Excessive physical exertion, drastic and excessive administration of purgation and enema therapies, excessive anxiety/worry, fear, stress; and faulty management of diseases, suppression of vomiting and ''ama'' (products improperly digested), emaciation and trauma (physical and mental). [77] | Excessive physical exertion, drastic and excessive administration of purgation and enema therapies, excessive anxiety/worry, fear, stress; and faulty management of diseases, suppression of vomiting and ''ama'' (products improperly digested), emaciation and trauma (physical and mental). [77] |