Chronic fatigue syndrome, or CFS, is a debilitating and complex disorder characterized by profound fatigue that is not improved by bed rest and that may be worsened by physical or mental activity. Persons with CFS most often function at a substantially lower level of activity than they were capable of before the onset of illness. In addition to these key symptoms, patients report various nonspecific symptoms, including weakness, muscle pain, impaired memory and/or mental concentration, insomnia and post-exertional fatigue lasting more than 24 hours. In some cases, CFS can persist for years. In western medicine, the causes of CFS are multi-dimensional and in many cases specific laboratory tests are available to help confirm this condition. Since the pathophysiology remains unknown, medical treatment programs are directed at relief of symptoms, with the goal of the patient regaining some level of pre-existing function.

In Chinese Medicine, the condition known as CFS is viewed as a combination of deficiency and stagnation pattern that affects multiple organ systems in the body. The most common symptoms of CFS are fatigue and muscle aches. Lack of energy is due to Spleen's inability to transform our food into Qi and to transport it to the rest of the body and the four limbs. Frequently, fatigue is accompanied by heaviness of the limbs and poor circulation. As the Spleen controls concentration and mental activities, poor memory and lack of focus is another common complaints among those diagnosed with CFS.

Swollen or tender lymph nodes and muscle and joint pains are due to Qi and Phlegm stagnation that often arises out of underlying Spleen deficiency. When Qi is insufficient, its movement slows down and it creates stagnation in the channels of the body. Without proper Qi flow, muscles lack nourishment and cannot function properly. Often CFS patients also complain of emotional imbalances such as depression. We frequently encounter Liver Qi stagnation among CFS patients, as the Liver is the organ that is in charge of harmonizing the emotions. In many long term chronic cases the energetic system of the Kidneys is also compromised. Laboratory tests to measure Adrenal Hormone status generally show severe hypofunction by this stage.

Acupuncture and moxibustion will strengthen the Spleen function and tonify the Qi to alleviate body aches and increase energy levels. Herbal formulas that include herbs such as astragalas, ginseng and dang gui will tonify the Qi and Blood and promote circulation. Buplerum is a powerful herb to treat Liver Qi stagnation. In general, deficiency patterns take longer to heal, as we need to slowly build up the energy in the body without overwhelming the system. Proper diet, exercise and emotional health are also important components to recovering from CFS.