Pulse: Empty, especially in the right Middle position.
If Stomach-Qi deficiency accompanies this pattern, in addition to the above manifestations there
will be an uncomfortable sensation of the epigastrium after eating and a tongue coating without
root.
This is by far the most common cause of chronic tiredness. The Spleen (with the Stomach) is the
Root of Post-Heaven Qi and as such, it is the origin of Qi and Blood. All Qi and Blood made in
the body originate from the Spleen and Stomach and if these two organs are weak, tiredness is
one of the first and most common symptoms.
The tiredness would be more pronounced in the morning and it would also be characterized by a
feeling of weakness of the muscles and lassitude.
Although this pattern is characterized by loss of appetite, it is not unusual in the different cultural
milieu of Western societies for people with Spleen-Qi deficiency actually to eat more than
normal, especially by constantly "picking". In any case, there are situations when Spleen-Qi is
deficient and the Stomach has Heat which will cause people to feel hungry soon after eating.
Treatment Principle
Strengthen the Spleen, tonify Qi.
Acupuncture
General Prescription
ST-36 Zusanli, SP-3 Taibai, Ren-12 Zhongwan, BL-20 Pishu, BL-21 Weishu. All with
reinforcing method. Moxa is applicable.
Explanation
- ST-36 and SP-3 tonify Stomach and Spleen Qi.
- Ren-12 is the Front-Collecting point of the Stomach and it tonifies both Stomach and
Spleen. - BL-20 and BL-21 are the Back-Transporting points for Spleen and Stomach and they
provide a very effective and strong stimulation in chronic deficiency of these two organs.
They particularly have an effect in relieving tiredness.
Herbal Treatment