I have a large number of patients with the following scenario: Age late 40's to early fifties. employed, usually professional (teachers, nurses, secretaries, etc.), recent weight gain - 10 to 20 lbs. Painful inflammed joints, puffy eye lids, bloated abdomen, pretibial edema, mild SOB - not really short of breath as much as exercise intolerance, not sleeping well, mild warm - not hot flashes, markedly diminshed energy, digestive complaints - flatulence, loose stools with bloating. No steatorrhea, no melena, hematochezia.
There are all kinds of ways of looking at this - from a Western perspective it looks like FMS or chronic fatigue. 20 years ago they would have been labelled depressed. I know there are TCM syndromes associated with these symptoms. I am wondering about some protocals that people may have to some direction for a comprehensive plan of treatment....