办公室工作人员“慢性疲劳综合征”的成因与应对策略探讨

慢性疲劳综合征是办公室工作人员比较容易患上的疾病之一,主要表现为人体免疫力下降、产生较强的疲劳感、注意力不集中等。如果办公室工作人员长时间感觉疲劳,在排除其他疾病之后,很有可能是患上了慢性疲劳综合征。虽然该疾病不会严重威胁生命健康,但是会对工作人员的日常生活产生负面影响。基于此,本文针对办公室工作人员慢性疲劳综合征的成因和应对策略进行研究,文章阐述了办公室工作人员慢性疲劳综合征的危害和成因,并且提出缓解慢性疲劳综合征的措施,通过研究为办公室工作人员远离慢性疲劳综合征提供参考。

崇尚简约给生活减压

都市人易患应激反应一位正值壮年的某国家机关工作人员,跳槽到某公司担任部门主管。到了新公司后,他深感压力之大和竞争之激烈,只要稍有不慎,就有遭到淘汰的危险,不得不承受快速的工作和生活节奏。另外,由于工作环境的改变,他对自己的期望值也高了起来,但最近他的身体却越来越差,经常失眠,做噩梦,记忆力开始下降,心情变得烦躁不安,动辄发火,有时甚至什么事都不想做,似乎已经心力交瘁。这是应激反应综合征的典型表现。为了避免应激反应综合征的发生,

TREATMENT OF TEN CASES OF CHRONIC FATIGUE SYNDROME WITH CHINESE HERBS,ACUPUNCTURE, AND DIET PRECAUTIONS

Ten cases of chronic fatigue syndrome (CFS) were treated for 4 weeks by acupuncture, Chinese herbs and diet precautions. Diagnosis of CFS was determined by conventional medicine criteria(CDC criteria for CFS), physical examination, and routine laboratory tests. TCM diagnosis of CFS relied on Four Examination Methods and Eight Principal Patterns. They were diagnosed as Ganyu Qizhi (liver and qi stagnation) and Pixu Qiruo (spleen and qi deficiency). The treatment method is to disperse the liver and facilitate qi, rehabilitate the spleen and strengthen qi (Shugan Liqi, Jianpi Yiqi). The result of the treatment indicated that the total effective rate was 100% in terms of fatigue, difficulty concentrating, headache, sore throat, muscle pain, joint aches, feverishness, rapid pulse, insomnia, depression, irregular menses, abdominal cramps, and night sweats. The percentages of specific symptoms of CFS in the patients were comparable to the conventional medical record (Table 1).

Observation on therapeutic effect of chronic fatigue syndrome treated with Panlongci (coiling dragon needling) and moving cupping on back

Objective To compare the differences of therapeutic effect of chronic fatigue syndrome （CFS） treated with the combined therapy of Panlongci （coiling dragon needling） and cupping on back and the western medicine therapy with prednisone. Methods Seventy-two cases were randomly divided into 2 groups of acupuncture-cupping group （37 cases） and prednisone group （35 cases）. In acupuncture-cupping group, Jiaji points （夹脊 EX-B 2） of the level of T1–L5 were applied with coiling dragon needling once a day, combining with moving cupping on back once every two days. In prednisone group, prednisone tablets of 10 mg were orally taken at 8：00 am everyday. Seven days were counted as one treatment course, and 2 courses were carried on totally. FS-14 scale and BELL’s CFS integral table were applied to evaluate the fatigue degree of patients before and after the treatment, and the therapeutic effects of both groups were compared. Results After one course of treatment, the BELL’s scores of both groups were obviously improved （both P0.01）, but there was no significant difference between the 2 groups （P0.05）; after 2 courses of treatment, the BELL’s score in acupuncture-cupping group improved more obviously than that of the prednisone group （P0.05）, and the total effective rate of 91.9% （34/37） in acupuncture-cupping group was superior to that of 71.4% （25/35） in prednisone group （P0.05）. Conclusion The therapeutic effect of chronic fatigue syndrome treated with coiling dragon needling and moving cupping on back is positive, which is superior to that of prednisone with oral administration.

