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
	Phlegm	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
	Dampness	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