Chronic fatigue syndrome refers to a kind of clinical syndrome, which is manifested mainly by severe systemic fatigue accompanied by low fever, headache, myalgia, depression, and abstracted attention and sometimes with lymphadenectasis, which impacts on normal life of the patients. There have been no causes found for this kind of fatigue and lassitude, and they cannot be alleviated after bed rest. Acupuncture and moxibustion were applied according to differentiation of symptoms and signs of Chronic Fatigue Syndrome in Observation Group. Bilateral
Feishu (BL13), 15, 20 and
Shenshu (BL23) were used as the main points. Auxiliary points were added as follows: Bilateral
Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point,
Benshen (GB13),
Sanyinjiao (SP6) and
Taichong (LR3) Shu-Stream, Yuan-Source Point were added in the cases of liver-qi stagnation; A shi and bilateral
Geshu (BL17) added in those of internal obstruction of blood stasis; bilateral
Sanjiaoshu (BL22) and
Fenglong (ST40) Luo-Connecting Point added in those of generation of phlegm-damp; bilateral BL17, SP6 and
Taixi(KI3) Shu-Stream, Yuan-Source Point added in those of accumulation of damp-heat; bilateral PC6, 7,
Shenmen (HT7) Shu-Stream, Yuan-Primary Point, SP6, KI3 and
Zhaohai (KI6) The Eihgt Confluent Point added in those of hyperactivity of fire due to yin deficiency; bilateral PC6,
Taiyuan (LU9)Shu-Stream Point, Yuan-Source Point,
Shenque (CV8) and
Zusanli (ST36) He-Sea Point added in those of deficiency of qi and blood; and CV8, bilateral ST36,
Shenmai (BL62) The Eight Confluent Point and
Yanglao (SI6) Xi-Cleft Point added in those of insufficiency of the spleen-yang and kidney-yang. With the patients in the prone position needles were superficially inserted into the back shu points, and they were then withdrawn swiftly, which was followed by cupping. Cupping remained for 15 minutes. The treatment was given once daily. The therapeutic effect was usually obtained after 5 treatments. During needle remaining, the patients were asked about their individual symptoms for consideration, and psychological approaches such as emotion distraction, character diversion, emotional moving and situational treatment were added. Crude Chinese Herbs has been used in Control Group: modified
Chai Hu Shu Gan San for liver-qi stagnation; modified Shen Ling Bai Shu San for generation of phlegm-damp; modified Long Dan Xie Gan Tang for accumulation of damp-heat; Gui Pi Tang for deficiency of qi and blood; Zhi Bai Di Huang Wan for hyperactivity of fire due to yin deficiency; Jin Kui Shen Qi Wan for insufficiency of the spleen-yang and kidney-yang.
Therapeutic Results: A total effective rate of 97.70 % for Observation Group; A total effective rate of 57.73 % for Control Group.
Key Words: chronic fatigue syndrome, acupunctured moxibustion, psychological approaches
Writer: Junhua Guo
Chengdu Hospital of Jiuxin Company of Textile Group, Sichuan, Chengdu 610053
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