Randomized controlled study on acupuncture treatment for chronic fatigue syndrome

Objective To observe the therapeutic effect of acupuncture treatment for chronic fatigue syndrome （CFS）. Methods Ninety cases of CFS were randomly divided into an observation group and a control group, 45 cases in each group. The observation group was treated with acupuncture at Renying （人迎 ST 9）, Fengfu（风府 GV 16）, Batihui （百会 GV 20）; the control group was treated with 250 mL 5% Glucose injeetio combined with 20 mL Shenmai injectio （参脉注射液）. Fatigue Scale （FS） was used to compare the scores between the two groups after treatment. Results The total scores in the observation group ,were 9.37±2.33 and 5.41±1.96 before and after treatment respectively, and in the control group, they were 9.08±2.27 and 7.34±2.03 respectively. FS brainwork integral, physical fatigue integral, and total integral all decreased after treatment in two groups （all P〈0.001）, and it decreased much more obviously in the observation group （P〈0.05, P〈0.01）. Conclusion Both of the acupuncture treatment and Shenmai injectio are able to decrease Fatigue Scale score, improve the fatigue symptoms of CFS patients, and the effect of acupuncture treatment is obviously superior to that of Shenmai injectio.

Acupuncture on back-shu points of five zang for chronic fatigue syndrome:A randomized control trial

Objective: To observe the clinical efficacy of acupuncture on back-shu points of five zang in treating chronic fatigue syndrome(CFS).Methods: Sixty patients were randomized into treatment group and control group. In treatment group,the back-shu points of five zang organs were adopted for acupuncture. Shènshū(肾俞 BL23) was perpendicularly needled 15-30 mm in depth. The rest of the selected points were inserted obliquely 15-30 mm in the direction of the spine with even method of lifting-thrusting and twisting-twirling, 10 s for each acupoint. In control group, the acupoints were approximately 1.5-2 cm away outward from the back-shu points of five zang organs(about on the middle of the two sidelines of the bladder meridian of foottaiyang) and the points from the bladder meridian of foot-taiyang were excluded. Acupoints were needled6-9 mm in depth, and deqi was not required, without any manipulation. The treatments were carried out twice a week for twenty minutes each time, a total of eight treatments were given. The clinical efficacy of acupuncture treatment for CFS was evaluated through the Fatigue Scale-14(FS-14) and the Symptom Check-List 90(SCL-90) after treatment.Results: The total effective rate was 86.67% in the treatment group and 53.33% in the control group(P<0.01). In treatment group, FS-14 total scores, somatic fatigue scores, and mental fatigue scores were significantly reduced than before treatment(all P<0.01). In control group, FS-14 total scores and somatic fatigue scores were significantly reduced(both P<0.01). The improvement of FS-14 total scores, somatic fatigue scores, and mental fatigue scores in the treatment group were better than those in the control group(P<0.01, P<0.05). After treatment, SCL-90 total scores and somatization, compulsion, interpersonal sensitivity, depression, anxiety, hostility, psychoticism, and other factors scores were significantly reduced in the treatment group compared with before treatment(P<0.01). In control group, the SCL-90 total scores and the scores of somatization, compulsion, hostility, and other factors after treatment were lower than those before treatment(P< 0.01). The total scores of SCL-90 and somatization, compulsion, interpersonal sensitivity, depression, anxiety, psychoticism, and other factors in the treatment group were significantly lower than those in the control group(P< 0.01, P< 0.05).Conclusions: Acupuncture on back-shu points of five zang can significantly improve the somatic fatigue and mental fatigue of the patients, and at the same time improve their psychological status. Significant therapeutic effect was found on CFS. Compared with the control group, the acupuncture treatment can significantly improve the patient’s somatic fatigue, mental fatigue and psychological status.

