针灸背俞穴配合刺络疗法治疗肝郁脾虚型慢性疲劳综合征的临床研究
|
摘要
目的:观察针灸背俞穴配合刺络疗法治疗肝郁脾虚型慢性疲劳综合征的临床疗效。
方法:将临床60例符合纳入标准的病例,盲法随机分成两组进行临床观察。治疗组主穴:①肝俞、②脾俞、③肾俞、④百会。配穴:太冲、关元、三阴交、足三里。刺络法:耳尖、大敦,双侧穴位交替点刺。随证加减:风热未清:加曲池、合谷;脾虚湿困,痰浊内阻:加丰隆,兼痰热者加内庭;心血不足:加神门,兼心阴虚者加阴郄;肾气不足:加太溪、气海。操作:患者仰卧位,穴位处常规消毒,主穴位刺法:用30号毫针针刺,肝俞、太冲用泻法,脾俞应用补法,得气后留针30-40min,每日1次,10次为1个疗程。配穴刺法:用30号毫针针刺,常规针刺,每日1次。足三里穴直刺刺入1.0-1.5寸,快速捻转行针,以补法为主,以局部酸胀、麻木感向下肢放散针感为佳,足三里穴留针期间施温针灸,每壮艾柱燃烧10-15min,连续灸三壮。耳尖、大敦,以统一型号的采血针点刺,出血量以每穴10-20滴为度,隔日1次。5次为1个疗程。对照组:国家准字号药品逍遥丸,口服每次一丸(9克),一日2次。
治疗时间均为十天一疗程,不超过三个疗程(三十天),试验期间原则上停用影响临床疗效的相关药物。治疗前后采用《中药新药临床指导原则》制定的肝郁脾虚症状分级量化表,疲劳量表-14(FS-14)、疲劳自评量表(FAI)及焦虑自评量表(SAS)、抑郁自评量表(SDS)进行评价对两组患者进行积分的对比,并且进行两组间比较。
结果:背俞穴配合刺络疗法治疗组总体疗效明显优于药物对照组。治疗组临床总有效率为93.3%,对照组总有效率为86.7%,经秩和检验,两组疗效具有显著性差异(P﹤0.01)。
结论:针灸背俞穴配合刺络疗法治疗肝郁脾虚型慢性疲劳综合征疗效显著。
Objective:to observe the clinical effect on Chronic fatigue syndrome of liver depression and spleen deficiency by using acupuncture and moxibustion Beishu acupoint and pricking bloodletting therapy.
Method:Sixty cases of clinical cases in line with the inclusion meet a criterion, were randomly divided into two groups of blind clinical observation. treatment group master acupuncture point :①Ganshu,②Pishu,③Shenshu,④Baihui.secondary acupuncture point:Taichong , Guanyuan , Sanyinjiao ,Zusanli.Pricking bloodletting therapy:Erjian,Dadun. Pricking alternately two acupoint.Addition and subtraction with the evidence:hot wind outstanding:add Quchi,Hegu. spleen wet and hard-pressed, phlegm resistance: add Fenglong, who with heat add Neiting;Insufficient Heartblood: add Shenmen,and those with heart yin deficiency exchange Yinxi for Shenmen;kidney shortage: add Taixi,Qihai. Operation:The patient in supine position,acupoint of conventional disinfection,the methods of master acupuncture point : acupuncture with 30 size acicula, Ganshu、Taichong with draining methods and Pishu with supplementation methods,retaining the needle in the point for 30 minutes to maintain and prolong the effect after obtaining needling sensation,once a day. 10 days are one course of treatment. the methods of secondary acupuncture point: acupuncture with 30 size acicula,With conventional acupuncture and moxibustion methods,Once a day.Zusanli 1.0-1.5 inch into the piercing,quickly re-enforcing by twisting and twirling ,Mainly to supplement law,make local part feel sour-swollen, Emission to the lower extremity numbness better sense pin,When Zusanli left needle execute temperature acupuncture moxibustion therapy,moxibustion stick burning every 10-15min ,continuous operation on three times moxibustion. Pricking bloodletting Erjian,Dadun with uniform size three edged needle,the limitation is 10-20 drops erery acupoint. Once two days, 5 times are one course of treatment.Control group: prospective country name drugs, oral Xiaoyaowan, Once one pill(9 gram),a day twice. Treatment time 10 days are one course of treatment, not more than three courses of treatment (30 days), the principle of the trial period out of the impact of drug-related clinical efficacy. We observe their clinical hierarchical scale before and after treatment and judge their Prognoses by the CFS standard of liver depression and spleen deficiency、FS-14、FAI、SAS、SDS. we compare the two groups by the two groups before and after treatment in patients with integrals of comparison.
