdampheat_likert

96

nausea_liverqistomach_likert

97

nausea_spleenqixudamp_likert

98

nausea_stomachqicounter_likert

99

nausea_stomachfire_likert

100

nausea_LGdampheat_TRIGGER_mucusstool_score

101

nausea_LGdampheat_bittergenital_TRIGGER_score

102

vomit_colddampES_score

103

vomit_dampheatES_score

104

vomit_LGdampheat_score

105

vomit_liverqistomach_score

106

vomit_stomachqicounter_score

107

vomit_LGdampheat_bittergenital_TRIGGER_score

108

vomit_foodretention_score

109

vomit_foodretention_badbreath_TRIGGER

110

vomit_LGdampheat_TRIGGER_mucusstool_score

111

LGdampheat_TRIGGER_mucusstool_TOTAL_score

112

Let's shift focus to your sides

Tension or soreness around the ribs can be a helpful clue.

113

Do you experience pain, fullness, or tightness in the sides of your body—especially under or around the ribs?* This field is required.This may feel like aching, pressure, or tension along one or both sides of your torso. It can come and go, and may get worse with stress, meals, or emotional shifts. (Please choose one)

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

114

flankpain_LGdampheat_likert

115

flankpain_liverqistomach_likert

116

Thanks—that gave us a helpful picture.

Now we'll focus on your upper digestion—things like burping, reflux, or pressure. These can be subtle, but they say a lot.

117

Do you burp often, especially when it tastes sour or smells unpleasant?* This field is required.(Please choose one)

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

118

burping_foodretention_likert

119

burping_liverqistomach_likert

120

burping_foodretention_badbreath_TRIGGER

121

burping_spleenqixu_likert

122

burping_spleenqixudamp_likert

123

burping_stomachfire_likert

124

burping_stomachqicounter_likert

125

Do you experience any of the following symptoms?* This field is required.(Select all that apply)

Hiccups

Upper abdominal discomfort (pressure or fullness in your upper stomach)

Upper abdominal pain (sharp, burning, or cramping sensations in the upper stomach)

Regurgitation (food or fluid comes back into your throat without vomiting; may taste sour or bitter)

None of the above

126

regurgitation_liverqistomach_score

127

regurgitation_stomachqicounter_score

128

hiccups_stomachqicounter_score

129

epigastricpain_liverqistomach_score

130

epigastricpain_stomachfire_score

131

epigastricpain_stomachyinxu_score

132

epigastricdiscomfort_stomachqixu_score

133

epigastricdiscomfort_stomachyinxu_score

134

Thanks for sticking with us.

You've given us valuable clues we can work with.

135

Next up. Your lower digestion.

136

Do you experience general discomfort in your lower belly or abdomen?* This field is required.This feels like a vague sense of unease, tightness, or something not sitting quite right.

Yes

No

I don't know

137

Discomfort can be subtle.* This field is required.Sometimes this feels like tightness, tension, or just a sense that something’s off in your lower belly — even if it’s not painful. Does that sound familiar?

Yes

No

138

abdominaldiscomfort_liverqispleen_score

139

abdominaldiscomfort2_liverqispleen_score

140

Do you feel a full or heavy sensation in your lower belly, even when you haven’t eaten much?* This field is required.This can feel like pressure, weight, or something weighing you down inside.

Yes

No

I don't know

141

That full or heavy feeling can be tricky to describe* This field is required.It might feel like your belly is weighed down, bloated, or slow to move—especially after eating. Have you noticed that?

Yes

No

142

abdominalfullness_spleenqisinking_score

143

abdominalfullness_spleenqixudamp_score

144

abdominalfullness2_spleenqisinking_score

145

abdominalfullness2_spleenqixudamp_score

146

Do you get cramping or sharp pain in your lower belly?* This field is required.This may feel like a stabbing, burning, or tight sensation that comes and goes.

Yes

No

147

abdominalpain_dampheatES_score

148

abdominalpain_LIdampheat_score

149

Almost done with lower digestion.

These next questions focus on sensations like pressure, urgency, or irritation.

