中医药治疗慢性疲劳综合征情志异常研究概述  

Review of TCM research on emotional abnormalities in chronic fatigue syndrome

作　　者：郭述豪 冯楚文 屈媛媛 陈涛[1] 邵玉莹 鲁菁 李彬彬 刘婷婷[1] 朱明航 袁志英 杨添淞[2,3] Guo Shuhao;Feng Chuwen;Qu Yuanyuan;Chen Tao;Shao Yuying;Lu Jing;Li Binbin;Liu Tingting;Zhu Minghang;Yuan Zhiying;Yang Tiansong(Heilongjiang University of Chinese Medicine,Harbin 150040,China;Rehabilitation Department,the First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China;Heilongjiang Provincial Key Laboratory of Traditional Chinese Medicine Information,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,哈尔滨150040 [2]黑龙江中医药大学附属第一医院康复二科,哈尔滨150040 [3]黑龙江省中医药信息学重点实验室,哈尔滨150040

出　　处：《国际中医中药杂志》2024年第9期1240-1244,共5页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金(81704170、82074539、82305394);教育部“春晖计划”合作科研项目(HZKY20220308-202201357);黑龙江省自然科学基金(LH2020H092);黑龙江省自然科学基金优秀青年项目(YQ2023H019);黑龙江省中医药科研课题(ZHY2022-136);黑龙江省中医药学会青年人才托举工程(2022−QNRC1−05)。

摘　　要：中医认为,脾虚为慢性疲劳综合征(CFS)情志异常发病根本,临床治疗常涉及心、肝、肾。中医药治疗本病疗效显著,多采用中药内服、针刺、艾灸、推拿疗法,可能通过改善氧化应激与免疫炎症、调节神经-内分泌、控制能量代谢等多种途径发挥治疗作用。建议今后研究建立CFS情志异常辨证分型标准,提高辨证施治准确性;形成完善的治疗指南或专家共识,指导各种内外治法的规范化应用;基于发病机制探索客观指标,借助神经影像学技术关注疾病靶点脑区形态、功能改变,完善CFS诊断及预后评估;基于中医理论指导,完善CFS情志异常动物造模方式。TCM believes that spleen deficiency is the root cause of emotional abnormalities in chronic fatigue syndrome(CFS),and clinical treatment often involves the heart,liver and kidney.TCM therapy has a significant efficacy in CFS emotional abnormalities.It is mostly treated with oral administration of TCM,acupuncture,moxibustion and massage therapy.It may play a therapeutic role by improving oxidative stress and immune inflammation,regulating nerve-endocrine,controlling energy metabolism and other ways.It is suggested to establish the syndrome differentiation standard of CFS emotional abnormality in the future,so as to improve the accuracy of syndrome differentiation and treatment;form a perfect treatment guide or expert consensus to guide the standardized application of various internal and external treatment methods;explore objective indicators based on the pathogenesis,and focus on the morphological and functional changes of disease target brain regions with the help of neuroimaging techniques,so as to improve the diagnosis and prognosis evaluation of CFS;based on the guidance of TCM theory,improve the CFS emotional abnormal animal modeling method.

关 键 词：疲劳综合征 慢性 情志异常 中医药疗法 综述 

分 类 号：R259[医药卫生—中西医结合]