Result:The overall efficacy of acupuncture moxibustion Beishu acupoint and pricking bloodletting therapy group was superior to the drug control group. The clinical total validity rate of treatment group is 93.3%,while the control group is 86.7%,by rank-sun test, efficacy of the two groups was significant difference (P<0.01).
Conclusion : acupuncture moxibustion Beishu acupoint and pricking bloodletting therapy of the liver depression and spleen deficiency chronic fatigue syndrome efficacy is significant.
方法:将临床60例符合纳入标准的病例,盲法随机分成两组进行临床观察。治疗组主穴:①肝俞、②脾俞、③肾俞、④百会。配穴:太冲、关元、三阴交、足三里。刺络法:耳尖、大敦,双侧穴位交替点刺。随证加减:风热未清:加曲池、合谷;脾虚湿困,痰浊内阻:加丰隆,兼痰热者加内庭;心血不足:加神门,兼心阴虚者加阴郄;肾气不足:加太溪、气海。操作:患者仰卧位,穴位处常规消毒,主穴位刺法:用30号毫针针刺,肝俞、太冲用泻法,脾俞应用补法,得气后留针30-40min,每日1次,10次为1个疗程。配穴刺法:用30号毫针针刺,常规针刺,每日1次。足三里穴直刺刺入1.0-1.5寸,快速捻转行针,以补法为主,以局部酸胀、麻木感向下肢放散针感为佳,足三里穴留针期间施温针灸,每壮艾柱燃烧10-15min,连续灸三壮。耳尖、大敦,以统一型号的采血针点刺,出血量以每穴10-20滴为度,隔日1次。5次为1个疗程。对照组:国家准字号药品逍遥丸,口服每次一丸(9克),一日2次。
治疗时间均为十天一疗程,不超过三个疗程(三十天),试验期间原则上停用影响临床疗效的相关药物。治疗前后采用《中药新药临床指导原则》制定的肝郁脾虚症状分级量化表,疲劳量表-14(FS-14)、疲劳自评量表(FAI)及焦虑自评量表(SAS)、抑郁自评量表(SDS)进行评价对两组患者进行积分的对比,并且进行两组间比较。
结果:背俞穴配合刺络疗法治疗组总体疗效明显优于药物对照组。治疗组临床总有效率为93.3%,对照组总有效率为86.7%,经秩和检验,两组疗效具有显著性差异(P﹤0.01)。
结论:针灸背俞穴配合刺络疗法治疗肝郁脾虚型慢性疲劳综合征疗效显著。
Objective:to observe the clinical effect on Chronic fatigue syndrome of liver depression and spleen deficiency by using acupuncture and moxibustion Beishu acupoint and pricking bloodletting therapy.