150

Do you feel the need to have a bowel movement, even if nothing happens?* This field is required.This means a persistent urge or pressure like you need to go — even when your bowels are empty.

Yes

No

I don't know

151

Bowel urges can show up in different ways* This field is required.This might feel like pressure, a sense that you haven’t fully emptied, or repeated urges throughout the day. Does that sound familiar?

Yes

No

152

tenesmus_LIdampheat_score

153

tenesmus2_LIdampheat_score

154

Do you ever feel burning or irritation around your anus?* This field is required.This may feel like heat, stinging, or soreness during or after a bowel movement.

Yes

No

155

analburn_dampheatES_score

156

analburn_LIdampheat_score

157

analburn_LGdampheat_score

158

analburn_LGdampheat_bittergenital_TRIGGER_score

159

Now let's talk about stool.

Your digestion tells us a lot, and stool is an important part of the story.

160

What is your stool typically like?* This field is required.(Select the option that best describes your usual experience)

Soft and easy to pass

Somewhat formed, occasionally dry or slow to pass

Often dry or hard, but passable

Very dry or hard; often difficult to pass

Extremely dry, pellet-like, or painful to pass

161

stool_stomachyinxu_score

162

stool_stomachfire_score

163

stool_foodretention_score

164

stool_stomachqixu_score

165

How do you typically feel after having a bowel movement?* This field is required.(Select the option that best describes your usual experience)

I feel tired or drained afterward

I feel slightly depleted, but not noticeably tired

I feel no different

I feel slightly relieved

I feel clearly relieved or better afterward

166

bowel_stomachqixu_score

167

bowel_stomachyinxu_score

168

bowel_foodretention_score

169

bowel_liverqispleen_score

170

Do you have bowel movements more than 3 times a day?* This field is required.This includes frequent urges to go, even if your stools aren’t loose or watery.

Yes

No

171

frequentbowel_spleenqixu_score

172

Do you experience constipation?* This field is required.This is infrequent, hard, or difficult bowel movements. Your stool may be dry, and passing it may feel slow or strained.

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

173

constipation_foodretention_score

174

constipation_liverqispleen_score

175

constipation_stomachfire_score

176

stomachfire_badbreath_gum_TRIGGER_TOTAL_score

177

constipation_stomachqixu_score

178

constipation_stomachyinxu_score

179

constipation_foodretention_badbreath_TRIGGER

180

foodretention_badbreath_TRIGGER_TOTAL_score

181

constipation_calculation

182

Thank you. Let's shift gears a bit

We’ve covered constipation—now we’ll look at things like urgency, looseness, and irregularity to complete the picture.

183

Do you experience loose, watery, or poorly formed stools?* This field is required.This is stools that are soft, unformed, or break apart easily.

Never

Rarely—only now and then

Sometimes—a few times a month

Often—at least once a week

Always—nearly every day

184

loosestool_colddampES_likert

185

loosestool_dampheatES_likert

186

loosestool_liverqispleen_likert

187

loosestool_spleenqisinking_likert

188

loosestool_spleenqixu_likert

189

loosestool_spleenqixudamp_likert

190

loosestool_stomachqixu_likert

191

loosestool_calculation

192

loosestool_spleenqisinking_prolapseTRIGGER_score

193

TOTAL_spleenqisinking_prolapseTRIGGER_score

194

loosestool_TRIGGER_excesssaliva

195

excesssaliva_TRIGGER_TOTAL_score

196

You're doing great.

Let's keep going.

197

Let’s take a closer look at your stool’s appearance

We know—it’s not dinner conversation. But stool offers valuable insight into how your digestion’s really working.

198

How would you describe your loose stools?* This field is required.

Mild and soft – They’re loose but not urgent or hard to control

Urgent or watery – They come on quickly and feel like true diarrhea

Not sure

199

Do you see food pieces in your stool that haven't fully broken down?* This field is required.

Yes

No

200

undigestedfood_spleenyangxu_score

201

undigestedfood_stomachqixu_score

202

undigestedfood_kidneyyangxu_score

203

Do your urgent or watery stools tend to happen early in the morning, before breakfast or soon after waking?* This field is required.This may feel like your body “clears out” first thing, even if you haven’t eaten yet.

