A Kidney deficiency is often the cause of chronic tiredness particularly in very long-standing
conditions. In fact, a deficiency of any of the other Yin organs can lead to a Kidney deficiency
after a long period of time. In particular, Spleen deficiency often leads to Kidney-Yang
deficiency, while a Liver-Blood deficiency often leads to Kidney-Yin deficiency.

To summarize, the three steps in identifying the cause of chronic tiredness are:

1. distinguish Deficiency and Excess


2. distinguish Qi, Yang, Blood or Yin Deficiency in case of Deficiency, distinguish
   which pathogenic factor is involved in case of Excess


3. identify the organ involved.

Differentiation and Treatment

The patterns analyzed will be:

DEFICIENCY TYPE

Lung-Qi Deficiency

Spleen-Qi Deficiency

Heart-Qi Deficiency

Heart-Yang Deficiency

Spleen-Yang Deficiency

Kidney-Yang Deficiency

Heart-Blood Deficiency

Liver-Blood Deficiency

Spleen-Blood Deficiency

Lung-Yin Deficiency

Heart-Yin Deficiency

Stomach- and Spleen-Yin Deficiency

Liver-Yin Deficiency

Kidney-Yin Deficiency

EXCESS TYPE

Liver-Qi stagnation

Liver-Yang rising

Liver-Fire blazing

Liver-Wind

Phlegm