Method:Sixty cases of clinical cases in line with the inclusion meet a criterion, were randomly divided into two groups of blind clinical observation. treatment group master acupuncture point :①Ganshu,②Pishu,③Shenshu,④Baihui.secondary acupuncture point:Taichong , Guanyuan , Sanyinjiao ,Zusanli.Pricking bloodletting therapy:Erjian,Dadun. Pricking alternately two acupoint.Addition and subtraction with the evidence:hot wind outstanding:add Quchi,Hegu. spleen wet and hard-pressed, phlegm resistance: add Fenglong, who with heat add Neiting;Insufficient Heartblood: add Shenmen,and those with heart yin deficiency exchange Yinxi for Shenmen;kidney shortage: add Taixi,Qihai. Operation:The patient in supine position,acupoint of conventional disinfection,the methods of master acupuncture point : acupuncture with 30 size acicula, Ganshu、Taichong with draining methods and Pishu with supplementation methods,retaining the needle in the point for 30 minutes to maintain and prolong the effect after obtaining needling sensation,once a day. 10 days are one course of treatment. the methods of secondary acupuncture point: acupuncture with 30 size acicula,With conventional acupuncture and moxibustion methods,Once a day.Zusanli 1.0-1.5 inch into the piercing,quickly re-enforcing by twisting and twirling ,Mainly to supplement law,make local part feel sour-swollen, Emission to the lower extremity numbness better sense pin,When Zusanli left needle execute temperature acupuncture moxibustion therapy,moxibustion stick burning every 10-15min ,continuous operation on three times moxibustion. Pricking bloodletting Erjian,Dadun with uniform size three edged needle,the limitation is 10-20 drops erery acupoint. Once two days, 5 times are one course of treatment.Control group: prospective country name drugs, oral Xiaoyaowan, Once one pill(9 gram),a day twice. Treatment time 10 days are one course of treatment, not more than three courses of treatment (30 days), the principle of the trial period out of the impact of drug-related clinical efficacy. We observe their clinical hierarchical scale before and after treatment and judge their Prognoses by the CFS standard of liver depression and spleen deficiency、FS-14、FAI、SAS、SDS. we compare the two groups by the two groups before and after treatment in patients with integrals of comparison.
Result:The overall efficacy of acupuncture moxibustion Beishu acupoint and pricking bloodletting therapy group was superior to the drug control group. The clinical total validity rate of treatment group is 93.3%,while the control group is 86.7%,by rank-sun test, efficacy of the two groups was significant difference (P<0.01).
Conclusion : acupuncture moxibustion Beishu acupoint and pricking bloodletting therapy of the liver depression and spleen deficiency chronic fatigue syndrome efficacy is significant.
引文
[1]阎平慧,于远望.浅谈慢性疲劳综合症的研究思路[J].陕西中医学院学报2003, 26(3):9-11.
[2]施璐霞,毛广平.慢性疲劳综合征研究进展[J].云南中医学院学报2006,29 (6): 49-52.
[3] Fukuda K, Straus S, Hickie I, et al. The Chronic Fatigue Syndrome: A Comprehensive Approach to Its Difinition and Study [J], Ann Intern Med, 1994,121(12):953-959.
[4]姚斐,纪清,赵毅,冯继来.按压推拿治疗慢性疲劳综合征疗效观察[J].中国针灸2007,27 (11):819.
[5] RimesKA,ChalderT.Treatmentsforehroniefatiguesyndrome.Oeeup Med(Lond),2005;55(1):32-39.
[6]李外,常章富,高云艳.中医对慢性疲劳综合征的认识与治疗[J].中国中医基础医学杂志2004,10(2):63-64.
[7]刘润平,吴志强.仙人饮治疗慢性疲劳综合征30例[J].河北中医2000,22(7):512-513.
[8]程士德,孟景春内经讲义第1版上海:上海科学技术出版社1984,52-54.
[9]曹继刚,周安方,舒劲松,陈国光.仙人饮治疗慢性疲劳综合征30例[J].中医药学报2007,35(2):37-39.
[10]朱文举,张福江.关于疲劳综合征的中医诊治[J].天津中医1994,11(4):14.
[11]张琪韦,国雨.补中益气汤化裁治疗慢性疲劳综合征23例[J].广西中医药2002,25(3):28-29.
[12]胡兵,魏群利,慢性疲劳综合征辨治探要[J].安徽中医学院学报,2003,22(4):1-3.
[13]刘晓庄.脾胃内伤病与慢性疲劳综合征之比较[J].中国医药学报1994,9(2):19.
[14]赵志纯.慢性疲劳综合征从肝论治的中医理论依据[J].中华中医药学刊2007,25 (4):778-779.
[15]张伯臾.中医内科学[M]上海:上海科学技术出版社,1985.
[16]朱广文.自拟补肝益气汤治疗慢性疲劳综合征46例[J].浙江中医杂志476.
[17]单秋华,孙健.慢性疲劳综合征针灸治疗的思路和方法[J].山东中医杂志2003,22(4):198-200.