Observation on therapeutic efficacy of tuina plus cupping for chronic fatigue syndrome

Objective:To observe the therapeutic efficacy of tuina plus cupping on chronic fatigue syndrome(CFS).Methods:A total of 100 CFS patients meeting the inclusion criteria were randomly divided into a treatment group and a control group according to the random number table in the sequence of visit,with 50 patients in each group.The treatment group was treated with tuina plus cupping therapy,3 times a week.The control group was given oral tablets of wild American ginseng lozenges.After 3 months of treatment,the score of fatigue questionnaire scale(FS-14)was observed and the efficacy was evaluated.Results:The total effective rate was 92.0%in the treatment group,versus 76.0%in the control group and the difference between the two groups was statistically significant(P<0.05).After treatment,the FS-14 scores of the two groups decreased,and the intra-group differences were statistically significant(both P<0.05).The change of FS-14 score after treatment in the treatment group was more significant than that in the control group(P<0.05).Conclusion:Tuina plus cupping is effective for CFS,and can improve fatigue symptoms significantly.

Clinical Observation on Treatment of Chronic Fatigue Syndrome by Combined Acupuncture and Cupping

Objective： To observe the clinical therapeutic effect of needling the acupoints of Governor Vessel and Bladder Meridian plus cupping on chronic fatigue syndrome. Methods： Fifty cases of chronic fatigue syndrome were divided into the treatment group（n= 25） and the control group（n= 25）. The patients in the treatment group were treated by needling Dazhui （GV 14）, Zhiyang （GV 9）, Xinshu （BL 15）, Geshu （BL 17）, Mingmen （GV 4）, Shenshu （BL 23） and Changqiang （GV 1）. Even reinforcing and reducing manipulation was used. Every time after the needles were withdrawn, the glass jar with thick and smooth mouth was selected to go on the back. The patients in the control group were treated by taking Chinese medicinal herbs, Caili composition, orally. Results： After 3 durations of treatment, the therapeutic effects of the two groups were 92. 0% and 64.0% respectively. There was significant difference in the therapeutic effect between the two groups（x^2 = 7.29,P 〈 0.05）.Conclusion： Acupuncture plus cupping is an effective method in treating chronic fatigue syndrome.

Treatment of 22 Cases of Chronic Fatigue Syndrome by Puncturing Back-Shu Points

Objective： To observe the clinical effect of puncturing Back-Shu points in treating chronic fatigue syndrome. Methods： Twenty-two subjects were recruited and treated by puncturing corresponding Back-Shu points based on syndrome differentiation. The short-form General Health Survey （MOSSF GHS） and the Chalder Questionnaires for Fatigue were adopted for evaluating the therapeutic effects. Results： Of the 22 patients, 4 cases showed a marked effect, 11 got effect, 7 got failure, and the total effective rate was 68.2%. Conclusion： Puncturing Back-Shu points is effective in relieving the symptoms of chronic fatigue syndrome and enhancing the patients＇ health standard.

Clinical Observation on the Effects of Bo’s Abdominal Acupuncture in 40 Cases of Chronic Fatigue Syndrome

Objective: To observe the curative effect of Bo’s abdominal acupuncture on chronic fatigue syndrome (CFS). Methods: Forty cases with CFS were treated by Bo’s abdominal acupuncture at the points for conducting qi back to its origin and 4 points on the abdomen once a day for 2 weeks. Scores for symptoms and scores for fatigue questionnaires were compared before and after treatment. Results: After treatment, the clinical symptoms of patients were differently alleviated, and scores for symptoms, mental condition and neural feeling in questionnaires on fatigue were obviously reduced (P<0.01-0.05). Conclusion: Bo’s abdominal acupuncture has a good curative effect on general disease with complex symptoms, especially on lassitude, anorexia, insomnia, amnesia, diarrhea, and general pain.

Regulatory Function of Herbal Drug-Partitioned Moxibustion for Sub-Health Status

Objective： To observe the efficacy of herbal drug-partitioned moxibustion for sub-health status and its influence on humoral immunity, cellular immunity and blood rheology. Methods： By health evaluation in traditional Chinese medicine, the subjects were selected and applied with herbal drug-partitioned moxibustion on the acupoints selected upon pattern identification, in accordance with different causative reason, symptoms, clinical manifestations, to observe the changes in various physiochemical indexes and clinical symptoms before and after the treatments. Results： After herbal drug-partitioned moxibustion, the clinical symptoms were obviously improved, and obvious change took place in the activity of NK cells and in platelet aggregation, with statistic significance （P〈0.05） in comparison of those before moxibustion. Simultaneously, the contents of C3 and C4 decreased in humoral immunity after the treatment, and IgC content increased, with statistic significance （P〈0.05） in comparison of those before the treatment. Conclusion： Herbal drug-partitioned moxibustion can regulate the functions of qi and blood in those with sub-health, by balancing yin and yang in the body and invigorating the spirit and reinforcing qi, so as to relieve sub-health status, indicating its regulatory function on humoral immunity, cellular immunity and blood rheology of the human body.

