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    3. Post-viral fatigue (adjunctive care)
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    Post-viral fatigue (adjunctive care)

    Also known as: post-viral fatigue, long covid, me/cfs, chronic fatigue

    Post-viral fatigue is persistent exhaustion, brain fog and unrefreshing sleep after a viral illness, including long COVID. A GP should rule out other causes, and pacing (not pushing through) is the core management. Chinese medicine sees it as Qi and Yin damage after the pathogen, with Spleen weakness or lingering Damp.

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    Lifestyle & Diet

    • •Pace yourself: plan activity and rest, and avoid boom-and-bust cycles.
    • •Keep a symptom and activity diary to find your energy envelope.
    • •Prioritise sleep and regular meal times.
    • •See your GP to rule out anaemia, thyroid and other causes.
    • •Ask about long COVID or fatigue clinics if symptoms persist.

    Cautions & Contraindications

    See sources
    • •Graded exercise therapy pushed too hard can worsen post-viral fatigue — use pacing, not pushing.[,]
    • •Rule out other medical causes before attributing fatigue to a virus.[]

    When to reassess or seek care again

    See sources

    Track energy, sleep and crash days fortnightly; adjust pacing plan; refer on if not improving over 3 months.

    Explore more diseases

    Achilles tendinopathy (adjunctive care)Acid reflux (GERD)Acne vulgarisAcute bronchitisAcute cystitisAcute gastritisAcute lumbar sprainAcute otitis media

    Sources & Further Reading

    Clinical guidance, red flags and safety notes on this page draw on the following current sources alongside the classical references above.

    1. Long COVID — NHS
      NHS · 2024
    2. ME/CFS — Emerge Australia
      Emerge Australia · 2024
    3. Chinese medicine practitioner safety standards
      AHPRA / Chinese Medicine Board of Australia · 2024

    Educational reference for licensed practitioners. Not a substitute for individual clinical assessment. Refer to conventional care for any red-flag or undiagnosed presentation.

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