Research Articles

Ginger-indirect moxibustion plus acupuncture versus acupuncture alone for chronic fatigue syndrome: a randomized controlled trial

  • Tingting MA ,
  • Jie WU ,
  • Lijie YANG ,
  • Fen FENG ,
  • Huilin YANG ,
  • Jinhua ZHANG ,
  • Yanjin ZHONG ,
  • Qing NING ,
  • Lirong HUANG ,
  • Youbing LIN ,
  • Jue YAN ,
  • Guiquan CHEN ,
  • Tianshu HOU ,
  • Li WANG ,
  • Yuanfang REN ,
  • Jing TAN
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  • 1 Center of Preventive Medicine, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China
    2 College of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China
    3 Department of acupuncture, Center of Preventive Medicine, Affiliated TCM Hospital of Southwest Medical University, Luzhou 646600, China
    4 Center of Preventive Medicine, Chengdu Integrated TCM and Western Medicine Hospital, Chengdu 610021, China
    5 Center of Chinese Evidence-Based Medicine, Sichuan University West China Hospital, Chengdu 610041, China
WU Jie, Center of Preventive Medicine, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610075, China. drwujie@163.com, Telephone: +86-028-87783128

Received date: 2021-05-16

  Accepted date: 2021-08-22

  Online published: 2021-12-14

Supported by

Science and Technology Support Program of Sichuan Province Science and Technology Agency: Clinical Researches of Acupuncture for “Unhealthy Status” Based on the TCM Theory of “All Diseases Originate from Qi’s Problem”(2014SZ0152)

Abstract

OBJECTIVE: To assess the efficacy and safety of ginger-indirect moxibustion for chronic fatigue syndrome (CFS).

METHODS: In this central randomized, controlled trial, 290 CFS participants were recruited and randomly allocated to group A (ginger-indirect moxibustion plus acupuncture) or group B (acupuncture alone). The study consisted of a treatment period of 8 weeks with a total of 24 treatments (3 sessions per week, every other day), and a follow-up period of 12 weeks. The outcome was measured by Fatigue Severity Scale (FSS), Psychological Health Report (SPHERE), the Self-rating depression scale (SDS) and the Hamilton anxiety scale (HAMA) at baseline, 2, 4, 6, 8, 12 and 20 weeks.

RESULTS: With the treatment undergoing, the changes of FSS, SPHERE, SDS and HAMA scores in both groups increased gradually, and the effect maintained at the 12th week. Between groups, significantly higher score changes were seen in group A in FSS after 4 weeks treatment (11.94 vs 9.12, 95%CI: 0.94, 4.7) and in SPHERE after 2 weeks treatment (3.7 vs 2.27, 95%CI: 0.56, 2.31). But for SDS and HAMA, the improvement did not differ significantly between groups. No severe adverse events were reported.

CONCLUSION: Ginger-indirect moxibustion is a safe and effective intervention to relieve fatigue and accompanying physical symptoms of CFS.

Cite this article

Tingting MA , Jie WU , Lijie YANG , Fen FENG , Huilin YANG , Jinhua ZHANG , Yanjin ZHONG , Qing NING , Lirong HUANG , Youbing LIN , Jue YAN , Guiquan CHEN , Tianshu HOU , Li WANG , Yuanfang REN , Jing TAN . Ginger-indirect moxibustion plus acupuncture versus acupuncture alone for chronic fatigue syndrome: a randomized controlled trial[J]. Journal of Traditional Chinese Medicine, 2022 , 42(2) : 242 -249 . DOI: 10.19852/j.cnki.jtcm.20211214.003

