The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Analysis of Patients Visiting an Oriental Hospital with Idiopathic Chronic Fatigue or Chronic Fatigue Syndrome

한방병원에 내원한 만성피로증후군과 특발성만성피로 환자에 대한 분석연구

  • Son, Chang-Gue (Internal Department of Oriental Medicine College, Daejeon University)
  • 손창규 (대전대학교 한의과대학 간장면역학교실)
  • Received : 2013.07.09
  • Accepted : 2013.07.10
  • Published : 2013.09.30
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Abstract

Objectives: Medically unexplained fatigue includes chronic fatigue syndrome (CFS) and idiopathic chronic fatigue (ICF). These disorders quite impair quality of life while no effective therapies exist. Therefore, patients with CFS or ICF frequently choose treatments based on traditional Korean medicine. The study aimed to analyze characteristic of patients visiting an Oriental clinic with CFS or ICF. Methods: Patients who met criteria for CFS or ICF were enrolled in this study, from March 2011 to Jun 2013. Clinical information focused on symptom differentiation and Sasang constitution was analyzed. Pearson's chi-square test was used to compare the frequency among sub-groups. Results: In total, 77 patients (49 male and 28 female) were diagnosed with CFS (17 male and 13 female) or ICF (32 male and 15 female). The symptom differentiation was 37.7%, 26.0%, 13.0%, and 23.3% for "Qi deficiency of both spleen and lung (脾肺氣虛)", "Yin deficiency of both liver and kidney (肝腎陰虛)", "Blood deficiency of both heart and spleen (心脾血虛)" and "Yang deficiency of both spleen and kidney (脾腎陽虛)", while Sasang constitutional distribution was 59.7%, 22.1% and 18.2% Soeumin, Taeumin and Soyangin, respectively. The fatigue severity was notably different between CFS ($63.7{\pm}12.1$) or ICF ($52.2{\pm}15.3$) according to the Chalder fatigue scale (10-point scale for eleven questions). There was statistical significance regarding symptom differentiation and Sasang constitution (p < 0.05). Conclusions: In the process of traditional Korean medicine-based development of therapeutics for patients with chronic fatigue or related conditions, this report can serve as reference data.

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References

  1. Jorgensen R. Chronic fatigue: an evolutionary concept analysis. J Adv Nurs. 2008;63(2):199-207. https://doi.org/10.1111/j.1365-2648.2008.04649.x
  2. Fukuda K, Straus SE, Hickie I, Sharpe MC, Dobbins JG., Komaroff A. The chronic fatigue syndrome: a comprehensive approach to its definition and study, International Chronic Fatigue Syndrome Study Group. Ann of Intern Med. 1994; 121(12): 953-9. https://doi.org/10.7326/0003-4819-121-12-199412150-00009
  3. Son CG. Review of the Prevalence of Chronic Fatigue Worldwide. J Korean Oriental Med. 212;22(2):25-33.
  4. Kim CH, Shin HC, Won CW. Prevalence of chronic fatigue and chronic fatigue syndrome in Korea: community- based primary care study. J Korean Med Sci. 2005;20(4):529-34. https://doi.org/10.3346/jkms.2005.20.4.529
  5. Papadopoulos AS, Cleare AJ. Hypothalamic-pituitary- adrenal axis dysfunction in chronic fatigue syndrome. Nat Rev Endocrinol. 2011;8(1):22-32. https://doi.org/10.1038/nrendo.2011.153
  6. Kralik D, Telford K, Price K, Koch T. Women's experiences of fatigue in chronic illness. Journal of Advanced Nursing. 2005;52(4):372 80.
  7. Martin A, Chalder T, Rief W, Braehler E. The relationship between chronic fatigue and somatization syndrome: a general population survey. J Psychosom Res. 2007; 63(2):147-56. https://doi.org/10.1016/j.jpsychores.2007.05.007
  8. Jones JF, Maloney EM, Boneva RS, Jones AB, Reeves WC. Complementary and alternative medical therapy utilization by people with chronic fatiguing illnesses in the United States. BMC Complement Altern Med. 2007;7:12. https://doi.org/10.1186/1472-6882-7-12
  9. Adams D, Wu T, Yang XS, Yang X, Tai S, Vohra S. Traditional Chinese medicinal herbs for the treatment of idiopathic chronic fatigue and chronic fatigue syndrome. Cochrane Database Syst Rev. 2009;(4): CD006348.
  10. 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):1-24. https://doi.org/10.1142/S0192415X08005540
  11. 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(2): 134-40.
  12. Centers for Disease Control and Prevention, Available at:www.cdc.gov/cfs. Accessed Jun, 23, 2013.
  13. Morriss RK, Wearden AJ, Mullis R. Exploring the validity of the Chalder Fatigue scale in chronic fatigue syndrome. J Psychosom Res. 1998;45 (5):411-7. https://doi.org/10.1016/S0022-3999(98)00022-1
  14. Kwak KK, Cho JH, Son CG. Study on Chronic Fatigue Syndrome from Oriental Medicine Point of View. J Korean Oriental Med. 2008;29(4): 962-9.
  15. Lee TG, Hwang MW, Ham TI, Choi BK, Koh BH, Song IB. A study on distributionalrate of Sasangin in Korea. J Sasang Const Med. 2005; 17(3):12-21.
  16. Sharpe M. The report of the Chief Medical Officer's CFS/ME working group: what does it say and will it help? Clin Med. 2002;2(5):427-9. https://doi.org/10.7861/clinmedicine.2-5-427
  17. Cho JH, Son CG. Need for development of oriental medicine-derived systemic treatments against chronic fatigue-associated symptoms. J Korean Oriental Med. 2009;30(4):28-36.
  18. Griffith JP, Zarrouf FA. A Systematic Review of Chronic Fatigue Syndrome: Don't Assume It's Depression. Prim Care Companion. J Clin Psychiatry. 2008;10(2):120-8.
  19. Lee NH, Son CG. Fatigue severity of patients with idiopathic chronic fatigue compared to healthy subjects. J Tradit Chin Med. 2012;32(3): 355-7. https://doi.org/10.1016/S0254-6272(13)60037-0
  20. Kim SH, Lee JH, Lee SB, Choi MY, Kim YC, Woo HJ. Speculation of the Correlationship between Public Health Practice, Consumption and Fatigue in Patients who Complain Fatigue. Korean J. Orient. Int. Med. 2008:29(1)219-30.
  21. Poeschla B, Strachan E, Dansie E, Buchwald DS, Afari N. Chronic fatigue and personality: a twin study of causal pathways and shared liabilities. Ann Behav Med. 2013;45(3):289-98. https://doi.org/10.1007/s12160-012-9463-5
  22. Cho CH, Cho YS, Lee SK. Study of Personality Traits in So-yang, So-eum and Tae-eum Using NEO-PI-R. Korean J. Orient. Physiology & Pathology. 2005;19(6):1491-5.
  23. Christley Y, Duffy T, Everall IP, Martin CR. The neuropsychiatric and neuropsychological features of chronic fatigue syndrome: revisiting the enigma. Curr Psychiatry Rep. 2013;15(4):353. https://doi.org/10.1007/s11920-013-0353-8
  24. Cho JH, Yoo SR, Cho JK, Son CG. Analytic Study for Syndrome-differentiation and Sasangconstitution in 72 Adults with Chronic Fatigue. Korean J. Orient. Int. Med. 2007:28(4): 791-6.

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