Tsunade didn't do anything to Shika that Sakura couldn't..

Melanin

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Shikamaru didn't have any wounds, abrasians or hemorrhaging when Tsunade approached him.

He was depleted of chakra, a result of coming into contact with the God tree.

Ya' boy even made an attempt to stand up.

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Tsunade accelerated Shikamaru's recovery by transferring chakra to him.

She didn't preform mystical palm, emergency treatment or preform anything medical.

She just transfered chakra.

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Sakura later does the equivalent by transferring chakra to Obito.

Sakura extended her Byakugou seal onto Obito.

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SAKURA FAILED TO ACT BEFORE TSUNADE DID, THAT'S ALL.
 

Beatrix

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Fair play to you, it's a pretty canon-friendly (& reasonable) excuse; Sakura failed to react.

Not that I think it applies here, but still... I can see why went with that, it's something she's been doing since Part I on a fairly constant basis.

It doesn't explain why she couldn't transfer her own chakra - if that's all that was needed. Surely she had enough of her own, what with the Seal and the Kyubi cloak/chakra.
... no?
 
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