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Symptom family: Fatigue and Sleepiness
Mental exhaustion, a state often characterized by decreased cognitive functioning and a profound sense of fatigue, is more than just feeling tired. It encompasses a range of symptoms including cognitive fatigue, nervous exhaustion, and neurasthenia.
Individuals experiencing mental exhaustion often report feeling mentally drained, with a noticeable decrease in mental sharpness and an inability to concentrate effectively. This condition can emerge from prolonged periods of stress or overexertion, leading to a significant decline in one's cognitive and emotional resources.
Traditional Chinese Medicine (TCM) perceives mental exhaustion as a manifestation of an imbalance in the body's fundamental energies. Contrary to Western medicine, which tends to focus on the symptomatic relief of cognitive fatigue, TCM aims to restore harmony and balance within the body.
It views mental exhaustion as an indicator of underlying disharmonies, often involving Qi (vital energy), the essence, or specific organ systems. Treatment in TCM is holistic, targeting these imbalances to rejuvenate the mind and body.
In TCM, mental exhaustion is often attributed to two primary patterns: Qi Sinking and Essence Deficiency. Qi Sinking, such as in cases of Large Intestine collapse, presents symptoms like chronic diarrhea, anus prolapse, and a craving for hot beverages, reflecting a significant drop in the body's vital energy. The treatment focuses on formulas like Bu Zhong Yi Qi Tang, which utilizes Milkvetch Roots to fortify Qi.
Essence Deficiency, particularly of the Kidney, leads to symptoms like hair loss, lower back pain, and a decrease in mental acuity. Remedies like Zuo Gui Wan and Wu Zi Yan Zong Wan, containing ingredients like Prepared rehmannia and Cuscuta seeds, are prescribed to nourish and strengthen the Kidney essence.
Explore below more details about what might cause Mental exhaustion according to TCM.
Qi Sinking is a pattern of disharmony in TCM where the body's energy, or Qi, is thought to "sink" or drop down. Imagine a balloon slowly deflating and falling; that's similar to what happens with Qi Sinking. This can lead to feelings of heaviness, fatigue, and even physical symptoms like prolapse of organs or frequent urination. It's as if the body's energy, which usually supports and holds things in place, isn't able to do its job properly. TCM views this as an imbalance where the uplifting and supporting qualities of Qi are weakened.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Large Intestine collapse | Mental exhaustion, Chronic diarrhea, Anus prolapse, Hemorrhoids, Generalized fatigue, Cold extremities, Lack of appetite, Craving for hot beverages... see more | Bu Zhong Yi Qi Tang |
Blood Deficiency in TCM is like when your body's tank runs low on the vital energy that blood provides. It's not exactly the same as anemia in modern medicine, which is about having too few red blood cells. Instead, Blood Deficiency in TCM is about your body not having enough of the life-giving qualities that blood brings, like nourishment and moisture. This can make you feel tired, look pale, and even feel dizzy or have blurry vision. It's like a garden not getting enough water to stay lush and vibrant. TCM sees this as an imbalance where the body isn't being nourished as it should be, impacting overall health and well-being.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Heart Blood Deficiency | Neurasthenia, Easily startled, Vivid dreaming, Hysteria | Gan Mai Da Zao Tang | Gui Pi Tang | Suan Zao Ren Tang | Si Wu Tang | Shen Qi Si Wu Tang | Zhen Xin An Shen Tang | Bai Zi Yang Xin Wan | Bai Zi Yang Xin Tang |
Yin deficiency in TCM is a pattern of disharmony characterized by a depletion of the body's Yin energy, which represents the cooling, moistening, and nurturing aspects of our physiology. This condition often arises from factors like chronic stress, overwork, insufficient rest, or prolonged illness. Symptoms of Yin deficiency can include a sensation of heat, especially in the afternoon or evening, night sweats, insomnia, a dry mouth or throat, and a red tongue with little coating. There might also be a general feeling of restlessness or irritability. Since Yin is essential for balancing the body's active and warm Yang energy, its deficiency leads to a relative excess of Yang, manifesting as heat or dryness symptoms.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Heart Yin Deficiency | Neurasthenia, Night sweats, Feeling of uneasiness, Feeling of heat, Heat sensation in palms, Hysteria... see more | Gan Mai Da Zao Tang | Tian Wang Bu Xin Dan |
