针刺背俞穴联合四季养生膏治疗慢性疲劳综合征的疗效观察*

作者：何 琪，魏晓菁，黄娜娜，何淑玲，陈亚军，何希俊

单位：广州中医药大学附属中山中医院，广东 中山 528400

引用：引用：何琪，魏晓菁，黄娜娜，何淑玲，陈亚军，何希俊.针刺背俞穴联合四季养生膏治疗慢性疲劳综合征的疗效观察[J].中医药导报,2025,31(5):93-97.

DOI：10.13862/j.cn43-1446/r.2025.05.016

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摘要：

目的：探索针刺背俞穴联合四季养生膏治疗慢性疲劳综合征（CFS）患者的临床疗效及红外热成像特征的变化规律。方法：采用前瞻性自身对照和组间对照研究的试验方法，选取符合条件的CFS患者60例作为研究对象,按随机数字表分为治疗组（针刺背俞穴联合四季养生膏组）和对照组（西药组），分别于治疗前、治疗后进行红外热成像检测，并评估疲劳量表（FS-14）、健康状况调查简表（SF-36）。结果：（1）红外热成像特征：治疗后，两组患者中焦温度显著升高（P＜0.05），上焦温度显著下降（P＜0.05），治疗组患者改善程度优于对照组（P＜0.05）；治疗组患者督脉热线连续性显现程度明显升高，对照组未见明显变化。（2）临床疗效：治疗后，治疗组患者总有效率高于对照组，差异无统计学意义（P＞0.05）；两组患者FS-14、SF-36评分均较治疗前降低，差异有统计学意义（P＜0.05），且治疗组患者FS-14、SF-36评分改善均优于对照组（P＜0.05）。结论：针刺背俞穴联合四季养生膏可以升高CFS患者中焦的红外温度，降低上焦的红外温度，提高督脉热线连续性的显现程度，可显著改善CFS患者临床症状，且CFS患者疲劳改善程度与上焦温度的下降呈负相关。

关键词：慢性疲劳综合征；针刺；背俞穴；四季养生膏；红外热成像技术

Abstract：

Objective: To investigate the clinical efficacy of acupuncture at Back-Shu points combined with Seasonal Health-Nourishing Paste in treating chronic fatigue syndrome (CFS) and its effects on infrared thermography characteristics. Methods: A prospective self-controlled and intergroup controlled trial was conducted with 60 eligible CFS patients randomly divided into a treatment group (acupuncture at Back-Shu points + Seasonal Health-Nourishing Paste) and a control group (conventional Western medication). Infrared thermography, Fatigue Scale-14 (FS-14), and Short Form-36 Health Survey (SF-36) were assessed before and after treatment. Results: (1) Infrared thermography: Post-treatment, both groups showed significant increases in middle energizer temperature (P<0.05) and decreases in upper energizer temperature (P<0.05), with greater improvements in the treatment group (P<0.05). The continuity of the Governor Vessel thermal line significantly improved in the treatment group but remained unchanged in the control group. (2) Clinical outcomes: The total effective rate was higher in the treatment group, though without statistical significance (P>0.05). Both groups exhibited statistically significant reductions in FS-14 and SF-36 scores (P<0.05), with superior improvements in the treatment group (P<0.05). Conclusion: The combined therapy elevates middle energizer temperature, reduces upper energizer temperature, and enhances the continuity of the Governor Vessel thermal line in CFS patients, significantly alleviating clinical symptoms. The degree of fatigue improvement correlates negatively with upper energizer temperature reduction.

Key words：chronic fatigue syndrome; acupuncture; Back-Shu points; Seasonal Health-Nourishing Paste; infrared thermography

发布时间：2025-12-31

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