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Bu Zhong Yi Qi Tang
Shu et al. treated 30 cases of chronic fatigue syndrome with Bu Zhong Yi Qi Tang (Decoction for Reinforcing Middle-jiao and Replenishing Qi). The formula contained the following single herbs: Huang Qi (Astragalus Root), Dang Shen (Codonopsis), Dang Gui (Chinese Angelica Root), Bai Zhu (Atractylodes), Chai Hui (Bupleurum), Chen Pi (Citrus), Sheng Ma (Cimicifuga), Gan Cao (processed Licorice), etc. The formula was modified to suit individual patients' symptoms. One dose of the formula in decoction was administered daily, and one course of treatment lasted 30 days. A comparison group of 28 cases was treated with oryzanol, nitrazepam, Ci Wu Jia Pian (Acanthopanax tablets), multivitamins, etc. The results: after two courses of treatment, of the treatment group, 18 cases significantly improved, 6 improved, and the remaining 6 did not respond to the treatment, with a total effective rate of 80%; of the comparison group, 3 cases significantly improved, 6 improved, and the remaining 19 did not respond to the treatment, with a total effective rate of 32.15%.(6) Sheng Xian Tang
Xie treated 23 cases of chronic fatigue syndrome with Sheng Xian Tang (Decoction for Lifting and Reinforcing Vital Energy). The formula consisted of the following herbs: Huang Qi (Astragalus Root), Xian He Cao (Agrimony), Tai Zi Shen (Pseudostellaria), Nan Sha Shen (Adenophora Root), Sheng Di Huang (Rehmannia), Gou Qi Zi (Lycium Fruit), Dang Gui (Chinese Angelica Root), Chai Hu (Bupleurum), Jie Geng (Platycodon), and Sheng Ma (Cimicifuga). One dose of the formula in decoction was administered daily. The results: 3 cases significantly improved, 16 improved, and the remaining 4 did not respond to the treatment, with a total effective rate of 86.4%.(7) Si Jun Zi Tang
Yin treated 32 cases of chronic fatigue syndrome mainly with a combination of three decoctions: Si Jun Zi Tang (Decoction of Four Noble Herbs), Bai He Di Huang Tang (Decoction of Lily and Rehmannia), and Xiao Yao San (Ease Powder). The herbal treatment was supplemented with psychotherapy. The results: 11 cases were resolved, 12 greatly improved, 7 improved, and the remaining 2 did not respond to the treatment, with a total effective rate of 93.8%.(8)
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Acupuncture and moxibustion therapy
Zeng et al. treated 38 cases of chronic fatigue syndrome with acupuncture and moxibustion. Based on syndrome differentiation, acupoints were selected to receive treatment as follows: for deficiency of spleen-kidney yang, acupoints Bai Hui (GV20), Guan Yuan (CV4), Zu San Li (ST36), Shen Shu (BL23), and Fu Liu (KI7) were treated, 3-5 points at a time, and after acupuncture, moxibustion (5-7 moxa cones) was applied to Bai Hui (GV20), Guan Yuan (CV4), Zu San Li (ST36); for deficiency in heart and spleen, acupoints Nei Guan (PC6), Xin Shu (BL15), San Yin Jiao (SP6), Qi Hai (CV6) were treated, 3-5 points at a time, and after acupuncture, moxibustion (3-5 moxa-cones) was applied at Xin Shu (BL15) and Qi Hai (CV6). The acupuncture treatment used weak stimulation and the needles were retained for 15 minutes after insertion. The results: 9 cases greatly improve, 21 improved, and the remaining 8 did not respond to the treatment.(9)
Gao treated 21 cases of chronic fatigue syndrome with acupuncture. One point was selected alternatively each time from the following 3 groups: (1) the upper region: Bai Hui (GV20) and Yin Tang (EX-HN3); (2) the middle region: Qi Hai (CV6) and Guan Yuan (CV4); (3) the lower region: Zu San Li (ST36) and San Yin Jiao (SP6). The needles were maneuvered using either the reinforcing method or the uniform reinforcing-reducing method. All the patients received the treatment once a day, and once course of treatment consisted ten sessions. The results: after 2-3 courses of treatment, 17 cases were resolved, and the remaining 4 improved, with a total effective rate of 100%. (10)
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