July/August 1999
By LOIS JOHNSON, M.D.
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Illustrations by Eris Klein
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Dismissed by much of the mainstream medical
community,sufferers of chronic fatigue may find relief in herbs.
Here’s one medical doctor’s experience treating the
condition.
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Sarah has been tired for four years. Every day
she experiences a bone-deep fatigue that lasts from morning till
night. Some days she barely leaves her bed. Every muscle in her
thirty-four-year-old body aches, and grocery shopping leaves her
exhausted. She has a constant sore throat, and her short-term
memory and concentration are severely impaired. Despite her
exhaustion, Sarah’s sleep is restless and shallow—every morning she
wakes up still tired.
Before she got sick, Sarah was a busy, competent woman. She was
working on a Ph.D., held down a part-time job, and was a single
mother. She had many friends and had a hard time saying “no” when
someone needed her. She was often tired, but she pushed herself to
keep going. Then, four years ago, she caught what seemed like a bad
flu and never got better. Sarah’s fall into chronic fatigue
syndrome had begun.
Sarah is not alone. According to conservative estimates, 200,000
to 500,000 adults in the United States have chronic fatigue
syndrome (also called chronic fatigue immune dysfunction syndrome,
or CFIDS). Three out of four cases occur in women between ages
twenty-five and forty-five, but the condition also occurs in
children and the elderly and crosses all ethnic and socioeconomic
lines.
CFIDS is a complex illness, the cause of which is unknown.
Scientists have examined an array of factors that may be
responsible: viral infection, immune system imbalance, altered
brain biochemistry, blood pressure problems, red blood cell
abnormalities, nutritional deficiencies, adrenal “exhaustion,” and
so on. The truth is, all of these factors can be present, but none
has been identified as the cause. Still, no one has been able to
explain why the body’s normal functions are so profoundly
disrupted.
The energy theory
The simplest holistic explanation—though as yet unsupported by
science—is that CFIDS is caused by a depletion of qi. Qi,
pronounced “chee,” is Chinese for “vital energy.” In the
traditional Chinese medical system, diseases such as CFIDS are
caused by a qi deficiency. In other words, if the body’s vitality
is low, a person is more susceptible to disease. When the
deficiency is profound, multiple organ systems become
dysfunctional.
Who gets chronic fatigue? In my interviews with hundreds of
patients, I’ve observed some general patterns. Many people who fall
victim to CFIDS have sensitive constitutions and often put the
needs of others before their own. A high percentage have histories
of childhood trauma or abuse. They’re often intelligent and tend to
stay “in the head” more than in the body. Before their illness
began, most experienced prolonged stress or overwork and ignored
the need to rest. Environmental pollution may also affect them more
strongly than other people.
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