[18]马高峰.心脾论治慢性疲劳综合征[J].中医研究2007,20(7):13-14.
[19]张丽梅,高学功.人参归脾丸治疗慢性疲劳综合征26例[J].时珍国医国药.2002, 13(7):423-424.
[20]徐丹慧,杨英豪.归脾汤加味治疗慢性疲劳综合征21例[J].山东中医杂志2002,21(2):84.
[21]杨维益,陈家旭.中医药治疗慢性疲劳综合征的思路与方法[J].中国医药学报1995,10(2):44-47.
[22]金香淑,金松春,崔香玉.疏肝健脾汤治疗慢性疲劳综合征60例[J].四川中医2002,20(11):36-37.
[23]丁树栋,管恩兰,丁树琴复元益智汤治疗慢性疲劳综合征72例光明中医2001,16(6):封底.
[24]曹长恩,皮寒义,丁华民.慢性疲劳综合征重在理肝益脾探讨[J].实用中医药杂志1997,(5):38.
[25]张雪云.慢性疲劳综合征治疗体会[J].四川中医.2002,20(2):19-20.
[26]朱文罡.腹针治疗慢性疲劳综合征35例[J].河南中医2004,24(12):56.
[27]陈幸生.针刺治疗慢性疲劳综合征45例[ J].中国针灸2004,2(2):111.
[28]张越林.针刺治疗慢性疲劳综合征38例临床观察[J].中国针灸2002,22(1):17-18.
[29]高洁.针灸治疗慢性疲劳综合征21例[J].辽宁中医杂志1998,25(5):224.
[30]唐碧漪.针灸治疗慢性疲劳综合征39例[J].上海针灸杂志2005,1(1):11.
[31]师丽岩.针灸治疗慢性疲劳综合征56例[J].辽宁中医杂志2001,28(5):30-41.
[32]陈幸生.针刺治疗慢性疲劳综合征45例[ J].中国针灸2004,2(2):111.
[33]张玉丽,白妍,东贵荣.阴阳气血配穴针刺治疗慢性疲劳综合征36例[J].针灸临床杂志2007,23(7):22-23.
[34]李静.针刺治疗慢性疲劳综合征32例[J].辽宁中医药杂志2007,34(5):652.
[35]阎虹,李忠仁.针灸辨证治疗慢性疲劳综合征的临床研究[J].中国针灸2003, 23(4):197-199.
[36]苟春雁,田丰伟,李宁.经灸疗治疗慢性疲劳综合征的临床研究[J].四川中医2004,22(3):87-88.
[37]郭爱松,顾一煌,金宏柱.艾灸治疗慢性疲劳综合征的疗效对照研究[J].辽宁中医药大学学报2007,9(4):29-30.
[38]郭飞云,徐蕾.隔八珍饼灸五脏背俞穴治疗慢性疲劳综合征初探[J].上海针灸杂志2006,25(10):11-12.
[39]田华张,陈俊玲.艾灸强壮穴对慢性疲劳综合征患者免疫功能的影响[J].深圳中西医结合杂志中国民族医药杂志2006,16(4):226-227.
[40]曾征,刘雨星.针灸治疗慢性疲劳综合征38例[J].上海针灸杂志1999,18(3):24.
[41]翟伟,任秋兰.推拿配合耳针治疗蒙古族慢性疲劳综合征患者56例临床观察[J].中国民族医药杂志2007,1:10-11.
[42]杜艳,朱英针.灸治疗中年女性慢性疲劳综合征42例[J].广西中医药2006,29(5):39-40.
[43]卢永江,王卫红.针罐并用治疗慢性疲劳综合征25例[J].]山东中医杂志2001,20(5):350-351.
[44]赵蓉.针灸和拔罐治疗慢性疲劳综合征(CFS)35例临床观察[J].天津中医药2004,8(4):280.
[45]黄泳.背部走罐治疗慢性疲劳综合征30例临床观察[J].四川中医2001,19(6):70.
[46]刘妍妍,孙忠人.针罐结合治疗慢性疲劳综合征40例[J].针灸临床杂志2006, 22(7):22-23.
