How to diagnose and treat deficiency and fatigue diseases in traditional Chinese medicine based on syndrome differentiation

The traditional Chinese medicine syndrome differentiation and treatment of deficiency and fatigue disease should be based on the types of qi, blood, yin and yang deficiency, mainly including qi deficiency syndrome, blood deficiency syndrome, yin deficiency syndrome, yang deficiency syndrome, and yin and yang deficiency syndrome.

1. Qi Deficiency Syndrome

Qi deficiency syndrome is often caused by congenital deficiencies or prolonged illness that depletes qi, manifested as symptoms such as mental fatigue, shortness of breath, lazy speech, self sweating, and decreased appetite. The treatment mainly focuses on tonifying qi, with commonly used formulas such as Sijunzi Tang. Medications can include Huangqi granules, Bu Zhong Yi Qi Wan, and Ren Shen Yang Rong Wan. In daily life, it is advisable to consume nourishing ingredients such as yam and jujube to avoid excessive fatigue.

II. Blood Deficiency Syndrome

Blood deficiency syndrome is often caused by excessive blood loss or biochemical deficiency, and symptoms include pale complexion, dizziness, blurred vision, palpitations, insomnia, etc. The treatment should nourish the blood and enrich the blood. The representative prescription is Siwu Decoction. The drugs can be compound ass hide glue paste, angelica blood tonic oral liquid, donkey hide gelatin blood tonic granule, etc. Diet can increase iron rich foods such as pig liver and black sesame.

III. Yin Deficiency Syndrome

Yin deficiency syndrome is often caused by heat related injuries to the yin or excessive sexual activity. Typical symptoms include hot flashes, night sweats, restlessness of the five hearts, and dry throat and mouth. Treatment requires nourishing yin and reducing fire. Commonly used formulas include Liuwei Dihuang Pills, and medications include Zhibai Dihuang Pills, Zuogui Pills, Maiwei Dihuang Oral Liquid, etc. Spicy and hot foods should be avoided in daily life, and yin nourishing products such as Tremella fuciformis and lilies can be consumed.

Fourth, Yang Deficiency Syndrome

Yang deficiency syndrome is commonly seen in elderly and weak individuals or those who have been ill for a long time and have damaged their yang, manifested as cold limbs, clear and long urine, impotence, premature ejaculation, etc. When treating with warming and tonifying yang qi, the representative formula is Jin Kui Shen Qi Wan, and drugs such as You Gui Wan, Gui Fu Di Huang Capsules, Gui Lu Bu Shen Wan, etc. can be used. It is advisable to consume lamb and chives as warm and nourishing ingredients in moderation, and pay attention to keeping warm.

Five, Yin Yang Deficiency Syndrome

Yin Yang deficiency syndrome is often developed from long-term illness without recovery, with symptoms of both Yin deficiency and Yang deficiency, such as fear of cold, fever, and mental exhaustion. The treatment requires dual supplementation of yin and yang, and the formula can be selected as Turtle and Deer Erxian Jiao. Medications such as Shengmai Yin, Shenrong Health Pills, Quanlu Pills, etc. Daily adjustments should pay attention to balancing work and rest, and avoid overeating cold or hot foods.

Patients with fatigue should maintain a regular daily routine to avoid overexertion and emotional fluctuations. The diet should be nutritionally balanced, and the ingredients for warming or clearing should be selected according to the syndrome type. For example, those with qi deficiency can often eat japonica rice porridge, while those with blood deficiency will eat more red food. Engaging in soothing exercises such as Eight Section Brocade and Tai Chi can help promote the circulation of qi and blood. During the treatment period, it is necessary to follow the doctor's advice and adhere to medication, regularly follow up to adjust the prescription, and avoid self abuse of tonics. If there are obvious symptoms such as weight loss and persistent fever that worsen, seek medical attention promptly.