What is the diagnosis for a woman with dull epigastric pain that improves with pressure and heat along with cold extremities?

The diagnosis of Spleen Yang Deficiency is supported by the symptoms described. In Traditional Chinese Medicine (TCM), the Spleen is responsible for the production of Qi and Blood from food, and it plays a vital role in digestion and nurturing the body. When there is a deficiency, particularly of Yang energy, it can lead to symptoms such as dull, abdominal pain, and the patient may feel better with warmth and pressure – both of which indicate a lack of warmth and function in the digestive system.

The presence of cold extremities further suggests a deficiency of Yang. Yang energy is associated with warmth and activity in the body, so when it is deficient, it can result in coldness, particularly in the limbs. The epigastric pain that improves with pressure and heat aligns with the characteristics of Yang deficiency, where warmth can help to alleviate discomfort.

This diagnosis aligns with the overall clinical picture presented in the question. Spleen Yang Deficiency often involves symptoms such as fatigue, weakness, and digestive issues, which can manifest as dull pain in the epigastric region that improves with heat and pressure.