References

1. Reeves WC, Lloyd A, Vernon SD, et al. Identification of ambiguities in the 1994 chronic fatigue syndrome research case definition and recommendations for resolution. BMC Health Serv Res 2003; 3: 25-33.
2. Capelli E, Zola R, Lorusso L, Venturini L, Sardi F, Ricevuti G. Chronic fatigue syndrome/myalgic encephalomyelitis: an update. Int J Immunopathol Pharmacol 2010; 23: 981-9.
3. Ng SM, Yiu YM. Acupuncture for chronic fatigue syndrome: a randomized, sham-controlled trial with single-blinded design. Altern Ther Health Med 2013; 19: 21-6.
4. Oka T, Tanahashi T, Chijiwa T, Lkhagvasuren B, Sudo N, Oka K. Isometric yoga improves the fatigue and pain of patients with chronic fatigue syndrome who are resistant to conventional therapy: a randomized, controlled trial. Bio Psycho Soc Med 2014; 8: 27.
5. Price JR, Mitchell E, Tidy E, et al. Cognitive behaviour therapy for chronic fatigue syndrome in adults (review). Cochrane Database Syst Rev 2008; 2008: 1-67.
6. White PD, Goldsmith KA, Johnson AL, et al. Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): a randomised trial. Lancet 2011; 377: 823-36.
7. Van Cauwenbergh D, De Kooning M, Ickmans K, Nijs J. How to exercise people with chronic fatigue syndrome: evidence-based practice guidelines. Eur J Clin Invest 2012; 42: 1136-44.
8. Wang T, Zhang Q, Xue X, Yeung A. A systematic review of acupuncture and moxibustion treatment for chronic fatigue syndrome in China. Am J Chin Med 2008; 36: 1-24.
9. Wang YY, Li XX, Liu JP, Luo H, Ma LX, Alraek T. Traditional Chinese Medicine for chronic fatigue syndrome: a systematic review of randomized clinical trials. Complement Ther Med 2014; 22: 826-33.
10. Tan HJ, Luo TT, Qu WZ, Wen MX, Yang L, Wu X. Acupoint selection rules of acupuncture for chronic fatigue syndrome based on data mining technology. Zhong Guo Zhong Yi Ji Chu Yi Xue Za Zhi 2017; 23: 242-4+98.
11. Wang T, Xu C, Pan K, Xiong H. Acupuncture and moxibustion for chronic fatigue syndrome in Traditional Chinese Medicine: a systematic review and Meta-analysis. BMC Complement Altern Med 2017; 17: 163.
12. Lerdal A, Wahl A, Rustoen T, Hanestad BR, Moum T. Fatigue in the general population: a translation and test of the psychometric properties of the Norwegian version of the fatigue severity scale. Scand J Public Health 2005; 33: 123-30.
13. Hickie IB, Davenport TA, Hadzi-Pavlovic D, et al. Development of a simple screening tool for common mental disorders in general practice. Med J Aust 2001; 175(Suppl):S10-7.
14. Zhang RF. A randomized controlled study on treating chronic fatigue syndrome by acupuncturing acupoints on meridians. Chengdu: Chengdu University of Traditional Chinese Medicine, 2012: 21-41.
15. Wang W, Russell A, Yan Y. Traditional Chinese Medicine and new concepts of predictive, preventive and personalized medicine in diagnosis and treatment of suboptimal health. EPMA J 2014; 5: 4.
16. National Collaborating Centre for Primary Care (UK), Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): diagnosis and management of chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy) in adults and children (Royal College of General Practitioners, London, 2007).
17. Yancey JR, Thomas SM. Chronic fatigue syndrome: diagnosis and treatment. Am Fam Physician 2012; 86: 741-6.
18. Kim JE, Seo BK, Choi JB, et al. Acupuncture for chronic fatigue syndrome and idiopathic chronic fatigue: a multicenter, nonblinded, randomized controlled trial. Trials 2015; 16: 314.
19. Amorim D, Amado J, Brito I, et al. Acupuncture and electroacupuncture for anxiety disorders: a systematic review of the clinical research. Complement Ther Clinl Pract 2018; 31: 31-7.
20. Bosch P, van den Noort M, Staudte H, Lim S. Schizophrenia and depression: a systematic review of the effectiveness and the working mechanisms behind acupuncture. Explore (NY) 2015; 11: 281-91.
21. Kim HG, Yoo SR, Park HJ, Son CG. Indirect moxibustion (CV4 and CV8) ameliorates chronic fatigue: a randomized, double-blind, controlled study. J Altern Complement Med 2013; 19: 134-40.
22. Shu Q, Wang H, Litscher D, et al. Acupuncture and moxibustion have different effects on fatigue by regulating the autonomic nervous system: a pilot controlled clinical trial. Sci Rep 2016; 6: 37846.
23. S Pettersson, IE Lundberg, MH Liang, et al. Determination of the minimal clinically important difference for seven measures of fatigue in Swedish patients with systemic lupus erythematosus. Scand J Rheumatol 2015; 44: 1-5.
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