In TCM "Essence" (Jing) deficiency refers to a depletion of the body's fundamental substance, which is vital for growth, development, reproduction, and overall vitality. Jing, often translated as "Essence," is a unique concept in TCM, seen as the basis of all life activities and inherited from our parents. Essence deficiency manifests in various symptoms, such as chronic fatigue, weakness, slow physical or mental development, fertility issues, premature aging, weak bones, and a lackluster complexion. It can also affect the hair, leading to premature greying or hair loss. This pattern of disharmony often arises from congenital factors, chronic illness, overwork, or excessive behaviors that drain the body's resources. ... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Kidney Essence Deficiency | Decreased mental sharpness, Deafness, Intellectual disability, Osteomalacia, Hair loss, Lower back pain, Infertility, Primary amenorrhea, Dizziness, Blurry vision, Absentmindness... see more | Zuo Gui Wan | Wu Zi Yan Zong Wan | Tu Si Zi Wan | Qi Bao Mei Ran Dan | Huan Shao Dan |
In TCM the Heart is considered the "emperor" of all organs, primarily responsible for governing Blood and housing the mind, known as "Shen." It plays a crucial role in maintaining mental-emotional equilibrium and controlling the circulation of Qi and blood throughout the body. When the Heart is imbalanced or malfunctions in TCM, it can lead to a range of issues like heart palpitations, insomnia, dream-disturbed sleep, anxiety, and a flushed complexion. Emotional disturbances such as excessive joy or lack of joy are also seen as signs of Heart disharmony. These symptoms reflect not just physical heart conditions but also the state of one's Shen, indicating the interconnectedness of physical and emotional well-being in TCM.... see more
Common Symptoms: Easily Startled Vivid Dreaming Hysteria Palpitations Insomnia Poor Memory Dizziness Anxiety
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Heart Blood Deficiency | Neurasthenia, Easily startled, Vivid dreaming, Hysteria | Gan Mai Da Zao Tang | Gui Pi Tang | Suan Zao Ren Tang | Si Wu Tang | Shen Qi Si Wu Tang | Zhen Xin An Shen Tang | Bai Zi Yang Xin Wan | Bai Zi Yang Xin Tang |
Heart Yin Deficiency | Neurasthenia, Night sweats, Feeling of uneasiness, Feeling of heat, Heat sensation in palms, Hysteria... see more | Gan Mai Da Zao Tang | Tian Wang Bu Xin Dan |
In TCM the Large Intestine is primarily seen as responsible for the absorption of fluids and the excretion of waste. It is closely related to the Lung in terms of energy flow and function, reflecting the interconnectedness of organ systems in TCM. When the Large Intestine malfunctions, it can lead to issues such as constipation or diarrhea, abdominal pain, and an inability to let go of emotional waste, like holding onto grief or stress. This is in line with the TCM view that the physical and emotional aspects of health are deeply connected. An imbalanced Large Intestine can also manifest as skin problems, signifying the organ’s role in eliminating toxins and maintaining balance in the body’s internal environment.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Large Intestine collapse | Mental exhaustion, Chronic diarrhea, Anus prolapse, Hemorrhoids, Generalized fatigue, Cold extremities, Lack of appetite, Craving for hot beverages... see more | Bu Zhong Yi Qi Tang |
In TCM the Kidneys are regarded as the body's most fundamental reservoir of Essence, known as Jing, which influences growth, reproduction, and aging. They are not just organs for filtering blood, but a holistic system governing vital life forces. When the Kidneys malfunction in TCM, it can manifest as a variety of health issues, such as chronic fatigue, reproductive problems, imbalances in fluid metabolism leading to edema or dryness, lower back pain, and a sense of fear or insecurity.... see more
Pattern Name | Relevant Symptoms | Relevant Formulas |
---|---|---|
Kidney Essence Deficiency | Decreased mental sharpness, Deafness, Intellectual disability, Osteomalacia, Hair loss, Lower back pain, Infertility, Primary amenorrhea, Dizziness, Blurry vision, Absentmindness... see more | Zuo Gui Wan | Wu Zi Yan Zong Wan | Tu Si Zi Wan | Qi Bao Mei Ran Dan | Huan Shao Dan |
To combat mental exhaustion, TCM employs various herbal formulas tailored to address specific patterns of imbalance. For Qi Sinking, Bu Zhong Yi Qi Tang, rich in Qi-boosting ingredients like Milkvetch Roots, is employed to enhance vitality and overall energy.