Yes

No

204

morningdiarrhea_kidneyyangxu_score

205

Does your stool have a strong, unpleasant, or fishy odor?* This field is required.This means a noticeably sour, foul, or unusual smell—especially if it's different from your normal.

Yes

No

206

fishyodor_spleenyangxu_score

207

Have you noticed mucus or a slimy coating in your stool or on toilet paper?* This field is required.It may appear yellowish, sticky, or jelly-like.

Yes

No

208

mucus_LIdampheat_score

209

mucus_LGdampheat_score

210

mucus_LGdampheat_bittergenital_TRIGGER_score

211

LGdampheat_bitter_TRIGGER_TOTAL_score

212

Have you also noticed blood in your stool — especially when it’s loose or watery?* This field is required.This might look like red streaks, clots, or darker discoloration.

Yes

No

213

diarrheabloodmucus_LIdampheat_score

214

Some people experience both constipation & loose stools

Let’s check for alternating patterns.

215

Do your bowel movements alternate between constipation and loose stools?* This field is required.This might mean you swing between hard, dry stools and loose or urgent ones — or just feel like you don’t have a consistent pattern.

Yes

No

216

alternatingbowel_liverqispleen_score

217

Let’s take a closer look at your lower abdomen

Feelings of heaviness or pressure here can be an important clue.

218

Do you ever feel a heavy or sinking sensation in your lower abdomen or rectum—like something is pressing down or trying to come out?* This field is required.

Yes

No

219

bearingdown_spleenqisinking_score

220

Have you ever felt like something inside your abdomen, stomach, or uterus is sagging or has dropped lower than it should be?* This field is required.

Yes

No

221

prolapse_spleenqisinking_score

222

Your gut has a lot to say.

Your answers are helping us complete the picture.

223

Next up. Oral health.

Taste, breath, or gum changes can offer clues about digestion. Just answer what feels relevant.

224

Have you noticed bad breath, especially in the morning or after meals?* This field is required.

Yes

No

225

badbreath_foodretention_score

226

badbreath_stomachfire_score

227

Do you notice a sour taste in your mouth, especially after eating, or when digestion feels off?* This field is required.This refers to a sour or acidic taste that lingers in your mouth — not just from eating certain foods, but often when digestion feels off or after reflux.

Yes

No

228

sourtaste_foodretention_score

229

Do your gums ever feel sore, swollen, or bleed easily, especially when brushing or eating?* This field is required.

Yes

No

230

gums_stomachfire_score

231

Do you often notice a bitter taste in your mouth, especially after greasy or spicy meals?* This field is required.This means a lingering bitter or metallic taste on your tongue—not just after certain foods, but often throughout the day or in the mornings. It may be more noticeable when digestion feels off.

Yes

No

232

bittertaste_LGdampheat_score

233

bittertaste_LGdampheat_TRIGGER_genital_score

234

LGdampheat_TRIGGER_TOTAL_genital_score

235

Do you notice excessive saliva or drooling?* This field is required.You may produce more saliva than usual, feel the need to swallow often, or notice occasional drooling.

Yes

No

236

excesssaliva_spleenqixu_score

237

excesssaliva_spleenqixudamp_score

238

Next up. Reproductive & Pelvic Health.

These next questions might seem unrelated—but they matter. The body’s all connected, and this helps us see the full picture (not just the gut stuff).

239

Have you noticed any unusual genital discharge, such as yellow, sticky, or strong-smelling fluid?* This field is required.This refers to discharge from the genital area that’s unusual for you or not part of your normal function.

Yes

No

240

genitaldischarge_LGdampheat_score

241

Have you experienced itching, swelling, or discomfort in the genital area?* This field is required.This refers to symptoms like irritation, burning, or soreness in the groin or genital region.

Yes

No

242

genitalitch_LGdampheat_score

243

Final question on symptoms.

