Chronic Fatigue Syndrome

What is Chronic Fatigue Syndrome?

Definition

Chronic Fatigue Syndrome (CFS) is a complex condition characterised by persistent, debilitating fatigue that is not relieved by rest. Physical and cognitive symptoms frequently accompany it.

Common Causes

• Viral infections (e.g. post-COVID-19, Epstein–Barr virus)
• Chronic stress and burnout
• Immune system disorders
• Hormonal dysregulation
• Psychological conditions such as depression

Physiological and Pathological Mechanisms

• Mitochondrial dysfunction (impaired cellular energy production)
• Chronic inflammatory reactions
• Dysregulation of the autonomic nervous system

How Traditional Chinese Medicine (TCM) understands Chronic Fatigue Syndrome

Chronic fatigue corresponds in TCM to a deficiency of Qi, Yang, or Jing (essence). Spleen Qi deficiency, Kidney Yang deficiency, or Heart Blood deficiency are commonly responsible for the absence of vitality.

Treatment Principles

Acupuncture

Points such as ST 36, SP 6, BL 23, and CV 6 strengthen Qi and Yang, tonify the Spleen and Kidney, and improve energy production.

Tuina Treatment

Tonifying massage along the back meridians to strengthen Kidney Yang and Spleen Qi.

Traditional Chinese Medicine

Tonifying formulas such as Bu Zhong Yi Qi Tang raise Spleen Qi and strengthen vital energy.

Lifestyle Adjustments

Paced activity with appropriate rest periods, sleep hygiene, nutrient-rich diet, stress management.

When to See a Doctor Immediately

Warning Signs

• Persistent fatigue following viral infection
• Cardiac arrhythmias or shortness of breath
• Sudden unintentional weight loss

When to Contact a Clinic

If unintentional weight loss, fever, or shortness of breath occurs, consult a doctor to rule out organic causes.