Tiredness according to Chinese Medicine

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Tiredness 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 tiredness 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 tiredness is often associated with dizziness, poor appetite and loose stools in the pattern “Qi Deficiency”. As you will see below, we have in record five patterns that can cause tiredness.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of tiredness 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 tiredness.

The five "patterns of disharmony" that can cause tiredness

In Chinese Medicine tiredness 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 tiredness, other symptoms associated with Qi Deficiency include dizziness, poor appetite and loose stools.

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".

Read more about Qi Deficiency here

Crow-Dipper Rhizomes (Ban Xia) is the king ingredient for Er Chen Tang, a formula used for Phlegm

Phlegm

Pulse type(s): Slippery (Hua), Wiry (Xian)

Tongue coating: Sticky coating, Thick coating

Tongue shape: Swollen

The concept of Phlegm is much wider and important in Chinese Medicine than in the West. Broadly speaking, Phlegm is a substance produced when the body fails to handle Body Fluids properly.

In addition to tiredness, other symptoms associated with Phlegm include dizziness, poor appetite and scanty periods.

From a Western Medicine standpoint Phlegm is associated with health issues such as Low Breast Milk Supply, Late Menstruation or Scanty Menstruation.

Phlegm is often treated with Er Chen Tang, a herbal formula made of 5 herbs (including Crow-Dipper Rhizomes - Ban Xia - as a key herb). Er Chen Tang belongs to the category of "formulas that dry dampness and transform phlegm", which might be why it is often recommended for this pattern. Its main action as a formula is: "Dries Damp and dispels Phlegm".

Read more about Phlegm here

Cinnamon Twigs (Gui Zhi) is the king ingredient for Wen Jing Tang, a formula used for Cold in the Uterus

Cold in the Uterus

Pulse type(s): Deep (Chen), Soggy (Ru)

Tongue coating: Thin white coating

Tongue color: Pale

There are two types of cold patterns: Full Cold or Empty Cold. Full cold refers to actual Cold Evil invading the Uterus and Dampness Stagnation often come along with this Full pattern. Empty cold is the result of Yang Deficiency, especially the Spleen and Kidney Yang.

In addition to tiredness, other symptoms associated with Cold in the Uterus include scanty periods, frequent urination and sore back.

From a Western Medicine standpoint Cold in the Uterus is associated with health issues such as Menstrual Cramps or Late Menstruation.

Cold in the Uterus is often treated with Wen Jing Tang, a herbal formula made of 12 herbs (including Cinnamon Twigs - Gui Zhi - as a key herb). Wen Jing Tang belongs to the category of "formulas that invigorate blood and dispel blood stagnation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Warms the Uterus and vessels".

Read more about Cold in the Uterus here

The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine

Spleen Deficiency

Pulse type(s): Weak (Ruo)

Tongue coating: Thick white coating

Tongue color: Pale

In addition to tiredness, other symptoms associated with Spleen Deficiency include poor appetite, loose stools and depression.

From a Western Medicine standpoint Spleen Deficiency is associated with health issues such as Abnormal Vaginal Discharge.

Spleen Deficiency is often treated with Wan Dai Tang, a herbal formula made of 10 herbs (including Atractylodes Rhizomes - Bai Zhu - as a key herb). Wan Dai Tang belongs to the category of "formulas that secure irregular uterine bleeding and stop vaginal discharge", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies the Middle Burner".

Read more about Spleen Deficiency here

Dong Quai (Dang Gui) is the king ingredient for Sheng Yu Tang, a formula used for Blood and Qi Deficiency

Blood and Qi Deficiency

Pulse type(s): Weak (Ruo), Fine (Xi)

Tongue coating: Partial absence of coating

Tongue color: Pale

In addition to tiredness, other symptoms associated with Blood and Qi Deficiency include dizziness, poor appetite and scanty periods.

From a Western Medicine standpoint Blood and Qi Deficiency is associated with health issues such as Low Breast Milk Supply, Menstrual Cramps or Absence Of Menstruation.