[47]潘长青,唐植钢,谭光波.电针配合穴位注射治疗慢性疲劳综合征35例总结[J].湖南中医杂志2005,11(6):22.
[48]李月梅,刘红萍,冯淑兰,等.电针配合耳穴贴压治疗慢性疲劳综合征32例疗效观察[J].新中医2005,1(1):61.
[49]王倩,熊家轩.电针背俞穴治疗慢性疲劳综合征疗效观察[J].中国中西医结合杂志2005,25(9):834-836.
[50]陈旻,陈利.针刺推拿合心理疗法治疗疲劳综合征60例[J].上海针灸杂志2005, 24(9):26-27.
[51]熊芳丽,肖亚平.黄芪注射液穴位注射治疗慢性疲劳综合征32例[J].广西中医药2000,23(6):30-31.
[52]廖辉.点刺放血治疗慢性疲劳综合征32例疗效观察[J].中国针灸2004,24(2): 91-92.
[53]郭春媛.刺络拔罐治疗脾肾两虚型慢性疲劳综合征50例临床观察[J].浙江中医杂志2007,42(3):161-162.
[54]姜玉华.肩穴刺血治疗慢性疲劳综合征56例[J].实用中以内科杂志2005,19(2)181.
[55]王重新,宋秋珍.梅花针叩刺背俞穴治疗慢性疲劳综合症34例疗效观察[J].针灸临床杂志.2007,21(2):52-53.
[56]孙敏,贺鑫,李淑芝.督脉叩刺治疗慢性疲劳综合征40例[J].中国科技信息. 2005,9:126.
[57]张纯娟.皮肤针叩刺拔罐治疗疲劳综合征30例疗效观察[J].针灸临床杂志. 2004,20(12):37-38.
[58]张捷.梅花针配合毫针治疗慢性疲劳综合征38例[J].山西中医2004,20(增): 43-44.
[59]王鹰雷,王君,杨玲.按摩配合针灸治疗慢性疲劳综合征[J].中日友好医院学报2003,17(4):252.
[60]鄂建设,文碧玲.针灸按摩治疗慢性疲劳综合征疗效观察[J].中医药学刊2005, 2(2):349.
[61]秦达,赵纲,王应德,等.针刺推拿治疗慢性疲劳综合征的临床研究[J].海南医学2008,19(5):142-143.
[62]奚欢平.针刺推拿中药合用治疗慢性疲劳综合征50例[J].中国中医药科技2004,11(4):202.
[63]杨鹏里.磁圆针治疗慢性疲劳综合征[J].中医外治杂志2001,10(2):522.
[64]潘元侠.针刺加磁贴治疗慢性疲劳综合征[J].针灸临床杂志1996,12(10):11.
[65]郭君华.针灸配合心理治疗慢性疲劳综合征310例[J].四川中医2005,23(3): 93.
[66]陈文,陈利东.针刺推拿合心理疗法治疗疲劳综合征60例[J].上海针灸杂志2005,9(9):55.
[67]张彬.电脑中频疗法配合拔罐治疗慢性疲劳综合征电脑中频疗法[J].云南中医中药杂志2007,28(4):17.
[68]卢文志,姜长利,周学礼,等.足部按摩治疗慢性疲劳综合征[J].中国民间疗法1996,(5):34.
[69]黄敬伟主编经筋疗法.北京:中国中医药出版社1996,180-18252.
[70]孟宏,姜亨,图娅,等.电针“四关”穴对慢性应激致慢性疲劳大鼠细胞因子的影响[J].中医药学刊,2003,21(9)∶1525-1526.
[71]席莉,张选国.针灸治疗慢性疲劳综合征概况[J].甘肃中医学院学报2007,24(3):52-54.
[72]郑筱萸.中药新药临床研究指导原则(试行)北京:中国医药科技出版社2002,364-366.
[73] Chalder T.Berelowitz G.Pawlikowska T Development of a fatigue scale 1993(2).
[74] Schwartz JE.Jandorf L.Krupp LB The measurement of fatigue:a new instrument1993(7).
[75]郭念锋.国家职业资格培训教程—心理咨询师(三级).民族出版社.2005:94-196.
[76]孙国杰针灸学第1版上海:上海科学技术出版社1997,15-336.