Treatment of 40 Cases of Chronic Fatigue Syndrome by Cupping Method

Chronic fatigue syndrome （CFS） refers to a group of main manifestations characterized by chronic or recurrent severe fatigue, accompanied by headache, sore throat, muscular multiple nervous and without other chronic disorders.

Tuina Intervention and Sleep and Emotional Disorders due to Chronic Fatigue Syndrome HAN Chou-ping

Objective： To study the tuina effect on sleep disorder and emotional problems of chronic fatigue syndrome （CFS） cases. Method： Thirty CFS cases were treated in the treatment group, by applying one-thumb pushing, rolling and pressing-kneading manipulations along the Governor Vessel, Bladder and Yangming Meridians. The intended major points include Fengfu （GV 16）, Yaoyangguan （GV 3）, Xinshu （BL 15）, Pishu （BL 20）, Ganshu （BL 18）, Hegu （LI 4） and Taixi （KI 3）. The treatment was done once every other day; 10 times constitute a course of treatment. Another 30 healthy cases were selected in the control group, without any intervention. The sleep quality and mental state in the two groups were evaluated by PSQI, HAMA and HAMD. In addition, the pre-treatment and post-treatment score changes were observed. Results： Before treatment, the total score of PSQI, sleep quality, time of falling asleep, sleep efficiency, sleep disorder, daytime functional impairment, and scores of HAMD and HAMA in treatment group were all substantially higher than the control group （P〈0.01）. After 10 tuina treatments, the total score of PSQI, time of falling asleep, sleep disorder and daytime flmctional impairment as well as scores of HAMD and HAMA in treatment group were significantly changed, compared with before treatment, P〈0.05. Conclusion： Those with CFS may present with sleep disorder and mental or psychological abnormality, tuina can improve their sleep quality and adjust their mental conditions.

Clinical observation of abdominal acupuncture for subhealth insomnia

Objective： To assess the clinical efficacy of abdominal acupuncture for subhealth insomnia. Methods： Eighty-two cases of subhealth insomnia were randomly divided into an observation group （41 cases） and a control group （41 cases）. The control group was treated with conventional acupuncture. The observation group was treated with Bo＇s abdominal acupuncture on the basis of conventional acupuncture. Six treatments constituted one treatment course. The measuring scale of traditional Chinese medicine syndrome for subhealth state （MSSSHS） and Pittsburgh sleep quality index （PSQI） scores were compared between the two groups after two courses, to estimate the efficacy of abdominal acupuncture for subhealth insomnia. Results： One case dropped out from the observation group, while 2 cases dropped out from the control group. The MSSSHS score and PSQI score both declined after the treatment in the two groups （all P〈0.05）. The MSSSHS and PSQI scores in the observation group were significantly lower than those in the control group （both P〈0.05）. Conclusion： The abdominal acupuncture is effective for subhealth insomnia, and it can enhance the effect of conventional acupuncture.

Clinical Applications of Acupoints Baihui （GV 20） and Sishencong （Ex-HN 1）

Through clinical practice over the last decade, , I have been using Baihui （GV 20） and Sishencong （Ex-HN 1） for treating various diseases or symptoms. It is now reported as follows.

Four Proven Cases by Acupuncture

In late November 2006, I was honored to participate in the Advanced Class on the Inheritance of Shanghai Senior TCM Doctors＇ Academic Experience, and studied under Professor CHEN Han-ping for 3 years. Now I introduced some of my clinical experience on acupuncture as follows.

