Always Tired – Duo Mei - Fatigue

The patient can sleep anywhere or anytime no matter how much sleep they have received. They may wake up in the morning and keep on sleeping through out the day, fatigue is so bad that patient will be unable to work.

Fatigue Is usually caused by Yang Qi Deficiency in Traditional Chinese Medidicine.

Western Medicine Causes of Fatigue:

Chronic fatigue, Bi polar or Narcolepsy

Traditional Chinese Medicine Etiology (causes) of Fatigue:

1. Accumulation of Phlegm and Damp: Phlegm and Dampness (yin pathogens) block yang Qi

2. Spleen Qi Deficiency: Creates Qi and Blood deficiency – body not nourished, whole body becomes flaccid

3. Kidney Yang Deficiency: Old age/chronic illness – bones, mind, essence and spirit all become weak

4. Traumatic Injury/Blood Stasis: Qi and Blood do not circulate creating deficiency

5. Sudden Shock/Fear: Causes Qi stagnation- Qi doesn’t ascend to brain

Chinese Medicine Differentiation and Treatment of Fatigue: 

Damp Accumulation (blocks spleen Qi) Heaviness in head and limbs, edema, poor appetite, fullness in chest, nauseous Tongue - greasy, swollen Pulse - soft

Principle of Treatment: Dry Dampness and strengthen Spleen Qi

Herbal Medicine Formula: Tai Wu Shen Zhu San

Turbid Phlegm Stagnation Heaviness in head and limbs, poor appetite, fullness in chest, nauseous, over weight Tongue - greasy, swollen, sticky Pulse - slippery

Principle of Treatment: Eliminate Phlegm and invigorate Spleen.

Herbal Medicine Formula: Wen Dai Tang

Spleen Qi Deficiency Unable to stay awake after meals, poor appetite, soft stools, spleen Qi deficiency symptoms Tongue - pale, puffy, teeth marks Pulse - soft, weak

Prinicple of Treatment: Strengthen spleen Qi and eliminate dampness

Herbal Medicine Formula: Xiang Sha Lung Jun Zi Tang, Bu Zhong Yi Qi Tang (spleen Qi sinking)

Kidney Yang Deficiency Spleen Qi deficiency symptoms with cold symptoms, lack of concentration, poor memory Tongue - pale Pulse - deep, thin

 Principle of Treatment: Nourish Kidney Yang

Herbal Medicine Formula: Fu Zi Li Zhong Tang

Blood Stasis History of traumatic injuries, H/A, sleepiness with cloudy dizziness Tongue - purple Pulse - uneven

Principle of Treatment: Promote blood circulation and remove blood stasis

Herbal Medicine Formula: Tong Qiao Huo Xue Tang