慢性疲劳综合征从肝论治的中医理论依据

Chinese Medicine Theoretical Evidences for Treatment of Chronic Fatigue Syndrome on Liver Condition

慢性疲劳综合征(Chronic fatigue syndrome,CFS)是现代医学新近认识的一种疾病,它的诊断的必要症状是持续或反复出现的原因不明的严重疲劳,时间超过6个月,充分休息后疲劳仍不能缓解,活动水平比健康状况下降低50%以上。该病的发病率逐年上升,病程缠绵,严重影响人类健康和生存质量,因而日益受到医学界的高度重视。本文结合CFS的临床特点与诊断标准,重点讨论了中医理论关于CFS的认识,从肝的生理功能、病理改变等方面分析肝与CFS的密切关系,提出其病位涉及五脏,尤以肝为要;其发病与肝功能失调有显著联系。

Chronic fatigue syndrome （CFS） is a recently identified idiopathic disorder. A persistently or recurrently sever sense of fatigue for unknown reason is a major symptom. Such fatigue can result in a reduction of daily activity for more than 50% for at least 6 months and can not be relived after fully resting. Because of the raising incidence rate, CFS has been paid more and more attention in medical field. According to its clinic manifestation and criterion of diagnosis, this paper discusses the TCM theory about CFS, and analyses the close relationship between CFS and liver＇s physiological function and pathological changes. The conclusion is that the location of CFS involves all the five Zang organs especially the liver and the occurrence of CFS has an obvious relationship with the dysfunction of liver.