Emaciation according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
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Emaciation can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like emaciation here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here emaciation is often associated with dizziness, amenorrhea and scanty periods in the pattern “Blood Deficiency”. As you will see below, we have in record five patterns that can cause emaciation.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of emaciation we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat emaciation.
The five "patterns of disharmony" that can cause emaciation
In Chinese Medicine emaciation is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.
Prepared Rehmannia (Shu Di huang) is the king ingredient for Si Wu Tang, a formula used for Blood Deficiency
Blood Deficiency
Pulse type(s): Choppy (Se), Fine (Xi)
Tongue color: Pale
Someone has a Deficiency of Blood when their entire body, a part of body or a particular Organ is insufficiently nourished by Blood. This can be caused by blood-loss, a lack of of Spleen Qi (responsible to produce Blood) or congealed Blood which prevents new Blood from forming.
In addition to emaciation, other symptoms associated with Blood Deficiency include dizziness, amenorrhea and scanty periods.
From a Western Medicine standpoint Blood Deficiency is associated with health issues such as Late Menstruation or Scanty Menstruation.
Blood Deficiency is often treated with Si Wu Tang, a herbal formula made of 4 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Si Wu Tang belongs to the category of "formulas that tonify blood", which might be why it is often recommended for this pattern. Its main action as a formula is: "Restores and nourishes Blood".
Prepared Rehmannia (Shu Di huang) is the king ingredient for Liu Wei Di Huang Wan, a formula used for Yin Deficiency
Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu)
Tongue coating: Thin white coating
Tongue color: Red
In the case of Yin Deficiency, the body is short in the cooling, moistening and nurturing aspects. This leads to Heat and Dryness accompanied by weakness and lack of strength and resistance. Yin becomes Deficient by over-working, lack of sleep, over-exercising, overindulgence in sex, long-term chronic diseases, internal injury due to the seven emotions, and the over-eating of dry and hot-natured foods.
In addition to emaciation, other symptoms associated with Yin Deficiency include dizziness, insomnia and night sweats.
Yin Deficiency is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".
Prepared Rehmannia (Shu Di huang) is the king ingredient for Da Bu Yin Wan, a formula used for Collapse of Yin
Collapse of Yin
Pulse type(s): Rapid (Shu), Fine (Xi)
In addition to emaciation, other symptoms associated with Collapse of Yin include night sweats, five palm heat and malar flush.
Collapse of Yin is often treated with Da Bu Yin Wan, a herbal formula made of 4 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Da Bu Yin Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Enriches the Yin".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney and Lung Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
In addition to emaciation, other symptoms associated with Kidney and Lung Yin Deficiency include dizziness, night sweats and tinnitus.
Kidney and Lung Yin Deficiency is often treated with Ba Xian Chang Shou Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Ba Xian Chang Shou Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Treats Yin Deficiency of the Lungs and Kidneys".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidneys failing to receive Qi
Pulse type(s): Deep (Chen), Tight (Jin), Weak (Ruo)
In addition to emaciation, other symptoms associated with Kidneys failing to receive Qi include dizziness, tinnitus and shortness of breath on exertion.
Kidneys failing to receive Qi is often treated with You Gui Wan, a herbal formula made of 10 herbs (including Prepared Aconite - Zhi Fu Zi - as a key herb). You Gui Wan belongs to the category of "formulas that warm yang and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Warms and tonifies Kidney Yang".
Five herbal formulas that might help with emaciation
Gui Pi Tang
Source date: 1529 AD
Number of ingredients: 12 herbs
Key actions: Tonifies and nourish Qi and Blood. Tonifies Heart and Spleen.
Why might Gui Pi Tang help with emaciation?
Because it is a formula often recommended to treat the pattern 'Blood Deficiency' of which thin body is a symptom.
Liu Wei Di Huang Wan
Source date: 1119 AD
Number of ingredients: 6 herbs
Key actions: Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system).
Why might Liu Wei Di Huang Wan help with emaciation?
Because it is a formula often recommended to treat the pattern 'Yin Deficiency' of which thin body is a symptom.
Da Bu Yin Wan
Source date: 1481 AD
Number of ingredients: 4 herbs
Key actions: Enriches the Yin. Directs fire downward.
Why might Da Bu Yin Wan help with emaciation?
Because it is a formula often recommended to treat the pattern 'Collapse of Yin' of which emaciation is a symptom.
Ba Xian Chang Shou Wan
Source date: 1615 AD
Number of ingredients: 8 herbs
Key actions: Treats Yin Deficiency of the Lungs and Kidneys.
Why might Ba Xian Chang Shou Wan help with emaciation?
Because it is a formula often recommended to treat the pattern 'Kidney and Lung Yin Deficiency' of which thin body is a symptom.
You Gui Wan
Source date: 1624 AD
Number of ingredients: 10 herbs
Key actions: Warms and tonifies Kidney Yang. Replenishes the Essence. Tonifies the Blood.
Why might You Gui Wan help with emaciation?
Because it is a formula often recommended to treat the pattern 'Kidneys failing to receive Qi' of which thin body is a symptom.
Acupuncture points used for emaciation
The five Chinese Medicinal herbs most likely to help treat emaciation
Why might Prepared Rehmannia (Shu Di Huang) help with emaciation?
Because Prepared Rehmannia is an ingredient in several formulas indicated to treat emaciation as a symptom, like Da Bu Yin Wan or Si Wu Tang for instance.
Prepared Rehmannia is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.
Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.
Why might Cornelian Cherry (Shan Zhu Yu) help with emaciation?
Because Cornelian Cherry is an ingredient in several formulas indicated to treat emaciation as a symptom, like Liu Wei Di Huang Wan or Ba Xian Chang Shou Wan for instance.
Cornelian Cherries is a Warm herb that tastes Sour. It targets the Kidney and the Liver.
Its main actions are: Preserves and tonifies the Kidney, Liver and Essence. Stops sweating and benefits the Yang and Qi. Assists menstruation and stops bleeding.
Why might Dong Quai (Dang Gui) help with emaciation?
Because Dong Quai is an ingredient in several formulas indicated to treat emaciation as a symptom, like Si Wu Tang or Su Zi Jiang Qi Tang for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Heart, the Liver and the Spleen.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Why might Anemarrhena Rhizome (Zhi Mu) help with emaciation?
Because Anemarrhena Rhizome is an ingredient in several formulas indicated to treat emaciation as a symptom, like Da Bu Yin Wan or Qing Hao Bie Jia Tang for instance.
Anemarrhena Rhizomes is a Cold herb that tastes Bitter and Sweet. It targets the Kidney, the Lung and the Stomach.
Its main actions are: Clears Heat and Fire from the Qi level. Clears Heat and Fire from the Lung and Stomach. Clears Heat and tonifies the Yin.
Why might White Peony Root (Bai Shao) help with emaciation?
Because White Peony Root is an ingredient in several formulas indicated to treat emaciation as a symptom, like Si Wu Tang or Ma Zi Ren Wan for instance.
White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Liver and the Spleen.
Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.
Other symptoms often associated with emaciation
Dizziness Amenorrhea Scanty periods Insomnia Night sweats Depression Dry skin Tinnitus Five palm heat Malar flush