Acupuncture and Alternative Therapies for Chronic Fatigue
By Kevin Doherty
It is estimated that over 50% of the American population experiences chronic
fatigue. The most common causes are stress, overwork, insomnia, depression, and
various malfunctions in the major systems of the body (endocrine,
cardiovascular, digestive, etc.) Western medicine is decidedly lacking in safe
and effective treatment options for fatigue. Quite commonly, the first step is
to use a selective serotonin reuptake inhibitor (SSRI), such as Prozac, Paxil,
or Wellbutrin, as fatigue is commonly associated with depression. Although
trends are changing among the newer generation of doctors, it is still quite
rare that the patient is offered lifestyle counseling that focuses on
nutrition, exercise, and sleep.
There are many wonderful alternative treatment options that include
acupuncture, herbs, nutrition, and exercise. Acupuncture tops the list because
it tends to be so effective is supplementing the body’s energy.
ACUPUNCTURE
The majority of patients who complain of fatigue suffer from a deficiency of
vital energy (Qi). Qi is the basic energy that creates optimal physiological
and neurological function. Aside from fatigue, other signs of Qi deficiency are
diarrhea, pallor, easy bruising, excessive sleep (more than 9 hrs. a night),
scanty menses or amenorrhea, frequent urination, low libido, and shortness of
breath. The strategy of Chinese medicine is to identify a pattern of disharmony
that reflects the entirety of one’s symptoms, pulse qualities, and tongue
appearance. Moxibustion, a topical warming therapy, is typically used as a
nourishing adjunct to the needles. This entails burning mugwort on top of the
needles or directly on the skin to induce a stronger supplementing effect. I
recommend weekly acupuncture and moxa treatments for 4-6 weeks, then assessing
for progress.
HERBS
Qi deficiency primarily affects 4 different organs: the spleen, kidney, heart,
and lungs. Here are symptoms and herbal treatment options for each pattern:
Spleen: diarrhea, loose stools, bloating, bruising, fatigue, prolapse, laconic
speech, internal cold Herbal Formula: Bu zhong yi qi tang
· Kidney: low back pain, low libido, fatigue,
internal cold, frequent urination Herbal Formula: Jin gui shen qi wan
· Heart: restless sleep, worry, fatigue, heart
palpitations, shortness of breath Herbal Formula: Gui pi tang
· Lung: chronic cough, weak immunity,
allergies, fatigue, shortness of breath, asthma Herbal formula: Bu fei tang
· Adaptogenic herbs such as rhodiola rosea,
ashwaganda, and ginseng may be helpful adjuncts .
SUPPLEMENTS
B Complex: B vitamins are warming and energizing. They build Qi and blood.
· Tyrosine: precursor to norepinephrine (often
deficient in chronic fatigue)
· 5HTP: precursor to serotonin, for deeper
sleep, weight loss, anxiety
· Adrenosen by Health Concerns and Adrenotone
by Designs for Health are both effective adrenal tonics for fatigue due to
adrenal burnout.
EXERCISE
I recommend getting 20-30 minutes of exercise 4-5 times a week. At first, this
may feel forced and difficult because you won’t want to exercise when you feel
tired. After a few days, however, your body will begin to love the endorphin
release and serotonin boost that exercise provides. Exercise alone can be a
wonderful cure for fatigue. Your program should be a combination of
cardiovascular and restorative exercise. Cardiovascular exercise involves
running, biking, swimming, hiking, etc. Restorative exercise involves yoga, tai
chi, or qi gong.
IDENTIFYING WHERE YOU LEAK YOUR ENERGY
Many people with chronic fatigue can attribute this pattern to a central theme
that is stealing their energy. Perhaps you are in a marriage that is not
working or a job that feels stagnant. Maybe you have set your life up so that
you never have time for yourself because you are too busy caring for others. Or
maybe you have financial problems that make life feel burdensome. Low energy is
often a sign that we are not in control of our life, whether it is in
relationships, work, with our health or with our money. Set an intention to
heal any area of your life that is spiraling out of control and that feels
toxic to you.
IS THERE A PAYOFF FOR THE FATIGUE?
Strangely enough, many people are chronically tired because it allows them to
get attention from others. Fatigue becomes a way to soak up the well wishes of
others, all the while avoiding our personal responsibility to show up to life
and offer something helpful. It can be a touch question to ask, but I encourage
you to contemplate whether or not you are being a victim to the fatigue. What
is your belief system around it? Do you have an internal dialogue that supports
and sustains the fatigue? What would your life look like if the fatigue wasn’t
an issue? I don’t bring this up to undermine the validity of this very common
health concern. In my clinical experience, however, I have noticed a rather
common theme of victimization and relinquishing personal power in cases of
chronic fatigue. There are many wonderful treatment options for chronic
fatigue. This article is not intended to cover this issue in its entirety, as
there can certainly be other factors involved in fatigue (immune dysfunction,
low level pathogenic influences, etc.) The key is to be proactive in treating
this condition.
