Patient: very thin since childhood, now 27 years old, 165cm, 80 pounds, no major physical problems, nor often get sick, but easily fatigued, no spirit, waxy face, weak constitution, often checked, but all indicators are normal, do not know what is wrong, seek help Hospital Chinese Medicine: through the situation you provide, it is clear that you belong to the category of wasting. First of all, you need to clarify whether you are a premature baby or congenital condition; in addition, is your diet structure very reasonable and is the function of the digestive system normal? In clinical practice we also often see many young women with emotional and psychological problems affecting their digestive function, resulting in a very weak physique, do you have emotional discomfort? There are also some metabolic diseases such as hyperthyroidism and diabetes that can cause wasting, which may not be easily detected during a normal examination. From the TCM point of view, you have qi deficiency manifestation, mainly manifested as spleen qi deficiency. According to TCM, the spleen and stomach are the source of qi and blood biochemistry, and only when the spleen and stomach function normally can the person have normal appetite, developed muscles and invigorated spirit. I would first suggest that you should strengthen your exercise, let the qi and blood run, so that your physique can be improved. If you have the conditions, you can come to our hospital or other regular large hospital’s TCM department for consultation or herbal conditioning. Wait for the good news that your physique has improved!