基于补土理论探讨针灸治疗慢性疲劳综合征取穴思路

［中图分类号］R259 ［文献标志码］A [文章编号]0256-7415（2025）14-0122-05

DOI：10.13457/j.cnki.jncm.2025.14.023

Exploration on Acupoint Selection Rules of Acupuncture and Moxibustion for Chronic Fatigue Syndrome Based on the Earth-Supplementing Theory

LIN Qiqing1，WU Yumin1，ZHANG Xintian²，SHEN Qi3 ，CHEN Jiel 1.Donguan HospitalofGuangzhouUniversityofChineseMedicine，DonguanGuangdong 5230oo，China；2.The SeventhClinical MedicalScholofGuangzhouUniversityofChinese Medicine，ShenzhenGuangdong518oo，China；3.TheSixthClinical Medical School of Guangzhou University of Chinese Medicine，Shenzhen Guangdong 518O34，China

Abstract：In the viewof Chinese medicine，the pathogenesis of chronic fatigue syndrome（CFS）is closely associated with dysfunctionof the spleenand stomach.Theauthors recommend thatthe earth-supplementing theory is fundamentallrelevant to theonsetand developmentofCFS.Theonsetof CFSoriginatesfromthefailureof transportation and transformation due to deficiency of spleen qi，of which predominant dampnessdue to spleen deficiency，and middle-jiao stagnation constitute the pathological basis of CFS.Disorderof qi movement，and qi stagnation and liver depression serve as the key pathogenic determinants，whilephlegm blended with blood stasis due to long-standing illness forms the key pathological progression of CFS.Thus the therapeutic principlesshould prioritizesupplementing deficiency while secondarily purging excess，focusing on nourishing the spleen and stomach，andrestoring qi movementof midde-jiao.For acupuncture intervention，principal points can be selected from the conception vessel， foot-taiyin spleen meridian，and foot-yangming stomach meridian，including：Qihai （RN6）point，Guanyuan（RN4） point，Zusanli （ST36）point，and Sanyinjiao（SP6）point to invigorating spleen and stomach，and banking up middle-jiao.Adjunctive therapies may include dampness-draining，qi-regulating，phlegm-resolving，and bloodactivating as clinically indicated.

Keywords： Chronic fatigue syndrome；Earth-supplementing theory；Acupuncture and moxibustion；Acupoint selection；Theoretic exploration

慢性疲劳综合征（CFS）是一类以严重的致残性疲劳为主要特征的症候群，伴有记忆力减退、肌肉和关节疼痛、头痛、劳累后不适以及睡眠障碍等症状。（剩余8047字）