244

Have you ever noticed a yellowish tint to your skin or the whites of your eyes, even if it was mild or came and went?* This field is required.This might include your skin looking unusually yellow or sallow, or the whites of your eyes appearing slightly yellow, especially during times of illness or digestive upset.

Yes

No

245

yellow_LGdampheat_score

246

Thanks for walking through your symptoms.

Next, tell us what you’d most like to improve.

247

What's your main digestive concern or goal?* This field is required.Tell us what you’d most like to improve—like feeling more regular, reducing bloating, or enjoying meals without discomfort.

248

Do you have any medical conditions? (Include diagnosis year)Note any related procedures or hospitalizations (approximate dates are fine).

249

Let's make sure your formula is safe

A few quick questions about medications, allergies, and other factors.

250

Are you currently pregnant, breastfeeding, or trying to conceive?* This field is required.Some herbs may need to be adjusted during these times.

Not pregnant

Pregnant

Breastfeeding

Trying to conceive

251

What is your approximate weight in pounds?* This field is required.Knowing your weight helps us calculate the most effective and safe dosage.

252

Are you currently taking any prescription medications, over-the-counter drugs, or supplements (including vitamins or other herbs)?* This field is required.This helps us avoid any interactions and tailor your formula safely.

Yes

No

253

Please list anything you’re currently taking, including dosage(s).* This field is required.

254

Do you have any allergies or sensitivities to foods, medications, or herbs?* This field is required.This helps us make sure your formula is safe for you.

Yes

No

255

Please list any allergies or sensitivities and describe your reaction.* This field is required.

256

How would you prefer to take your herbal formula?* This field is required.Your formula can be prepared in two formats. Both deliver the same therapeutic effect—this is simply about what fits best into your routine.

Granules (mix with warm water as a tea)

Vegan Capsules (pre-measured daily dose)

257

Herbal formula format

258

Final step

Add two photos of your tongue

Top of tongue
Underneath of tongue

These help your practitioner personalize your herbal formula.

Tips for the best photo

Use natural light (near a window is best)
Selfie mode is okay
Keep your full tongue visible and in focus
Take the photo right after sticking your tongue out

Avoid when possible

Camera flash
Colored lighting
Filters or edited photos

Example photos

259

Upload Photos

Drag and drop files here

Select files to upload

Max. file size: 7.8MB

Browse Files

260

Before we finish, is there anything else you’d like us to know?This can be about your health, symptoms, or anything else that feels relevant (optional).

261

SYMPTOM GATE_loosestool

262

SYMPTOM GATE_tenesmus

263

SYMPTOM GATE_flankpain

264

SYMPTOM GATE_abdominal discomfort

265

SYMPTOM GATE_gas

266

SYMPTOM GATE_energy

267

SYMPTOM GATE_appetite

268

SYMPTOM GATE_body

269

SYMPTOM GATE_edema

270

SYMPTOM GATE_bloating

271

SYMPTOM GATE_hiccups

272

SYMPTOM GATE_regurgitation

273

SYMPTOM GATE_vomiting

274

SYMPTOM GATE_epigastric fullness

275

SYMPTOM GATE_coldlimbs

276

SYMPTOM GATE_nausea

277

SYMPTOM GATE_burping

278

SYMPTOM GATE_constipation

279

AND_OR Logic Helper_LGdampheat (flank pain AND other)

280

AND_OR Logic Helper_LGdampheat (genital_bitter)

281

AND_OR Logic Helper_stomachfire (gum_constipation)

282

AND_OR Logic Helper_stomachfire (hunger_epigastricpain)

283

AND_OR Logic Helper_liverqistomach (burping_epigastricpain_flankpain)

284

AND_OR Logic Helper_liverqispleen (abdominal discomfort_gas)

285

AND_OR Logic Helper_LIdampheat (abdominal pain_tenesmus_anal burn)

286

AND_OR Logic Helper_spleenyangxu (undigestedfood_diarrhea)

287

AND_OR Logic Helper_spleenqixu (energy_loose stool)

288

AND_OR Logic Helper_spleenqixu (appetite_loose stool)

289

AND_OR Logic Helper_spleenqixudamp (body_loose stool)

