Fatigue

Fatigue

Differentiation

Symptoms

Formula

E x c e s s

Liver Qi stagnation

Six kinds stagnation

fatigue which is worse in the afternoon; some relief after movement or exercise; depression, irritability,
hypochondriac pain and distention, breast distention, PMS, wiry pulse

nausea, poor appetite, abd. distention, belching, red tongue with greasy coat, rapid pulse

Yue Ju Wan

Spleen/Liver disharmony

epigastric or abdominal pain with diarrhea, cold extremities (fingers and toes only)

Si Ni San

Spleen deficiency

irritability, moodiness or depression; dry mouth; or alternating chills and fever;
wiry and weak pulse

Xiao Yao San

Phlegm

Dampness

fatigue, lethargy, dizziness, heavy
sensation in the body, depression,
cloudiness of the mind, poor memory and difficulty in concentration, numbness, nausea; slippery pulse

coughing with profuse white sputum, white greasy coating

Er Chen Tang

Heat

bitter taste in mouth, red tongue with yellow greasy coating, rapid pulse

Wen Dan Tang

Dampness

Spleen deficiency

fatigue and sleepiness, lethargy, heavy feeling in the body or head, especially
after lunch; symptoms not relieved by rest or aggravate by rest

abdominal bloating, nausea, belching, loose stools, white greasy tongue coating, slippery pulse

Ping Wei San + Wu Ling San

Exterior wind-cold

aversion to cold and fever, headache, abdominal pain and diarrhea, vomiting, floating pulse

Huo Xiang Zheng Qi San

D e f i c i e n c y

Qi deficiency

Spleen

fatigue or fatigue most evident in the morning, induced or aggravated
by exertion; muscular weakness and lassitude; spontaneous sweating, pale complexion; pale tongue, weak pulse

poor appetite, abdominal distention and bloating after eating, loose stools;
prolapse of the uterus or rectum

Bu Zhong Yi Qi Tang

Lung

shortness of breath, weak voice, frequent colds

Bu Zhong Yi Qi Tang + Yu Ping Feng San

Heart

breathlessness upon exertion, palpitations, depression and mental fatigue

Si Jun Zi Tang + Wu Wei Zi

Fatigue, cont.

Differentiation

Symptoms

Formula

D e f i c i e n c y

Blood deficiency

Liver

fatigue, dizziness, blurred vision, palpitations, pale complexion, numbness; may be accompanied with amenorrhea or infertility; pale lips and pale tongue, a thready pulse

numbness or tingling sensation in the limbs, muscle cramps, dry eyes, patient is easily startled, scanty period or dull vertex headache before the period

Si Wu Tang,
Suan Zao Ren Tang

Spleen

poor appetite, desire to lie down, loose stools, more frequently occurring in women than men

Gui Pi Tang

Heart

fatigue which is worse at midday, palpitations, poor memory, insomnia, dream disturbed sleep

Yang deficiency

Spleen

fatigue, especially in the morning;
desire to lay down, shortness of breath, laconic speech, aversion to cold, cold extremities, loose stools, pale face, pale moist tongue;
deep, slow and weak pulse

diarrhea with watery stools, nausea and vomiting, loss of appetite, abdominal pain and desire for warmth

Li Zhong Tang

Kidney

frequent urination, loose stools, spermatorrhea, sore and weak lower back and legs

Jin Gui Shen Qi Wan

spontaneous cold sweating, loose stools, extremely cold extremities

Si Ni Tang

Yin deficiency

Kidney

fatigue which is worse in the afternoon and evening; dizziness, malar flush, dry mouth at night, tidal fever, night sweats;
red tongue with scanty coating,

thin and rapid pulse

sore and weak low back and knees, loose teeth, hair loss, tinnitus or deafness, seminal emission

Liu Wei Di Huang Wan

Kidney/Heart

disturbed sleep, palpitations, insomnia, mental restlessness, poor memory

Tian Wang Bu Xin Dan

Qi and blood deficiency

Lung Qi and Yin deficiency

extreme fatigue, pale or sallow complexion, palpitations with anxiety, poor appetite, shortness of breath, laconic speech, light headache or dizziness, cold extremities, may have chronic unhealed sores; pale tongue with teethmarks; weak, thin pulse

Shi Quan Da Bu Tang

fatigue with spontaneous sweating, chronic cough with sparse sputum that is difficult to expectorate, shortness of breath, a dry mouth and tongue; pale, red tongue with a dry, thin coating; deficient and rapid or deficient and thin pulse

Sheng Mai San