Clinical Observation Of Moxibustion Based On The "sancai Theory" On Chronic Fatigue Syndrome With Spleen And Kidney Yang Deficiency Type

Objective:To observe the clinical efficacy of moxibustion based on the "Sancai Theory" and conventional acupuncture in the treatment of chronic fatigue syndrome(CFS)with spleen and kidney Yang deficiency type,as well as the influence of TCM symptoms score,Chalder Fatigue scale(FS-14),36-item Short Form Health Survey(SF-36)and serum immunoglobulin IgA,IgG,IgM,to provide some reference for acupuncture in the treatment of CFS.Methods:A total of 66 CFS patients screened in the Department of Acupuncture and Internal Medicine of the Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine met the inclusion criteria and exclusion criteria,which were randomly divided into 33 patients of control group and treatment group.The control group performed simple acupuncture treatment according to the CFS treatment plan in the 13 th Five-Year Plan textbook Acupuncture Therapy;the treatment group gave "Sancai moxibustion" based on acupuncture in the control group;the treatment of both groups was once a day,10 times for a course of treatment,3 days of rest between courses,with a total of 2 courses.The changes of TCM symptoms score,Chalder Fatigue Scale(FS-14),36-item Short Form Health Survey(SF-36)and serum immunoglobulin IgA,IgG and IgM before and after treatment were observed and recorded,and the clinical efficacy of the two groups were analyzed.Results:1.The differences between the two groups of subjects before treatment in terms of gender,age,disease course,TCM symptom score,FS-14 scale,SF-36 scale,and serum immunoglobulin IgA,IgG and IgM were not statistically significant(P>0.05)and were comparable.2.TCM symptoms score:(1)The total score of TCM symptoms in both groups was lower compared with before the treatment,and the decrease was more obvious in the treatment group,which was statistically significant(P<0.05).(2)Single score:compared within the group,except tinnitus(P>0.05),the other single scores of the two groups were lower than those before treatment,and the difference was statistically significant(P<0.05);compared with the control group,the treatment group was better than the control group in improving fatigue,listlessness,waist acid,chilly sensation and the cold limbs,lack of Qi and lazy words,drowsiness,abdominal distension and loose stool(P<0.05),there was no significant difference between the two groups in improving weak knee,arthralgia and myalgia,food less poor appetite,swelling of face and limbs and forgetfulness(P>0.05).3.Chalder Fatigue Scale(FS-14):The FS-14 scale scores in both groups were lower than before the treatment,and the treatment group was better than the control group,which was statistically significant(P<0.05).4.36-item Short Form Health Survey(SF-36):SF-36 scores in both groups were increased than before treatment and more significantly in treatment groups,which was statistically significant(P<0.05).5.Serum immunoglobulin IgA,IgG,IgM:The serum immunoglobulin IgA,IgG were higher than those before treatment,and the increase in the treatment group was more obvious,the difference was statistically significant(P<0.05);there was no significant difference in serum immunoglobulin IgM between the two groups before and after treatment(P>0.05).6.Clinical efficacy:The total efficiency was 90.63% in the treatment group,75.00% in the control group,and the treatment group was higher than in the control group,which was statistically significant(P<0.05),the total effective rate of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:1.Moxibustion based on the "Sancai Theory" combined with conventional acupuncture in the treatment of spleen and kidney Yang deficiency type CFS can effectively ameliorate the score of TCM symptoms,FS-14 score and SF-36 score of patients,and the clinical effect is better than that of conventional acupuncture alone.2.Both moxibustion based on "Sancai Theory" and conventional acupuncture can increase serum immunoglobulin IgA and IgG content,which may be one of the mechanisms for the treatment of spleen and kidney Yang deficiency CFS.