290

AND_OR Logic Helper_spleenqixudamp (body_edema)

291

AND_OR Logic Helper_spleenqisinking (abdominal full_bloating)

292

AND_OR Logic Helper_spleenqisinking (loose stool_energy_other)

293

AND_OR Logic Helper_spleenqixudamp (body_energy)

294

AND_OR Logic Helper_kidneyyangxu (undigestedfood_AMdiarrhea)

295

AND_OR Logic Helper_dampheatES (bloating_abdominal pain)

296

AND_OR Logic Helper_dampheatES (body_appetite_analburn)

297

AND_OR Logic Helper_stomachqicounterflow (multisymptom trigger)

298

AND_OR Logic Helper_colddampES (loose stool_body)

299

AND_OR Logic Helper_colddampES (epigastric fullness_nausea)

300

AND_OR Logic Helper_foodretention (bad breath_sour taste)

301

AND_OR Logic Helper_foodretention (epigastric fullness_vomiting)

302

AND_OR Logic Helper_foodretention (epigastric fullness_burping)

303

AND_OR Logic Helper_stomachqixu (appetite_indigestion morning)

304

AND_OR Logic Helper_stomachyinxu (constipation_epigastricdiscomfort)

305

AND_OR Logic Helper_stomachyinxu (appetite_epigastricpain)

306

AND_OR Logic Helper_stomachqixu (energy_epigastricdiscomfort)

307

AND_OR Logic Helper_colddampES (appetite_energy)

308

TOTAL_spleenqixudamp

309

TOTAL_spleenqixudamp_GATE

310

TOTAL_spleenqixudamp_GATE_Text Label

311

TOTAL_spleenyangxu

312

TOTAL_spleenyangxu_GATE

313

TOTAL_spleenyangxu_GATE_Text Label

314

TOTAL_colddampES

315

TOTAL_colddampES_GATE

316

TOTAL_colddampES_GATE_Text Label

317

TOTAL_spleenqixu

318

TOTAL_spleenqixu_GATE

319

TOTAL_spleenqixu_GATE_Text Label

320

TOTAL_spleenqisinking

321

TOTAL_spleenqisinking_GATE

322

TOTAL_spleenqisinking_GATE_Text Label

323

TOTAL_kidneyyangxu

324

TOTAL_kidneyyangxu_GATE

325

TOTAL_kidneyyangxu_GATE_Text Label

326

TOTAL_dampheatES

327

TOTAL_dampheatES_GATE

328

TOTAL_dampheatES_GATE_Text Label

329

TOTAL_stomachyinxu

330

TOTAL_stomachyinxu_GATE

331

TOTAL_stomachyinxu_GATE_Text Label

332

TOTAL_stomachfire

333

TOTAL_stomachfire_GATE

334

TOTAL_stomachfire_GATE_Text Label

335

TOTAL_stomachqixu

336

TOTAL_stomachqixu_GATE

337

TOTAL_stomachqixu_GATE_Text Label

338

TOTAL_stomachqicounter

339

TOTAL_stomachqicounter_GATE

340

TOTAL_stomachqicounter_GATE_Text Label

341

TOTAL_foodretention

342

TOTAL_foodretention_GATE

343

TOTAL_foodretention_GATE_Text Label

344

TOTAL_liverqispleen

345

TOTAL_liverqispleen_GATE

346

TOTAL_liverqispleen_GATE_Text Label

347

TOTAL_liverqistomach

348

TOTAL_liverqistomach_GATE

349

TOTAL_liverqistomach_GATE_Text Label

350

TOTAL_LIdampheat

351

TOTAL_LIdampheat_GATE

352

TOTAL_LIdampheat_GATE_Text Label

353

TOTAL_LGdampheat

354

TOTAL_LGdampheat_GATE

355

TOTAL_LGdampheat_GATE_Text Label

356

Client Top-Scoring Pattern Match_CONCATENATE FIELDS >10

357

Client Top-Scoring Pattern Match Results:

358

Unique Identifier

359

Shopify Customer ID

360

Assigned Practitioner Email

example@example.com

361

Consent & Agreement* This field is required.