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Fatigue and imbalance

I feel exhausted fatigue from environmental stress and study commitments.
Also the last couple of days I caught a bad cold and the GP gave antibiotic and kortizon spray. taking it for 7 days
From previous time I take Zao Ren Tang Pian Wan for 2 months now which the TCM practitioner suggested and it helped with insomnia and mental overstimulation but I still am overstimulated with emotional and physical symptoms. memory andattention is bad.
At night when I am trying to fall asleep I end up getting heart palpitations (don’t have them during the day) and if I’ve eaten protein panic attack. I have huge dark circles and reddish in eyes and skin is yellow
I can’t go to the gym because of that
So, to encapsulate my issues
Emotional symptoms
very dark circles and puffiness
heart palpitations - at night
Physical symptoms
i’m not sure if i have taken the right root with herbs and because i feel these symptoms.

Do you mean suan zao ren?

tang pian and wan all mean functionally the same thing, so you are saying you are taking zao ren - which I’m assuming but wanted to be sure is suan zao ren?

yes suan zao ren, i wrote it by mistake

What is the dose you have been taking of suan zao ren? And by “helped” what exactly improved and to what degree from taking it. What does your TCM practitioner think, have they tried any other formulas. What is your diagnosis, if you know it, from their perspective in TCM terms? What does your tongue look like?

Long story short, suan zao ren is a fairly mild formula so you are either not taking enough or it needs to be combined with or replaced by another formula.

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i have been taking 6 pills/day, 3 pills suan zao ren in the morning and 3 pills suan zao ren at night 1 hour before sleep, i had experienced in the past psychotic episode and was prescribed chemical meds antipsychotic and a/d by western medicine docs which helped ease down akathisia and mental fatigue , lots of adverse reactions to body and mind including fatigue and loss of energy and not the appropriate medical practice by docs
suan zao ren is the only formula I have tried in

Chinese medicine and that’s 2 months only. in previous post you mentioned at least 4 months for prescription to have solid effect. Memory and attention are low and that impacts my performance on the course and thus my emotional aspect.
I attached photo of tongue

And are the “pills” the teapills (the tiny brown balls) or capsules? Either way that is likely too mild. You might do better with something a bit more strengthening to the yin and spleen qi. Without knowing you it is difficult to provide too much, so you should likely run this past your doctor. But I would think xiao yao wan perhaps with suan zao ren during the day - an am, noon and dinner dose, then either liu wei di huang wan or qi ju di huang wan at night and see if that doesn’t got a bit deeper.

the teapills, the tiny brown balls.
I get protein from white meat mostly chicken and tuna fish.
i run out of xiao yao wan in teapills and i got for this month in powder form from the UK
what is the time frame for relieving the root cause?
I have 2 days so far with qi ju di huang wan
what Im considering is tal from the a/p will make the symptoms worse if i wean off, can i counteract it with the current herbs?

I have tried suan zao with qi ju di hung wang and have managed to stay with mild withdraw, some high extent withdraw have been counteracted with not high intensity.
i have a question the yin tonifying herb( qi ju di hung wang ) are supposed to be taken during the day or night?

because if taken at night before bed then it disrupts sleep or no?
what is the Chinese practitioner points i should be aware of?

A different pdr prescribed prozac with sh**prex. I’m not doing the same mistake again with a/d(paxil), remembering these shty drug and struggles ditching this shtty.
and pain in stomach, a hipatologist recommended a ultrasound where a small stone but pain is there in the morning,

sticking to TCM and qi jhu di huang , had some waves and skipped the qi ju di huang some days
i went to 4 different urologist and guarantee its not cause of pain and but the pain is the right side of stomach and reflects on back side. and skin its still yellow cause sth with liver. to encapsulate irritability,fatigue,nervousness, insomnia how to proceed?

First, ethically, I can only offer general recommendations online - you should consult directly with a TCM practitioner to get the most tailored advice. But from reading your response, it seems you did not yet try my full recommendation.

Regardless what you are now describing seems to lead to potentially dropping the yin tonics (i.e. qi ju di huang wan - as they can be harsh on digestion if not entirely appropriate and/or taken for too long) and going towards something 3x/day before meals such as either jia wei xiao yao wan w/shu gan wan or shu gan wan with chai hu jia long gu mu li wan.

Chai hu jia long gu mu li with Shu gan wan or jia wei xiao yao wan with Shu gan wan.

the qi jhu di huang wan is not appropriate any more?

Liver qi stagnation which is treated with jia wei xiao yao wan is the same as liver fire?

No liver fire is a different diagnosis than liver qi stagnation - see liver fire — and liver qi stagnation on our site.

Whether or not qi ju is still appropriate for you is something only your practitioner can answer for you. What I’m noticing is you’ve been at this for awhile and not improving in significant ways - so I’m saying, as a practitioner, I would likely be heading in a different direction to see what results I get.

Hi ,
TCM practitioner doctor suggested 3x daily chia

blessed to find right TCM doctor here as per instrusted by TCM doctor chia wei xiao wao with suan zao ren

3x/day before meals and 2x/day
very knowledgable with symptoms pattern
Is irritability and explosive anger treated with current herbs?
still struggling from withdraw from the shitprexa at 3rd day withdrawing
though fatigue with anger present due to present circumstances when fatigue when withdrawing,
insomnia from 3rd day, he suggested when wake up during night apply needles for tension/insomnia to calm but not succesful.

though I cope with my studies.

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