[77]刘俊岭,陈振荣.“九五”国家攀登计划预选项目“经络的研究”进展.针刺研究,2002;27(3):230.
[78]骆永珍,等.针灸与免疫.北京:人民卫生出版社,2002:256-280.
[79]李忠仁实验针灸学第1版北京:中国中医药出版社2003,72-124.
[80]汪旭东,神经节段取穴针刺治疗胁痛36例.湖北中医杂志,1998,20(5):49.
[81]周沛华,等.全国针灸针麻学术讨论会论文摘要(1),1979:34.
[82]陈秀华,王聪,甄宏鹏,方芳,俞云.经络热度感测在治疗慢性疲劳综合征中的临床应用探讨[J]陕西中医,2007,28(9):1229-1230.
[83]贾本立,速家震,等.犬脊神经节中躯体内脏传入神经元的汇聚牵涉痛及针刺效应机理的研究.宁夏医学杂志,1990,12(2):65-67.
[2]施璐霞,毛广平.慢性疲劳综合征研究进展[J].云南中医学院学报2006,29 (6): 49-52.
[3] Fukuda K, Straus S, Hickie I, et al. The Chronic Fatigue Syndrome: A Comprehensive Approach to Its Difinition and Study [J], Ann Intern Med, 1994,121(12):953-959.
[4]姚斐,纪清,赵毅,冯继来.按压推拿治疗慢性疲劳综合征疗效观察[J].中国针灸2007,27 (11):819.
[5] RimesKA,ChalderT.Treatmentsforehroniefatiguesyndrome.Oeeup Med(Lond),2005;55(1):32-39.
[6]李外,常章富,高云艳.中医对慢性疲劳综合征的认识与治疗[J].中国中医基础医学杂志2004,10(2):63-64.
[7]刘润平,吴志强.仙人饮治疗慢性疲劳综合征30例[J].河北中医2000,22(7):512-513.
[8]程士德,孟景春内经讲义第1版上海:上海科学技术出版社1984,52-54.
[9]曹继刚,周安方,舒劲松,陈国光.仙人饮治疗慢性疲劳综合征30例[J].中医药学报2007,35(2):37-39.
[10]朱文举,张福江.关于疲劳综合征的中医诊治[J].天津中医1994,11(4):14.
[11]张琪韦,国雨.补中益气汤化裁治疗慢性疲劳综合征23例[J].广西中医药2002,25(3):28-29.
[12]胡兵,魏群利,慢性疲劳综合征辨治探要[J].安徽中医学院学报,2003,22(4):1-3.
[13]刘晓庄.脾胃内伤病与慢性疲劳综合征之比较[J].中国医药学报1994,9(2):19.
[14]赵志纯.慢性疲劳综合征从肝论治的中医理论依据[J].中华中医药学刊2007,25 (4):778-779.
[15]张伯臾.中医内科学[M]上海:上海科学技术出版社,1985.
[16]朱广文.自拟补肝益气汤治疗慢性疲劳综合征46例[J].浙江中医杂志476.
[17]单秋华,孙健.慢性疲劳综合征针灸治疗的思路和方法[J].山东中医杂志2003,22(4):198-200.
[18]马高峰.心脾论治慢性疲劳综合征[J].中医研究2007,20(7):13-14.
[19]张丽梅,高学功.人参归脾丸治疗慢性疲劳综合征26例[J].时珍国医国药.2002, 13(7):423-424.
[20]徐丹慧,杨英豪.归脾汤加味治疗慢性疲劳综合征21例[J].山东中医杂志2002,21(2):84.
[21]杨维益,陈家旭.中医药治疗慢性疲劳综合征的思路与方法[J].中国医药学报1995,10(2):44-47.
[22]金香淑,金松春,崔香玉.疏肝健脾汤治疗慢性疲劳综合征60例[J].四川中医2002,20(11):36-37.
[23]丁树栋,管恩兰,丁树琴复元益智汤治疗慢性疲劳综合征72例光明中医2001,16(6):封底.
[24]曹长恩,皮寒义,丁华民.慢性疲劳综合征重在理肝益脾探讨[J].实用中医药杂志1997,(5):38.
