
Q I've had chronic fatigue for years — can Sipjeondaebo-tang fundamentally help?
A If Qi-Blood deficiency is the underlying cause, Sipjeondaebo-tang is effective. However, if Liver Qi stagnation (from stress or overwork) is the main cause, Gongjindan may be more suitable, so identifying the cause through pulse diagnosis comes first.
Detailed Answer
Chronic fatigue has various causes, including Qi-Blood deficiency, Liver Qi stagnation, spleen-stomach weakness, and sleep disorders. If the pattern is a pale complexion, dizziness, and shortness of breath, Qi-Blood deficiency is likely, and Sipjeondaebo-tang is well suited. On the other hand, if the pattern involves high stress, a heavy head, and difficulty falling asleep, Liver Qi stagnation may be the main cause, making Gongjindan more appropriate.
Our Korean Medicine Clinic's Perspective
At Dongjedang, we distinguish the cause of chronic fatigue through pulse diagnosis before prescribing. When Qi-Blood deficiency and Liver Qi stagnation occur together, we may combine both formulas or sequence them in a specific order.
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