Clinical Information For the Treatment Of Fatigue

What Is Fatigue?

whatisfatigue?

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.

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The Following (19)Formulas TCM Herbal Formulas May Be Useful For Fatigue

Bu Yang Huan Wu Tang Wan (Great Yang Restoration Pills)

Clinical Usages

  • 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.

    Clinical Categorization

    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)

        Clinical Usages

        • 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.

          Clinical Categorization

          Cautions

            • Use with caution for yin deficient patients.

              Du Huo Ji Sheng Wan (Solitary Hermit Teapills)

              Clinical Usages

              • 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.

                Clinical Categorization

                Cautions

                  • Use with caution during pregnancy.
                  • Do not use with patients that present with damp heat or excess heat.

                    Er Xian Wan (Two Immortal Decoction)

                    Clinical Usages

                    • Kidney Yin and Kidney Yang deficiencies with Empty Heat - hormonal issues such as menopause (possibly w/hypertension), amenorrhea, hot flashes along with associated symptoms of fatigue, depression, insomnia, nervousness and more.
                    • Infertility with appropriate underlying factors, particularly when arising with amenorrhea or irregular menstruation.
                    • Aplastic anemia.

                      Clinical Categorization

                      Fang Ji Huang Qi Wan (Stephania and Astragalus Teapills)

                      Clinical Usages

                      • Wind damp / wind edema (feng shui, literally "wind water") patterns, generally acute - heavy sensation of the body, superficial edema, difficulty with urination - idiopathic edema, ascites.
                      • Weak wei qi - frequent colds, flus.
                      • Wind damp bi syndromes (osteoarthritis or rheumatoid, swelling, edema), particularly of the knees.
                      • Idiopathic sweating issues (weak exterior and weak spleen).
                      • Bone fractures with the right underlying issues, generally associated with damp bi.
                      • Weight loss with deficiency signs (weak appetite, heavy sensation of body).

                        Clinical Categorization

                        Jin Gui Shen Qi Wan (Kidney Qi Pill from the Golden Cabinet)

                        Clinical Usages

                        • Lethargy, low libedo, frequent urination with possible incontinence resulting from kidney yang deficiency.
                        • Sensation of cold, especially in the lower half.

                          Clinical Categorization

                          Cautions

                          • 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.

                            Ping Wei Wan (Calm the Stomach Powder)

                            Clinical Usages

                            • Damp cold stagnation in the middle jiao - poor appetite, indigestion, gastritis, loose stools, heavy sensation of the limbs, fatigue.
                            • Can be used to induce labor with appropriate underlying diagnoses.

                              Clinical Categorization

                              Cautions

                              • Avoid in pregnancy and in yin deficient and/or blood deficient cases due to the warming and drying nature.

                                Shen Jing Shuai Ruo Wan (Stress Reducing Pill)

                                Clinical Usages

                                • For common variants of the modern western lifestyle - in Chinese Medicine terms, calms the spirit, balance liver and kidney yin, for a range of psycho-emotional and physical issues from chronic stress and mental overwork.  Symptoms may include insomnia, dizziness, inability to focus, memory problems, fatigue, palpitations, and/or tinnitus. 

                                  Clinical Categorization

                                  Shen Ling Bai Zhu Wan (Ginseng, Poria & Atractylodes Pills)

                                  Clinical Usages

                                  • 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.

                                    Clinical Categorization

                                    Cautions

                                      • Use with caution during pregnancy.
                                      • Use with caution with patients that present with yin deficiency. 

                                        Shi Quan Da Bu Wan (Ten Tonics Nourishment Pills)

                                        Clinical Usages

                                        Coming Soon...

                                          Clinical Categorization

                                          Si Jun Zi Tang Wan (Four Gentlemen Teapills)

                                          Clinical Usages

                                          Coming Soon...

                                            Clinical Categorization

                                            Si Ni Tang Wan (Frigid Extremities Formula)

                                            Clinical Usages

                                            • Aversion to cold, very cold limbs, sensations of deep cold, fatigue, lethary resulting from kidney yang deficiency.
                                            • Diarrhea with undigested food, vomiting, abdominal pain.

                                              Clinical Categorization

                                              Tian Wang Bu Xin Wan (Emperor of Heavens Special Pill to Tonify the Heart)

                                              Clinical Usages

                                              • 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.

                                                Clinical Categorization

                                                Wu Ji Bai Feng Wan (Black Chicken White Phoenix Pills)

                                                Clinical Usages

                                                Coming Soon...

                                                  Clinical Categorization

                                                  Xiao Chai Hu Tang Wan (Minor Bupleurum Decoction)

                                                  Clinical Usages

                                                  • 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.

                                                    Clinical Categorization

                                                    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)

                                                        Clinical Usages

                                                        • 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.

                                                          Clinical Categorization

                                                          Cautions

                                                            • Use with caution with patients that present with damp signs.

                                                              Zhuang Yang Wan (Strengthen Kidney Yang And Preserve Power Pill)

                                                              Clinical Usages

                                                              • Tonifies the kidney yang and astringe the jing (essence), primarily for sexual dysfunction in older males - symptoms may include impotence, erectile dysfunction, premature ejaculation, and other signs of kidney yang deficiency including weak/sore low back and/or knees, weakness in the limbs, cold sensation, aversion to cold, and fatigue. 

                                                                Clinical Categorization

                                                                Cautions

                                                                  • Avoid in cases of kidney yin deficiency – dry mouth, strong thirst, night sweats, dry stools.  In those cases, Liu Wei Di Huang Wan, or Zuo Gui Wan are likely more appropriate.

                                                                    Zhuang Yao Jian Shen Wan (Strengthen The Back And Benefit The Kidney Pills)

                                                                    Clinical Usages

                                                                    • Weakness in the lower parts of the body from kidney yang and kidney qi deficiency - low back pain, weak back, hips, knees, leg, weak tendons.

                                                                      Clinical Categorization

                                                                      Cautions

                                                                          Zuo Gui Wan (Right Returning Pills)

                                                                          Clinical Usages

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

                                                                            Clinical Categorization

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