Loss of appetite 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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Loss of appetite 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 loss of appetite 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 loss of appetite is often associated with fatigue, loose stools and dizziness in the pattern “Qi Deficiency”. As you will see below, we have in record five patterns that can cause loss of appetite.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of loss of appetite 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 loss of appetite.
The five "patterns of disharmony" that can cause loss of appetite
In Chinese Medicine loss of appetite 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.
Ginseng (Ren Shen) is the king ingredient for Si Jun Zi Tang, a formula used for Qi Deficiency
Qi Deficiency
Pulse type(s): Empty (Xu), Weak (Ruo)
Tongue color: Pale
Qi Deficiency simply means lack of Qi. It includes the lack of Original Qi, Nutritive Qi, Defensive Qi or the Qi that resides in Organs or Channels. It mainly manifests itself in a weakened function of Organs and a declining ability of the body to resist diseases.
In addition to loss of appetite, other symptoms associated with Qi Deficiency include fatigue, loose stools and dizziness.
From a Western Medicine standpoint Qi Deficiency is associated with health issues such as Abnormal Uterine Bleeding or Heavy Menstruation.
Qi Deficiency is often treated with Si Jun Zi Tang, a herbal formula made of 4 herbs (including Ginseng - Ren Shen - as a key herb). Si Jun Zi Tang belongs to the category of "formulas that tonify qi", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Qi".
Bupleurum Roots (Chai Hu) is the king ingredient for Xiao Yao San, a formula used for Qi Stagnation
Qi Stagnation
Pulse type(s): Tight (Jin), Wiry (Xian)
Tongue coating: Thin white coating
Tongue color: Red sides
Qi Stagnation refers to Qi becoming stuck or stagnant, a bit like a traffic jam on the freeway. This restricted flow of Qi can be body-wide or happen in any specific Organ.
In addition to loss of appetite, other symptoms associated with Qi Stagnation include abdominal pain, depression and vomiting.
From a Western Medicine standpoint Qi Stagnation is associated with health issues such as Late Menstruation.
Qi Stagnation is often treated with Xiao Yao San, a herbal formula made of 6 herbs (including Bupleurum Roots - Chai Hu - as a key herb). Xiao Yao San belongs to the category of "formulas that harmonize liver-spleen", which might be why it is often recommended for this pattern. Its main action as a formula is: "Harmonizes the function of Liver and Spleen".
Korean Mint (Huo Xiang) is the king ingredient for Huo Xiang Zheng Qi San, a formula used for Damp-Heat
Damp-Heat
Pulse type(s): Soggy (Ru)
In addition to loss of appetite, other symptoms associated with Damp-Heat include fatigue, loose stools and dizziness.
From a Western Medicine standpoint Damp-Heat is associated with health issues such as Menstrual Cramps, Intermenstrual Bleeding or Abnormal Vaginal Discharge.
Damp-Heat is often treated with Huo Xiang Zheng Qi San, a herbal formula made of 11 herbs (including Korean Mint - Huo Xiang - as a key herb). Huo Xiang Zheng Qi San belongs to the category of "formulas that transform dampness and harmonize stomach", which might be why it is often recommended for this pattern. Its main action as a formula is: "Releases the Exterior".
The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine
Spleen Qi Deficiency
Pulse type(s): Empty (Xu)
Tongue color: Pale
Spleen Qi Deficiency is one of the most commonly seen TCM pattern. It is caused by unhealthy diet such as fat raw or cold food, bad eating habit, emotional stress or damp environment. It is the central pattern to all other Spleen disharmonies, because many other Deficiency patterns derive from it.
In addition to loss of appetite, other symptoms associated with Spleen Qi Deficiency include fatigue, loose stools and weak limbs.
Spleen Qi Deficiency is often treated with Si Jun Zi Tang, a herbal formula made of 4 herbs (including Ginseng - Ren Shen - as a key herb). Si Jun Zi Tang belongs to the category of "formulas that tonify qi", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Qi".
The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine
Spleen Yang Deficiency
Pulse type(s): Deep (Chen), Slow (Chi), Weak (Ruo)
Tongue color: Pale
Spleen Yang Deficiency often develops from Spleen Qi Deficiency, but it is more extensive and severe with additional Cold symptoms, such as cold feeling and cold limbs. The causes are similar to these of Spleen Qi Deficiency, along with surplus consumption of cold, raw foods and drinks and overexposure to cold damp environments and climates.
In addition to loss of appetite, other symptoms associated with Spleen Yang Deficiency include fatigue, loose stools and cold limbs.
Spleen Yang Deficiency is often treated with Zhen Wu Tang, a herbal formula made of 5 herbs (including Prepared Aconite - Zhi Fu Zi - as a key herb). Zhen Wu Tang belongs to the category of "formulas that warm and transform water and dampness", which might be why it is often recommended for this pattern. Its main action as a formula is: "Warms and tonifies the Yang and Qi of the Spleen and Kidneys".