For Essence Deficiency, formulas like Zuo Gui Wan and Wu Zi Yan Zong Wan are used. These contain key herbs such as Prepared rehmannia and Cuscuta seeds, respectively, known for their efficacy in nourishing the Kidney essence and improving mental function. The choice of formula is highly individualized, based on the unique pattern of disharmony present in each patient.
Explore below some TCM herbal formulas used to address mental exhaustion, organized by cause and by formula type.
Suitable for Qi Sinking patterns that may cause mental exhaustion, such as Large Intestine collapse
Learn moreSuitable for Blood Deficiency patterns that may cause mental exhaustion, such as Heart Blood Deficiency
Learn moreFormula | Patterns Suitable For |
---|---|
Gan Mai Da Zao Tang | Heart Blood Deficiency |
Gui Pi Tang | Heart Blood Deficiency |
Suan Zao Ren Tang | Heart Blood Deficiency |
Si Wu Tang | Heart Blood Deficiency |
Shen Qi Si Wu Tang | Heart Blood Deficiency |
Zhen Xin An Shen Tang | Heart Blood Deficiency |
Bai Zi Yang Xin Wan | Heart Blood Deficiency |
Bai Zi Yang Xin Tang | Heart Blood Deficiency |
Suitable for Yin Deficiency patterns that may cause mental exhaustion, such as Heart Yin Deficiency
Learn moreFormula | Patterns Suitable For |
---|---|
Gan Mai Da Zao Tang | Heart Yin Deficiency |
Tian Wang Bu Xin Dan | Heart Yin Deficiency |
Suitable for Essence Deficiency patterns that may cause mental exhaustion, such as Kidney Essence Deficiency
Learn moreFormula | Patterns Suitable For |
---|---|
Zuo Gui Wan | Kidney Essence Deficiency |
Wu Zi Yan Zong Wan | Kidney Essence Deficiency |
Tu Si Zi Wan | Kidney Essence Deficiency |
Qi Bao Mei Ran Dan | Kidney Essence Deficiency |
Huan Shao Dan | Kidney Essence Deficiency |
These formulas are suitable for some mental exhaustion-causing patterns like Heart Blood Deficiency or Heart Yin Deficiency.
One such formula is Gan Mai Da Zao Tang, with light wheat as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Gan Mai Da Zao Tang | Heart Blood Deficiency, Heart Yin Deficiency |
Suan Zao Ren Tang | Heart Blood Deficiency |
Tian Wang Bu Xin Dan | Heart Yin Deficiency |
Zhen Xin An Shen Tang | Heart Blood Deficiency |
Bai Zi Yang Xin Wan | Heart Blood Deficiency |
Bai Zi Yang Xin Tang | Heart Blood Deficiency |
Huang Lian E Jiao Tang | Not applicable |
Jiao Tai Wan | Not applicable |
Ding Zhi Wan | Not applicable |
These formulas are suitable for some mental exhaustion-causing patterns like Kidney Essence Deficiency.
One such formula is Zuo Gui Wan, with prepared rehmannia as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Zuo Gui Wan | Kidney Essence Deficiency |
Da Bu Yin Wan | Not applicable |
Yi Guan Jian | Not applicable |
Ba Wei Di Huang Wan | Not applicable |
Liu Wei Di Huang Wan | Not applicable |
These formulas are suitable for some mental exhaustion-causing patterns like Kidney Essence Deficiency.
One such formula is Qi Bao Mei Ran Dan, with fleeceflower root as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Qi Bao Mei Ran Dan | Kidney Essence Deficiency |
Huan Shao Dan | Kidney Essence Deficiency |
Shi Quan Da Bu Tang | Not applicable |
Gui Zhi Jia Long Gu Mu Li Tang | Not applicable |
These formulas are suitable for some mental exhaustion-causing patterns like Heart Blood Deficiency.
One such formula is Si Wu Tang, with prepared rehmannia as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Si Wu Tang | Heart Blood Deficiency |
Shen Qi Si Wu Tang | Heart Blood Deficiency |
Bu Gan Tang | Not applicable |
These formulas are suitable for some mental exhaustion-causing patterns like Large Intestine collapse.