[25]张雪云.慢性疲劳综合征治疗体会[J].四川中医.2002,20(2):19-20.
[26]朱文罡.腹针治疗慢性疲劳综合征35例[J].河南中医2004,24(12):56.
[27]陈幸生.针刺治疗慢性疲劳综合征45例[ J].中国针灸2004,2(2):111.
[28]张越林.针刺治疗慢性疲劳综合征38例临床观察[J].中国针灸2002,22(1):17-18.
[29]高洁.针灸治疗慢性疲劳综合征21例[J].辽宁中医杂志1998,25(5):224.
[30]唐碧漪.针灸治疗慢性疲劳综合征39例[J].上海针灸杂志2005,1(1):11.
[31]师丽岩.针灸治疗慢性疲劳综合征56例[J].辽宁中医杂志2001,28(5):30-41.
[32]陈幸生.针刺治疗慢性疲劳综合征45例[ J].中国针灸2004,2(2):111.
[33]张玉丽,白妍,东贵荣.阴阳气血配穴针刺治疗慢性疲劳综合征36例[J].针灸临床杂志2007,23(7):22-23.
[34]李静.针刺治疗慢性疲劳综合征32例[J].辽宁中医药杂志2007,34(5):652.
[35]阎虹,李忠仁.针灸辨证治疗慢性疲劳综合征的临床研究[J].中国针灸2003, 23(4):197-199.
[36]苟春雁,田丰伟,李宁.经灸疗治疗慢性疲劳综合征的临床研究[J].四川中医2004,22(3):87-88.
[37]郭爱松,顾一煌,金宏柱.艾灸治疗慢性疲劳综合征的疗效对照研究[J].辽宁中医药大学学报2007,9(4):29-30.
[38]郭飞云,徐蕾.隔八珍饼灸五脏背俞穴治疗慢性疲劳综合征初探[J].上海针灸杂志2006,25(10):11-12.
[39]田华张,陈俊玲.艾灸强壮穴对慢性疲劳综合征患者免疫功能的影响[J].深圳中西医结合杂志中国民族医药杂志2006,16(4):226-227.
[40]曾征,刘雨星.针灸治疗慢性疲劳综合征38例[J].上海针灸杂志1999,18(3):24.
[41]翟伟,任秋兰.推拿配合耳针治疗蒙古族慢性疲劳综合征患者56例临床观察[J].中国民族医药杂志2007,1:10-11.
[42]杜艳,朱英针.灸治疗中年女性慢性疲劳综合征42例[J].广西中医药2006,29(5):39-40.
[43]卢永江,王卫红.针罐并用治疗慢性疲劳综合征25例[J].]山东中医杂志2001,20(5):350-351.
[44]赵蓉.针灸和拔罐治疗慢性疲劳综合征(CFS)35例临床观察[J].天津中医药2004,8(4):280.
[45]黄泳.背部走罐治疗慢性疲劳综合征30例临床观察[J].四川中医2001,19(6):70.
[46]刘妍妍,孙忠人.针罐结合治疗慢性疲劳综合征40例[J].针灸临床杂志2006, 22(7):22-23.
[47]潘长青,唐植钢,谭光波.电针配合穴位注射治疗慢性疲劳综合征35例总结[J].湖南中医杂志2005,11(6):22.
[48]李月梅,刘红萍,冯淑兰,等.电针配合耳穴贴压治疗慢性疲劳综合征32例疗效观察[J].新中医2005,1(1):61.
[49]王倩,熊家轩.电针背俞穴治疗慢性疲劳综合征疗效观察[J].中国中西医结合杂志2005,25(9):834-836.
[50]陈旻,陈利.针刺推拿合心理疗法治疗疲劳综合征60例[J].上海针灸杂志2005, 24(9):26-27.
[51]熊芳丽,肖亚平.黄芪注射液穴位注射治疗慢性疲劳综合征32例[J].广西中医药2000,23(6):30-31.
[52]廖辉.点刺放血治疗慢性疲劳综合征32例疗效观察[J].中国针灸2004,24(2): 91-92.
[53]郭春媛.刺络拔罐治疗脾肾两虚型慢性疲劳综合征50例临床观察[J].浙江中医杂志2007,42(3):161-162.
