Normally there is:

1. Qi and Xue Deficiency simultaneously
2. Xue Deficiency with Spleen-Yin deficiency

Symptoms

• Poor appetite
• Slight post-prandial abdominal distension
• Tiredness, lassitude
• Pale and dull face
• Weakness of the four limbs
• Depression
• Thinness
• Loose stools
• Scanty menstruation or amenorrhoea
• Insomnia
• Joint pain
• Pale and parchment-like tongue (thin and narrow)
• Choppy or fine pulse

Causes

Spleen-Qi deficiency: fails to transport and transform nutrients properly, fails to nourish the Blood.

Treatment

Tonify Qi and Xue: BL-20; ST-36; SP-3; SP-6, CV-4; BL-17

• Exhaustion: BL-43;
• Menstrual problems, skin, pruritus of the lower limbs, genitals: SP-10