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Post-Infectious Fatigue

How Chinese medicine differentiates lingering fatigue after an infection into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's Post-Viral Fatigue, Chronic Fatigue Syndrome and 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 persists for months, worsens after minimal activity, or comes with fever, weight loss or other systemic symptoms needs a medical work-up.
General Acupuncture Points

Acupuncture points traditionally used for post-infectious 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.
SP-6Strengthens the Spleen. Resolves Dampness. Promotes the function of the Liver and the smooth flow of Liver-Qi.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Qi Deficiency

Clinical manifestations: Fatigue worse with activity; spontaneous daytime sweating; shortness of breath on exertion; a weak voice; pale complexion.
Tongue: Pale, puffy, tooth-marked, thin white coat. Pulse: Weak, soft, thin, lacking force.
Treatment principle: Tonifies the Middle and augments Qi; raises sunken Yang.
Note: moxa is appropriate.

2. Qi and Blood Deficiency

Clinical manifestations: Pale complexion, lips and nails; dizziness; palpitations; numbness or tingling; poor appetite.
Tongue: Pale, possibly thin with tooth marks, thin white coat. Pulse: Fine, weak, empty at the Spleen position.
Treatment principle: Tonifies Qi and nourishes Blood; strengthens the Spleen.
Note: moxa is appropriate. No combined Qi-and-Blood-deficiency slide exists on this site's decks — no pattern link is given here.

3. Spleen and Lung Qi Deficiency View full pattern →

Clinical manifestations: Shortness of breath on exertion; poor appetite with bloating; weak voice; spontaneous sweating; weak cough with clear phlegm; a pale, puffy face.
Tongue: Pale, puffy, tooth-marked, thin white slippery coat. Pulse: Weak, empty at the Lung position, deficient at the Spleen position.
Treatment principle: Tonifies Spleen and Lung Qi together and strengthens digestive transformation.
Note: moxa is appropriate. Linked to this site's own Spleen-and-Lung-Qi-deficiency slide.

4. Lung Qi Deficiency View full pattern →

Clinical manifestations: Weak cough with clear phlegm; shortness of breath on exertion; a weak voice; spontaneous sweating; sensitivity to wind and cold; a pale, tender body.
Tongue: Pale, tender, possible tooth marks, thin white coat. Pulse: Empty or weak, especially at the Lung position.
Treatment principle: Tonifies Lung Qi, consolidates the Exterior and stops cough.
Note: moxa is appropriate.

5. Heart and Spleen Qi and Blood Deficiency View full pattern →

Clinical manifestations: Palpitations; insomnia with excessive dreaming; forgetfulness and poor concentration; poor appetite with bloating; pale complexion, lips and nails; loose stools.
Tongue: Pale, puffy, tooth-marked, thin white coat. Pulse: Fine and weak; empty at the Heart position, soft at the Spleen position.
Treatment principle: Tonifies Spleen Qi and nourishes Heart Blood; calms the Spirit.
Note: moxa is appropriate. Linked to this site's own Spleen-and-Heart-Blood-deficiency slide; it names Blood only, so treat as a partial match.
Related conditions

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