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

The Chinese Medicine treatment of fatigue generally involves arriving at the appropriate TCM diagnosis or pattern. This pattern within the individual is what treatment is based on not the general condition (see treating the cause and not the symptoms).

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.


There are no acupuncture treatment protocols associated at this time.



There are no tongren treatment protocols associated at this time.


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The following herbal formulas from our store are potentially useful for fatigue:

Ba Zhen Wan
Bu Zhong Yi Qi Wan
Energy Enhancer
Fu Fang Dang Gui Wan
Gaay Pa Sowae Chulen – Elixir of Rejuvenation
Ginkgo Plus
Gui Pi Wan
Jin Kui Shen Qi Wan
Liu Wei Di Huang Wan
Qi Ju Di Huang Wan

The following (1) 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.)



There are (9) Chinese herbs currently associated with fatigue. Generally speaking you will not choose herbs this way, but this serves as a clinical reminder of some of the empirical herbs for fatigue. For the most part treatment would be decided by the presenting TCM patterns and with formulas such as those listed in the next section.

TCM Herbal Formulas That May Be Useful For Fatigue

TCM FormulaClinical Functions
Bu Yang Huan Wu Tang Wan

Coming Soon...

Bu Zhong Yi Qi Wan

For Spleen and Stomach Qi Deficiency - spontaneous sweating, aversion to cold, desire for warm beverages, shortness of breath, intermittent fever, weak speech/low voice, weak limbs, loose/watery stools.

The Pulse will be deficient and rootless in the spleen position or simply deficient overall and the Tongue will be pale with a thin white coat.

Du Huo Ji Sheng Wan

Coming Soon...

Fang Ji Huang Qi Wan

Coming Soon...

Jin Gui Shen Qi Wan

Kidney yang deficiency signs - low back pain, weakness in the legs, knees, low back, low energy, low libido.

The Pulse will be empty or frail and the Tongue will be pale and swollen with a thin white moist coat.

Shen Ling Bai Zhu Wan

Coming Soon...

Shi Quan Da Bu Wan

Coming Soon...

Si Jun Zi Tang Wan

Coming Soon...

Si Ni Tang Wan

Used for Yang Collapse in emergency situations but also to tonify Kidney Yang Deficiency in less severe cases.  Aversion to cold, very cold limbs, sensations of deep cold, fatigue, sleepiness, diarrhea with undigested food, vomiting, abdominal pain.

The pulse will be deep and thin or deep and faint and the Tongue will be pale with a white, slippery tongue coating.

Tian Wan Bu Xin Wan

Anxiety, insomnia, irritability, night sweats, low grade fever, restless sleep, poor memory, poor focus and concentration, nocturnal emissions, dry stools.

Pulse will be thin and rapid and the Tongue will be red with little coating.

Wu Ji Bai Feng Wan

Coming Soon...

Xiao Chai Hu Tang Wan

Coming Soon...

You Gui Wan

Signs of Kidney Yang deficiency - cold extremities, fatigue, impotence, weak/aching low back, knees, waist, aversion to cold, infertility, loose stools, incontinence or other urinary issues (frequent, difficult to restrain), edema in the lower body.

The Pulse will be weak and the Tongue will be be pale with a thin white moist coat.

Zuo Gui Wan

Coming Soon...

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