Blood and Qi Deficiency is often treated with Sheng Yu Tang, a herbal formula made of 6 herbs (including Dong Quai - Dang Gui - as a key herb). Sheng Yu 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: "Tonifies Qi and Blood".

Read more about Blood and Qi Deficiency here

Five herbal formulas that might help with tiredness

Ju Yuan Jian

Source date: 1624 AD

Number of ingredients: 5 herbs

Key actions: Tonifies Qi and Blood.

Why might Ju Yuan Jian help with tiredness?

Because it is a formula often recommended to treat the pattern 'Qi Deficiency' of which tiredness is a symptom.

According to Chinese Medicine, Qi Deficiency can contribute to many health issues, including Heavy Menstruation.

Read more about Ju Yuan Jian here

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 tiredness?

Because it is a formula often recommended to treat the pattern 'Phlegm' of which tiredness is a symptom.

According to Chinese Medicine, Phlegm can contribute to many health issues, including Late Menstruation.

Read more about Liu Jun Zi Tang here

Wan Dai Tang

Source date: 1826 AD

Number of ingredients: 10 herbs

Key actions: Tonifies the Middle Burner. Removes Dampness. Stops vaginal discharge. Strengthens the Spleen.

Why might Wan Dai Tang help with tiredness?

Because it is a formula often recommended to treat the pattern 'Spleen Deficiency' of which tiredness is a symptom.

According to Chinese Medicine, Spleen Deficiency can contribute to many health issues, including Abnormal Vaginal Discharge.

Read more about Wan Dai Tang here

Sheng Yu Tang

Source date: 1336 AD

Number of ingredients: 6 herbs

Key actions: Tonifies Qi and Blood. Preserves the Blood.

Why might Sheng Yu Tang help with tiredness?

Because it is a formula often recommended to treat the pattern 'Blood and Qi Deficiency' of which tiredness is a symptom.

According to Chinese Medicine, Blood and Qi Deficiency can contribute to many health issues, including Menstrual Cramps.

Read more about Sheng Yu Tang here

Da Ying Jian

Source date: 1624 AD

Number of ingredients: 7 herbs

Key actions: Tonifies Qi and Blood. Expels Cold.

Why might Da Ying Jian help with tiredness?

Because it is a formula often recommended to treat the pattern 'Cold in the Uterus' of which tiredness is a symptom.

According to Chinese Medicine, Cold in the Uterus can contribute to many health issues, including Late Menstruation.

Read more about Da Ying Jian here

The five Chinese Medicinal herbs most likely to help treat tiredness

Why might Liquorice (Gan Cao) help with tiredness?

Because Liquorice is an ingredient in several formulas indicated to treat tiredness as a symptom, like Ju Yuan Jian or Si Jun Zi Tang for instance.

Liquorice is a Neutral herb that tastes Sweet. It targets the Spleen, the Stomach, the Heart and the Lung.

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.

Read more about Liquorice here

Why might Ginseng (Ren Shen) help with tiredness?

Because Ginseng is an ingredient in several formulas indicated to treat tiredness 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 Spleen, the Heart and the Lung.

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).

Read more about Ginseng here

Why might Atractylodes Rhizome (Bai Zhu) help with tiredness?

Because Atractylodes Rhizome is an ingredient in several formulas indicated to treat tiredness as a symptom, like Wan Dai Tang or Si Jun Zi Tang 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.

Read more about Atractylodes Rhizomes here

Why might Dong Quai (Dang Gui) help with tiredness?

Because Dong Quai is an ingredient in several formulas indicated to treat tiredness as a symptom, like Sheng Yu Tang or Da Ying Jian for instance.

Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Spleen, the Heart and the Liver.

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.

Read more about Dong Quai here

Why might White Peony Root (Bai Shao) help with tiredness?

Because White Peony Root is an ingredient in several formulas indicated to treat tiredness as a symptom, like Si Wu Tang or Xiao Jian Zhong Tang for instance.

White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Spleen and the Liver.

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.

Read more about White Peony Roots here