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Generalized Fatigue

How Chinese medicine differentiates generalized fatigue into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's Fatigue, Chronic Fatigue Syndrome and Post-Viral Fatigue pages. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Fatigue that is severe, progressive, or accompanied by weight loss, fever, or other systemic symptoms needs a medical work-up first.
General Acupuncture Points

Acupuncture points traditionally used for generalized fatigue — 3 key points, used across the patterns below rather than tied to just one.

PointKey action
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood. Tonifies the Original Qi.
REN-6Tonifies Qi and Yang. Raises sinking Qi. Tonifies Original Qi.
DU-20Extinguishes interior Wind. Subdues Liver-Yang. Raises Yang.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi Deficiency

Clinical manifestations: Fatigue worse with mild exertion; shortness of breath; spontaneous sweating; a weak, low voice; pale complexion; weak limbs; poor appetite.
Tongue: Pale, puffy, scalloped tooth marks, thin white coat. Pulse: Weak or empty at the right middle position.
Treatment principle: Tonifies the Spleen and Stomach to strengthen Qi production and lifts sunken Qi.
Note: moxa is appropriate.

2. Yang Deficiency

Clinical manifestations: Cold hands and feet craving warmth; aversion to cold; loose stools; a pale, puffy face; low motivation; mental sluggishness; weakness in the lower back.
Tongue: Pale, swollen, moist, tooth-marked, white slippery coat. Pulse: Deep, slow, weak.
Treatment principle: Warms and tonifies Kidney Yang; ignites the Gate of Life Fire to restore metabolic warmth.
Note: moxa is strongly indicated.

3. Blood Deficiency

Clinical manifestations: Pale or sallow complexion with pale lips and nail beds; dizziness on standing; palpitations; scanty, pale menstrual flow; vivid dreaming.
Tongue: Pale, thin, thin white coat. Pulse: Fine, weak, possibly choppy.
Treatment principle: Nourishes and tonifies Blood to rebuild the body's nourishing reserves.
Note: moxa is appropriate.

4. Qi and Yin Deficiency

Clinical manifestations: Dry mouth and throat with little thirst; night sweats; a warm sensation in the palms, soles and chest; palpitations; scanty dark urine; fatigue with dryness.
Tongue: Red or pale-red, thin or absent coat, possibly cracked. Pulse: Fine, weak, often rapid.
Treatment principle: Tonifies Qi and generates fluids; nourishes Yin to cool mild deficiency Heat.
Note: no moxa (Yin deficiency with heat signs). No combined Qi-and-Yin-deficiency slide exists on this site's decks — no pattern link is given here.

5. Spleen Deficiency with Dampness

Clinical manifestations: Heaviness of the body and limbs; loose stools; poor appetite with bloating; a heavy, muzzy head; drowsiness after meals; sluggish fatigue.
Tongue: Pale, swollen, tooth-marked, white greasy coat. Pulse: Soggy, soft, slow, lacking force at the right middle position.
Treatment principle: Tonifies Spleen Qi and drains Dampness; lifts the heavy obstruction clouding clear Yang.
Note: Mixed Deficiency/Excess. No deck slide combines Spleen deficiency with Dampness — no pattern link is given here.

6. Liver Qi Stagnation with Spleen Qi Deficiency Transforming into Heat

Clinical manifestations: Distending rib-side pain; abdominal bloating after eating; irritability and a quick temper; bitter taste; frequent sighing; stress-triggered fatigue.
Tongue: Red with redder sides, tooth marks, thin to moderately thick yellow greasy coat. Pulse: Wiry and rapid.
Treatment principle: Courses Liver Qi to resolve constraint, strengthens the Spleen and clears Heat from prolonged stagnation.
Note: Mixed Deficiency/Excess. This site's decks have no slide combining Liver-Qi-stagnation with Spleen-Qi-deficiency turning into Heat — no pattern link is given here.
Related conditions

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