Chronic Fatigue Syndrome - Damp-Heat Obstruction Pattern

TCM differentiation and treatment for chronic fatigue

Chronic Fatigue Syndrome · Damp-Heat Obstruction Pattern

Updated: June 23, 2026

Reviewed by: Dr. Li Wei, DACM

Reading Time: 7 min

Body Area: Whole Body


Pattern Overview

Damp-Heat Obstruction is a pattern in chronic fatigue syndrome,

characterized by **chronic low-grade inflammation, fatigue, heavy

sensation, and sticky mouth. The core pathogenesis is accumulation

of Damp-Heat in the body**, leading to obstruction of Qi flow, chronic

inflammation, and systemic fatigue.


Key Symptoms and Differentiation Points

Differentiation Dimension Manifestations
Primary Symptoms

feverishness |

Associated Symptoms

heavy head sensation |

Tongue and Pulse

and rapid pulse |

Pathogenesis Damp-Heat accumulating in the body
Etiology

sedentary lifestyle |


Acupuncture Point Prescription

Point Location Function
Yinlingquan (SP9) Below the medial condyle of the tibia

Transforms Dampness and drains Heat |

Sanjiaoshu (BL22) Lower back, 1.5 cun lateral to L1

point of Triple Energizer; regulates water metabolism |

Zhongwan (RN12) 4 cun above the umbilicus

Stomach; harmonizes the Stomach |

Zusanli (ST36)

to the tibial crest | Strengthens Spleen and Stomach; tonifies Qi |

Fenglong (ST40)

to the tibial crest | Transforms Phlegm and Dampness |

Clinical Recommendation: Filiform needle, reducing method; may

combine with cupping to drain Damp-Heat.


Herbal Formula

Base Formula: San Ren Tang (三仁汤)

Composition:

Apricot Kernel (Xing Ren), Cardamon (Bai Kou Ren), Coix Seed (Yi Yi

Ren), Magnolia (Hou Pu), Pinellia (Ban Xia), Talc (Hua Shi), Poria (Fu

Ling), Bamboo Leaf (Zhu Ye)

Action: Clears Damp-Heat, promotes diuresis, and transforms

turbidity.

Modifications

Associated Symptoms Additions/Subtractions
Severe heavy sensation Add Cang Zhu, Huo Xiang to dry Dampness
Sticky mouth

the Spleen |

Feverishness Add Huang Qin, Huang Lian to clear Heat

Western Mechanism Reference

Chronic low-grade inflammation with elevated CRP, gut microbiome

dysbiosis, and metabolic product accumulation. Damp-Heat Obstruction

corresponds to chronic fatigue with inflammatory component, where gut

dysbiosis and metabolic dysfunction contribute to systemic inflammation

and fatigue.


References

1. Internal Medicine of TCM - Dampness Obstruction.

2. DB-TCMJB: Damp-Heat.

3. WHO. (2023). Chronic fatigue syndrome fact sheet. World Health

Organization.


Explore More

Personalized herbal protocols and acupressure tools for fatigue relief.

research papers and clinical case studies on TCM fatigue management.


Last reviewed: June 2026 | Lead author: Dr. Li Wei, DACM | Content updated: Monthly

Disclaimer: This guide is for educational purposes only and does not constitute medical advice. Consult a licensed healthcare provider before starting any treatment.