Clinical Observation On The Treatment Of Chronic Fatigue Syndrome By Acupuncture At The Original Points Of The Five Zang Organs

Objective This clinical research is about treating chronic fatigue syndrome with acupuncture on the original acupoints of five zang-organs.We have observed and evaluated the clinical efficacy before and after treatment,the improvement of fatigue(such as physical fatigue,mental fatigue)degree and psychological condition of CFS patients.We look forward to that the therapeutic method is of popularization and application in clinical practice.Methods The 60 patients who met the inclusion and exclusion criteria came from the Department of Acupuncture and Moxibustion at the the Dongzhimen hospital of Beijing university of Chinese medicine.They were randomly divided into acupuncture test group and blank control group,each with 30 cases.The acupoints selected for the test group were original acupoints of five zang organs(both sides).And the original acupoints of fi ve zang organs were manipulated by twirling mild reinforcing-reducing method or lift-in sert mild reinforcing-reducing method.Befor the treatment,the patient shuold keep supine position and accept routine skin disinfection.After that,Except for shen men and tai yuan which should be directly stabbed 0.3 to 0.5 inch without touching the artery,the rest of the acupoints should be tilted 0.5 to 1 inch in the direction of the spine for the pur pose of getting Qi through the sequence of "taichong-shenmen-taibai-taiyuan-taixi".After getting Qi,the operator should manipulate the needle for 5s/point with twirling and lift-i nsert mild reinforcing-reducing method and leave needles in the acupoint for 30 minutes.The control group was a blank control with the aim of ensuring the accuracy and corre ctness of the trial.The treatment was not treated for the first six weeks after enrollment,and the acupuncture was compensated 6 times after the evaluation.The research was carr ied out 3 times a week,for 6 times.After the course of treatment,the clinical efficacy a nd the improvement of the fatigue scale-14(FS-14)and the symptom check-list-90(SCL-90)were observed and evaluated.Results1.Before the treatment,baseline comparison:there was no statistically difference(P>0.05)in terms of age,course of the disease,gender,FS-14 scale,SCL-90 scale,Self-Rating Anxiety Scale and Self-rating depression scale of th-e two groups by statistical analysis.The two groups were comparable.2.After the treatment and two weeks,four weeks later,the clinical efficacy of test group was good obviously.3.After the treatment,the comparison of FS-14 scores and physical fatigue scores,mental fatigue scores within two groups:In the test group,FS-14 scores and the scores of physical fatigue and mental fatigue were significantly improved before the treatment(P<0.01).FS-14 scores and mental fatigue scores in the control group were also improved(P<0.01),but there was no statistically difference in the improvement of mental fatigue scores,compared with the group before treatment(P>0.05).4.After the treatment,the comparison of FS-14 and physical fatigue,mental fatigue scores between the two groups:The improvement of FS-14 scores,body fatigue scores and mental fatigue scores in the test group were better than those in the control group(P<0.05).5.Two and four weeks after the treatment,the comparison of FS-14 scores and physical fatigue scores,mental fatigue scores within test group:FS-14 scores and the scores of physical fatigue and mental fatigue were significantly improved(P<0.01).6.After the treatment,the comparison of SCL-90 scores and each factor score before the treatment within two groups:SCL-90 scores and each score except somatization in the test group were significantly improved(P<0.01);SCL-90 scores and each factor except somatization were not statistically different from those before treatment(P>0.05).7.After the treatment,the comparison of SCL-90 scores and each factor score between the two groups:The improvement in the total scores of the SCL-90 and each factor except somatization in the test group was better than that of the control group(P<0.05).Conclusions Acupuncture at the five internal organs can improve the physical fatigue and mental fatigue of patients,and improve the symptoms of SCL-90,thereby improving the psychological state of patients,which has a better therapeutic effect on CFS and is very stable in the long-term.There were no adverse events in the two groups during the treatment,suggesting that acupuncture is a relatively safe and effective treatment and worthy of clinical promotion.