Five herbal formulas that might help with loss of appetite
Si Jun Zi Tang
Source date: 1107 AD
Number of ingredients: 4 herbs
Key actions: Tonifies Qi. Strengthens the Spleen and Stomach.
Why might Si Jun Zi Tang help with loss of appetite?
Because it is a formula often recommended to treat the pattern 'Qi Deficiency' of which poor appetite is a symptom.
Xiao Yao San
Source date: 1107 AD
Number of ingredients: 6 herbs
Key actions: Harmonizes the function of Liver and Spleen. Relieves Liver Qi stagnation. Nourishes the Blood.
Why might Xiao Yao San help with loss of appetite?
Because it is a formula often recommended to treat the pattern 'Qi Stagnation' of which poor appetite is a symptom.
Huo Xiang Zheng Qi San
Source date: 1107 AD
Number of ingredients: 11 herbs
Key actions: Releases the Exterior. Transforms Dampness. Regulates Qi. Harmonizes the Middle Burner.
Why might Huo Xiang Zheng Qi San help with loss of appetite?
Because it is a formula often recommended to treat the pattern 'Damp-Heat' of which poor appetite is a symptom.
Liu Jun Zi Tang
Source date: 1107
Number of ingredients: 6 herbs
Key actions: Tonifies Qi. Strengthens the Spleen and Stomach. Clears Phlegm and mucus. Promotes appetite.
Why might Liu Jun Zi Tang help with loss of appetite?
Because it is a formula often recommended to treat the pattern 'Spleen Qi Deficiency' of which poor appetite is a symptom.
Bu Zhong Yi Qi Tang
Source date: 1247
Number of ingredients: 10 herbs
Key actions: Tonifies Qi of the Spleen and Stomach (Middle Burner). Raises the Yang. Detoxifies. Lifts what has sunken.
Why might Bu Zhong Yi Qi Tang help with loss of appetite?
Because it is a formula often recommended to treat the pattern 'Spleen Yang Deficiency' of which poor appetite is a symptom.
Acupuncture points used for loss of appetite
The five Chinese Medicinal herbs most likely to help treat loss of appetite
Why might Quisqualis Fruit (Shi Jun Zi) help with loss of appetite?
Because it is both specifically indicated to treat loss of appetite and also because it is an ingredient in herbal formulas known to treat loss of appetite as a symptom (such as Fei Er Wan for instance).
Quisqualis Fruits is a Warm herb that tastes Sweet. It targets the Spleen and the Stomach.
Its main actions are: Kills parasites. Improves children's digestion
Why might Liquorice (Gan Cao) help with loss of appetite?
Because Liquorice is an ingredient in several formulas indicated to treat loss of appetite as a symptom, like Gan Cao Gan Jiang Tang or Ping Wei San for instance.
Liquorice is a Neutral herb that tastes Sweet. It targets the Heart, the Lung, the Spleen and the Stomach.
Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.
Why might Poria-Cocos Mushroom (Fu Ling) help with loss of appetite?
Because Poria-Cocos Mushroom is an ingredient in several formulas indicated to treat loss of appetite as a symptom, like Wu Pi Yin or Ling Gui Zhu Gan Tang for instance.
Poria-Cocos Mushrooms is a Neutral herb that tastes Sweet. It targets the Heart, the Kidney, the Lung and the Spleen.
Its main actions are: Encourages urination and drains Dampness. Tonic to the Spleen/Stomach. Assists the Heart and calms the Spirit.
Why might Atractylodes Rhizome (Bai Zhu) help with loss of appetite?
Because Atractylodes Rhizome is an ingredient in several formulas indicated to treat loss of appetite as a symptom, like Wen Qi Hua Shi Tang or Yue Ju Wan for instance.
Atractylodes Rhizomes is a Warm herb that tastes Bitter and Sweet. It targets the Spleen and the Stomach.
Its main actions are: Tonifies the Spleen Qi. Fortifies the Spleen Yang and dispels Damp through urination. Tonifies Qi and stops sweating. Calms restless fetus when due to Deficiency of Spleen Qi.
Why might Ginseng (Ren Shen) help with loss of appetite?
Because Ginseng is an ingredient in several formulas indicated to treat loss of appetite as a symptom, like Si Jun Zi Tang or Liu Jun Zi Tang for instance.
Ginseng is a Warm herb that tastes Bitter and Sweet. It targets the Heart, the Lung and the Spleen.
Its main actions are: Very strongly tonifies the Qi. Tonifies the Lungs and Spleen. Assists the body in the secretion of Fluids and stops thirst. Strengthens the Heart and calms the Shen (mind/spirit).
Other symptoms often associated with loss of appetite
Fatigue Loose stools Dizziness Abdominal pain Depression Diarrhea Vomiting Palpitations Insomnia Nausea