[54]姜玉华.肩穴刺血治疗慢性疲劳综合征56例[J].实用中以内科杂志2005,19(2)181.
[55]王重新,宋秋珍.梅花针叩刺背俞穴治疗慢性疲劳综合症34例疗效观察[J].针灸临床杂志.2007,21(2):52-53.
[56]孙敏,贺鑫,李淑芝.督脉叩刺治疗慢性疲劳综合征40例[J].中国科技信息. 2005,9:126.
[57]张纯娟.皮肤针叩刺拔罐治疗疲劳综合征30例疗效观察[J].针灸临床杂志. 2004,20(12):37-38.
[58]张捷.梅花针配合毫针治疗慢性疲劳综合征38例[J].山西中医2004,20(增): 43-44.
[59]王鹰雷,王君,杨玲.按摩配合针灸治疗慢性疲劳综合征[J].中日友好医院学报2003,17(4):252.
[60]鄂建设,文碧玲.针灸按摩治疗慢性疲劳综合征疗效观察[J].中医药学刊2005, 2(2):349.
[61]秦达,赵纲,王应德,等.针刺推拿治疗慢性疲劳综合征的临床研究[J].海南医学2008,19(5):142-143.
[62]奚欢平.针刺推拿中药合用治疗慢性疲劳综合征50例[J].中国中医药科技2004,11(4):202.
[63]杨鹏里.磁圆针治疗慢性疲劳综合征[J].中医外治杂志2001,10(2):522.
[64]潘元侠.针刺加磁贴治疗慢性疲劳综合征[J].针灸临床杂志1996,12(10):11.
[65]郭君华.针灸配合心理治疗慢性疲劳综合征310例[J].四川中医2005,23(3): 93.
[66]陈文,陈利东.针刺推拿合心理疗法治疗疲劳综合征60例[J].上海针灸杂志2005,9(9):55.
[67]张彬.电脑中频疗法配合拔罐治疗慢性疲劳综合征电脑中频疗法[J].云南中医中药杂志2007,28(4):17.
[68]卢文志,姜长利,周学礼,等.足部按摩治疗慢性疲劳综合征[J].中国民间疗法1996,(5):34.
[69]黄敬伟主编经筋疗法.北京:中国中医药出版社1996,180-18252.
[70]孟宏,姜亨,图娅,等.电针“四关”穴对慢性应激致慢性疲劳大鼠细胞因子的影响[J].中医药学刊,2003,21(9)∶1525-1526.
[71]席莉,张选国.针灸治疗慢性疲劳综合征概况[J].甘肃中医学院学报2007,24(3):52-54.
[72]郑筱萸.中药新药临床研究指导原则(试行)北京:中国医药科技出版社2002,364-366.
[73] Chalder T.Berelowitz G.Pawlikowska T Development of a fatigue scale 1993(2).
[74] Schwartz JE.Jandorf L.Krupp LB The measurement of fatigue:a new instrument1993(7).
[75]郭念锋.国家职业资格培训教程—心理咨询师(三级).民族出版社.2005:94-196.
[76]孙国杰针灸学第1版上海:上海科学技术出版社1997,15-336.
[77]刘俊岭,陈振荣.“九五”国家攀登计划预选项目“经络的研究”进展.针刺研究,2002;27(3):230.
[78]骆永珍,等.针灸与免疫.北京:人民卫生出版社,2002:256-280.
[79]李忠仁实验针灸学第1版北京:中国中医药出版社2003,72-124.
[80]汪旭东,神经节段取穴针刺治疗胁痛36例.湖北中医杂志,1998,20(5):49.
[81]周沛华,等.全国针灸针麻学术讨论会论文摘要(1),1979:34.
[82]陈秀华,王聪,甄宏鹏,方芳,俞云.经络热度感测在治疗慢性疲劳综合征中的临床应用探讨[J]陕西中医,2007,28(9):1229-1230.
[83]贾本立,速家震,等.犬脊神经节中躯体内脏传入神经元的汇聚牵涉痛及针刺效应机理的研究.宁夏医学杂志,1990,12(2):65-67.