One such formula is Bu Zhong Yi Qi Tang, with milkvetch root as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Bu Zhong Yi Qi Tang | Large Intestine collapse |
Sheng Mai San | Not applicable |
These formulas are suitable for some mental exhaustion-causing patterns like Heart Blood Deficiency.
One such formula is Gui Pi Tang, with ginseng as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Gui Pi Tang | Heart Blood Deficiency |
Ba Zhen Tang | Not applicable |
These formulas are suitable for some mental exhaustion-causing patterns like Kidney Essence Deficiency.
One such formula is Wu Zi Yan Zong Wan, with cuscuta seeds as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Wu Zi Yan Zong Wan | Kidney Essence Deficiency |
Tu Si Zi Wan | Kidney Essence Deficiency |
Mental exhaustion can be treated by these formulas if it is caused by a deficiency in the body's essence, leading to symptoms like involuntary urination.
One such formula is Jin Suo Gu Jing Wan, with milkvetch seeds as a key herb.
Other formulas of this category are listed in the table below.
Formula | Patterns Suitable For (if applicable) |
---|---|
Jin Suo Gu Jing Wan | Not applicable |
Sang Piao Xiao San | Not applicable |
Mental exhaustion can be treated by these formulas if it is due to an imbalance where yin deficiency leads to a false heat syndrome.
One such formula is Dang Gui Liu Huang Tang, with dong quai as a key herb.
Mental exhaustion can be treated by these formulas if it stems from an excess heat condition in specific organs, leading to internal disharmony.
One such formula is Qing Xin Lian Zi Yin, with lotus seeds as a key herb.
Mental exhaustion can be treated by these formulas if it stems from a general deficiency in the body, needing strengthening and nourishing actions.
One such formula is Ren Shen Yang Rong Tang, with ginseng as a key herb.
Mental exhaustion can be treated by these formulas when it results from an intense heat condition at the qi level, affecting the body's energy flow.
One such formula is Zhu Ye Shi Gao Tang, with gypsum as a key herb.
Mental exhaustion can be treated by these formulas when it is due to cold in the middle jiao (digestive region), necessitating warming and cold-dispelling actions.
One such formula is Huang Qi Jian Zhong Tang, with milkvetch root as a key herb.
Explore below some TCM herbs used to address mental exhaustion, organized by herb category.
Mental exhaustion can be treated by these herbs when stemming from a lack of vital energy or Qi, helping to boost energy and overall vitality.
One such herb is Milkvetch Roots (Huang Qi), a key herb in some formulas recommended for mental exhaustion, like Bu Zhong Yi Qi Tang.
Other herbs of this category are listed in the table below.
Mental exhaustion can be treated by these herbs in cases of blood deficiency, working to nourish and replenish the body's blood supply.
One such herb is Prepared Rehmannia (Shu Di huang), a key herb in some formulas recommended for mental exhaustion, like Ba Zhen Tang.
Other herbs of this category are listed in the table below.
Herb | Formulas they belong to (if applicable) |
---|---|
Prepared Rehmannia (Shu Di huang) | Ba Zhen Tang | Da Bu Yin Wan | Dang Gui Liu Huang Tang | Ba Wei Di Huang Wan | Bu Gan Tang | Si Wu Tang | Shen Qi Si Wu Tang | Liu Wei Di Huang Wan | Zuo Gui Wan | Huan Shao Dan |
White Peony Roots (Bai Shao) | Ren Shen Yang Rong Tang | Bu Gan Tang | Gui Zhi Jia Long Gu Mu Li Tang | Si Wu Tang | Shen Qi Si Wu Tang |
Dong Quai (Dang Gui) | Dang Gui Liu Huang Tang |
Fleeceflower Roots (He Shou Wu) | Qi Bao Mei Ran Dan |
Longans (Long Yan Rou) | Not applicable |
Mental exhaustion can be treated by these herbs in situations of diminished Yang energy, aiming to warm and activate the body's functions.
One such herb is Cuscuta Seeds (Tu Si Zi), a key herb in some formulas recommended for mental exhaustion, like Wu Zi Yan Zong Wan.
Other herbs of this category are listed in the table below.