Clinical observation of moving cupping on the back for patients with chronic fatigue syndrome-related sleep disorders

Objective: To observe the clinical efficacy of moving cupping on the back for patients with chronic fatigue syndrome (CFS)-related sleep disorders. Methods: A total of 60 patients with CFS-related sleep disorders were randomized into a control group and an observation group, with 30 cases in each group. The control group was treated with oral administration of fluoxetine hydrochloride capsule. The observation group was treated with moving cupping on the back, once every other day. The efficacy was observed after 4 weeks of treatment. The fatigue scale-14 (FS-14) and Pittsburgh sleep quality index (PSQI) were assessed before and after the treatment to evaluate the clinical efficacy. Results: The total effective rate was 93.3% in the observation group, and 73.3% in the control group. The difference between the two groups was statistically significant (P<0.05). After treatment, the improvement of physical fatigue value, mental fatigue value, and the total score of FS-14 in the observation group were statistically different from those in the control group (all P<0.05). The scores of subjective sleep quality, sleep latency, habitual sleep efficiency, use of sleeping medication, daytime dysfunction of PSQI and the total score in the observation group were improved more significantly than those in the control group (all P<0.05). Conclusion: Moving cupping on the back can significantly improve sleep disorders in CFS patients, and it has a better curative effect than oral fluoxetine hydrochloride capsules.

Clinical Study on Tuina and Moxibustion for Chronic Fatigue Syndrome

Objective： To observe the effect of tuina plus moxibustion in treating chronic fatigue syndrome （CFS）. Methods： Sixty patients diagnosed with CFS were randomized into two groups, 30 cases in the treatment group were given tuina and thunder-fire moxibustion, and 30 in the control group were given ordinary acupuncture treatment. The clinical effects were compared after 4-week treatment. Results： The recovery rate and total effective rate were 36.7% and 93.3% respectively in the treatment group, versus 16.7% and 76.7% in the control group, and the differences between the two groups in recovery rate and total effective rate were statistically significant （P〈0.01）. Conclusion： of the treatment of tuina and thunder-fire moxibustion has better therapeutic effect than the ordinary acupuncture in treating CFS.

Clinical Observation on Acupuncture Therapy for Chronic Fatigue Syndrome

Objective： To observe the clinical effect of acupuncture in treating chronic fatigue syndrome and its effect on anxiety. Methods： Ninety patients who accord with the inclusion criteria were divided into 2 groups, 45 patients in the treatment group received acupuncture therapy, and 45 patients in the control group received medicine therapy. The anxiety state was evaluated with Self-rating Anxiety Scale （SAS） before and after treatments in the two groups. Results： SAS scores of the CFS patients in the two groups decreased after treatment （P〈0.01）. There was no statistical difference of the SAS score between the two groups （P〉0.05）. Conclusion： Both acupuncture and medicine treatments could improve the anxiety symptoms of CFS patient.

Effects of Electro-acupuncture on Hypothalamic-PituitaryAdrenal Index and Corticotropin Releasing Hormone mRNA Expression of Rats with Chronic Fatigue Syndrome

Objective： To investigate the mechanism of electroacupuncturein treating chronic fatigue syndrome（CFS） in term of the neuro-endocrine system by observing the regulative effect of EA on hypothalamic-pituitary-adrenal index （HPA index） and corticotropin releasing hormone mRNA （CRH mRNA） in CFS model rats. Methods： The rats were randomly divided into control group, model group, and electroacupuncture group. Model and electroacupuncture groups were forced to swim in cold water to make CFS model, while rats in electroacupuncture group were treated with electroacupuncture treatment at the same time. Electroacupuncture group was given at Baihui（GV 20） and Zusanli（ST 36）. Evaluation of the model was processed according to the behavior changes of the rats. Hypothalamic, pituitary, and adrenal were weighted to calculate HPA index. CRH mRNA in hypothalamic was measured by fluorescence quantitative polymerase chain reaction （FQPCR）. Results： The model rats had behavior changes, and both physical and mental fatigue was observed. HPA index raised and expression of CRH mRNA in hypothalamus increased in CFS rats. After electroacupuncture treatment, the physical and mental fatigue was improved, and the hypothalamic index and CRH mRNA decreased significantly, while the pituitary and adrenal index only had little decrease. Conclusion： Cold water swim press could mimic the pathogenesis and make similar manifestations in rats with the common clinical symptoms. CFS has close relationship with increase of HPA index and CRH mRNA expression. Electroacupuncture can regulate the function of HPA axis to deal with CFS.