Theory

Chinese Herbal and Acupuncture Treatment Protocols for Fatigue - Formulas, Protocols, TCM Diagnoses


Fatigue - Basics

Fatigue is a feeling of tiredness characterized by a lack of energy. This can be the normal result of certain lifestyle factors (physical exertion, prolonged lack of sleep, stress); however, if fatigue becomes chronic and is not relieved by changes in lifestyle factors, it could be the sign of a larger, underlying problem.

Below you will find alternative and natural treatment options including those from a Chinese Medicine perspective for Fatigue.



Fatigue - Formulas From Our Store

The following herbal formulas are potentially useful in the process of treating fatigue. For a complete list from our store with more details see our fatigue formula section.


Fatigue - Questions

Need treatment options for fatigue and not finding the information you need?

Using our forums our staff and our community may offer guidance with regards to the treatment of fatigue.



Fatigue - Related Acupuncture Points

The following (2) acupuncture points may be useful for fatigue. A subset of these could potentially be useful with acupressure stimulation and/or tongren therapy methods as well.

Generally treatment would be based on the TCM patterns listed above instead of selecting points by function alone, (see general points selection rules.)



Fatigue - Related Chinese Herbs

The following (9) chinese herbs may be useful for fatigue. In most cases, however, treatment with Chinese Herbal Medicine is done with herbal formulas based on the TCM patterns listed above instead of selecting herbs by function alone. When available, relevant formulas will appear below and/or in the store listings above.



The following (14) Formulas TCM Herbal Formulas May Be Useful For Fatigue

Bu Yang Huan Wu Tang Wan

  • Great Yang Restoration Pills
    • Fatigue, weakness, with pale complexion due to chronic qi and blood deficiency.
    • Hemiplegia, slurred speech or involuntary muscle control due to blockage of the channels and collaterals.
  • Invigorate the Blood
  • Invigorate the Blood and Dispel Blood Stasis
  • Cautions
  • Do not use for patients with liver wind or severe yin deficiency.

Bu Zhong Yi Qi Wan

  • Tonify the Middle and Augment the Qi Formula
    • Coldness of the limbs, borborygmus with loose stools or diarrhea due to spleen yang deficiency.
    • Spontaneous or easy sweating, general fatigue, changes in appetite due to spleen qi deficiency.
    • Pale complexion and preference for warm food or drinks due to spleen yang and qi deficiency.
    • Shortness of breath and noticable lack of desire to speak may present if both spleen and stomach qi are weak.
    • This formula is also commonly used for prolasped organs.
  • Tonify
  • Tonify the Qi
  • Cautions
    • Use with caution for yin deficient patients.

Du Huo Ji Sheng Wan

  • Solitary Hermit Teapills
    • For chronic pain due to obstruction (bi zheng) with liver and kidney deficiency.
    • For lower back pain often with weakness and/or pain in the knees.
    • For arthritis, especially the type affected by cold/damp weather.
  • Expel Dampness
  • Dispel Wind-Dampness
  • Cautions
    • Use with caution during pregnancy.
    • Do not use with patients that present with damp heat or excess heat.

Jin Gui Shen Qi Wan

  • Kidney Qi Pill from the Golden Cabinet
    • Lethargy, low libedo, frequent urination with possible incontinence resulting from kidney yang deficiency.
    • Sensation of cold, especially in the lower half.
  • Tonify
  • Warm and Tonify the Yang
  • Cautions
  • Pregnancy
    • Avoid during pregnancy.
    • Avoid during a cold or flu, use nothing, or yin qiao / gan mao ling instead.
    • Avoid with patients that present with yin deficiency.

Shen Ling Bai Zhu Wan

  • Ginseng, Poria & Atractylodes Pills
    • Diarrhea, loose stools, or mucus/greasy stools from damp accumulation in the spleen/stomach.
    • Borborygmus, low appetite, fatigue, and/or pale complexion resulting from spleen qi deficiency.
    • Colitis, IBS, gastritis, and other types of gastro intenstinal disorders where the predominant TCM pattern is spleen qi deficiency and damp accumulation.
  • Tonify
  • Tonify the Qi
  • Cautions
    • Use with caution during pregnancy.
    • Use with caution with patients that present with yin deficiency. 

Shi Quan Da Bu Wan

Si Jun Zi Tang Wan

Si Ni Tang Wan

  • Frigid Extremities Formula
    • Aversion to cold, very cold limbs, sensations of deep cold, fatigue, lethary resulting from kidney yang deficiency.
    • Diarrhea with undigested food, vomiting, abdominal pain.
  • Warm Interior Cold
  • Rescue Devastated Yang

Tian Wang Bu Xin Wan

  • Emperor of Heavens Special Pill to Tonify the Heart
    • Anxiety, insomnia, irritability, night sweats, hot flashes, flushing or sensation of heat in the palms due to deficiency heat.
    • Insomnia, poor memory, poor focus and concentration due to yin deficiency.
  • Calm The Spirit
  • Nourish the Heart and Calm the Spirit

Wu Ji Bai Feng Wan

Xiao Chai Hu Tang Wan

  • Minor Bupleurum Decoction
    • Shao Yang Syndrome (or "lesser yang stage") - alternating fever and chills, hypochondriac pain, irritability, bitter taste in mouth, poor appetite, nausea.  Often used for illnesses (chronic or short-term) such as the flu, etc. that have "cleared" but not completely.  People will describe not feeling quite right or having a range of low level symptoms for months or longer after a particular illness.  Instead of fever and chills alternating they may manifest with cold extremities and warm interior or other variations.
    • A range of liver related conditions including malaria, jaundice, hepatitis, liver cancer, meniere's disease, general protection from medicines that may harm the liver, etc. among issues with other digestive organs - pancreatitis, stomatitis, gastritis.
    • Liver/speen disharmonies resulting in broader issues such as depression, chronic fatigue syndrome, menstrual irregularities (PMS, cramping, etc.).
    • Other general immune issues such as the common cold, flu, tonsillitis, general seasonal allergies with the right underlying factors.
  • Harmonize
  • Regulate and Harmonize the Liver and Spleen
  • Cautions
    • Use with caution with yin and/or blood deficiencies.
    • Avoid cold, raw, and spicy foods while taking xiao chai hu tang.

You Gui Wan

  • Restore the Right Kidney Pill
    • Cold extremities, fatigue, weak/aching low back, knees, waist, aversion to cold, loose stools - due to kindney yang deficiency.
    • Impotence, infertility, low libedo, low sperm count, abnormal sperm morphology.
    • Incontinence or other urinary issues (frequent, difficult to restrain), enlarged prostate.
  • Tonify
  • Warm and Tonify the Yang
  • Cautions
    • Use with caution with patients that present with damp signs.

Zuo Gui Wan

  • Right Returning Pills
    • Infertility, low libedo, impotence due to kidney yin deficiency.
    • Low sperm count, abnormal sperm morphology resulting from jing deficiency.
    • Irregular menstruation, vaginal dryness.
  • Tonify
  • Tonify the Yin



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