Herb | Formulas they belong to (if applicable) |
---|---|
Cuscuta Seeds (Tu Si Zi) | Wu Zi Yan Zong Wan | Tu Si Zi Wan |
Milkvetch Seeds (Sha Yuan Zi) | Jin Suo Gu Jing Wan |
Pilose Antlers (Lu Rong) | Tu Si Zi Wan |
Desert-Living Cistanches (Rou Cong Rong) | Tu Si Zi Wan |
Mental exhaustion can be treated by these herbs if it is caused by a leakage of bodily fluids or energies, helping to consolidate and preserve the body's essential substances.
One such herb is Light Wheats (Fu Xiao Mai), a key herb in some formulas recommended for mental exhaustion, like Gan Mai Da Zao Tang.
Other herbs of this category are listed in the table below.
Herb | Formulas they belong to (if applicable) |
---|---|
Light Wheats (Fu Xiao Mai) | Gan Mai Da Zao Tang |
Lotus Seeds (Lian Zi) | Qing Xin Lian Zi Yin |
Praying Mantis Egg-Cases (Sang Piao Shao) | Sang Piao Xiao San |
Mental exhaustion can be treated by these herbs if it stems from disturbances in the Shen (spirit), often due to instability in the heart and kidney energies.
One such herb is Dragon Tooth (Long Chi), which is directly recommended for mental exhaustion.
Other herbs of this category are listed in the table below.
Herb | Formulas they belong to (if applicable) |
---|---|
Dragon Tooth (Long Chi) | Not applicable |
Dragon Bones (Long Gu) | Not applicable |
Mental exhaustion can be treated by these herbs when it is linked to deficiencies in heart nourishment, addressing both physical and emotional imbalances.
One such herb is Biota Seeds (Bai Zi Ren), a key herb in some formulas recommended for mental exhaustion, like Bai Zi Yang Xin Wan.
Other herbs of this category are listed in the table below.
Herb | Formulas they belong to (if applicable) |
---|---|
Biota Seeds (Bai Zi Ren) | Bai Zi Yang Xin Wan | Bai Zi Yang Xin Tang |
Jujube Seeds (Suan Zao Ren) | Suan Zao Ren Tang |
Mental exhaustion can be treated by these herbs when caused by a lack of Yin, which is essential for cooling and moistening the body, thereby restoring balance.
One such herb is Tortoise Plastrons (Gui Ban), a key herb in some formulas recommended for mental exhaustion, like Da Bu Yin Wan.
Other herbs of this category are listed in the table below.
Herb | Formulas they belong to (if applicable) |
---|---|
Tortoise Plastrons (Gui Ban) | Da Bu Yin Wan |
Goji Berries (Gou Qi Zi) | Huan Shao Dan |
Mental exhaustion can be treated by these herbs when caused by internal wind from Liver disharmony, often manifesting in symptoms like spasms or tremors.
One such herb is Dogbane Leaves (Luo Bu Ma), which is directly recommended for mental exhaustion.
Mental exhaustion can be treated by these herbs when it is a consequence of excess heat in the blood, helping to cool and detoxify the blood.
One such herb is Unprepared Rehmannia (Di Huang), a key herb in some formulas recommended for mental exhaustion, like Dang Gui Liu Huang Tang.
Mental exhaustion can be treated by these herbs when caused by excessive dampness and heat within the body, aiming to restore balance by drying dampness and clearing heat.
One such herb is Goldthread Rhizomes (Huang Lian), a key herb in some formulas recommended for mental exhaustion, like Huang Lian E Jiao Tang.
Mental exhaustion can be treated by these herbs when it stems from stagnation or poor circulation of blood, helping to improve blood flow and alleviate related discomfort.
One such herb is Donkey-Hide Gelatin (E Jiao), a key herb in some formulas recommended for mental exhaustion, like Huang Lian E Jiao Tang.
Mental exhaustion can be treated by these herbs when it arises from excessive internal heat or fire, aiding in cooling the body and balancing internal temperature.
One such herb is Gypsum (Shi Gao), a key herb in some formulas recommended for mental exhaustion, like Zhu Ye Shi Gao Tang.
Mental exhaustion can be treated by these herbs when there is a need to dispel external cold and warm the body, especially in cases where there is insufficient Yang energy internally.
One such herb is Cinnamon Twigs (Gui Zhi), a key herb in some formulas recommended for mental exhaustion, like Gui Zhi Jia Long Gu Mu Li Tang.