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http://dx.doi.org/10.15188/kjopp.2018.04.32.2.126

Survey on Pattern Identification and Treatment of Chronic Fatigue in Korea Medicine  

Kim, Ji Won (Department of Biofunctional Medicine and Diagnosis, College of Korean Medicine, Sangji University)
Kim, Hyo Jin (Department of Biofunctional Medicine and Diagnosis, College of Korean Medicine, Sangji University)
Jang, Eun Su (Department of Diagnosis, College of Korean Medicine, Daejeon University)
Jung, Hyun Jung (Department of Diagnosis, College of Korean Medicine, Deagu Hanny University)
Hwang, Min Woo (Department of Sasang Constitutional Medicine, College of Korean Medicine, Kyunghee University)
Nam, Dong Hyun (Department of Biofunctional Medicine and Diagnosis, College of Korean Medicine, Sangji University)
Publication Information
Journal of Physiology & Pathology in Korean Medicine / v.32, no.2, 2018 , pp. 126-133 More about this Journal
Abstract
The aim of this survey is to investigate the current state of pattern identification, treatment and management on chronic fatigue in the Korean medicine. From May 25, 2017 to June 7, we distributed contents of questionnaires to 17,992 Korean medical doctors via e-mail, and then received answers from 329 people. The surveys were conducted by a specialized research organizations. Researchers were blinded to the participant's personally identifiable information or whether they participated in the investigation. In Korea, almost Korean medicine doctors (94.5%) used pattern identification in the treatment of chronic fatigue patients. The main diagnostic methods were visceral (38.5%), qi-blood-fluid-humor (32.3%), and sasang constitutional pattern identification (14.3%). The high-frequent therapy were herbal medicine (37.0%), acupuncture (27.9%), moxibustion (11.7%), and cupping (8.6%). The primary goals of treatment were Improvement and relaxation of stress condition (18.1%), improvement of quality of life (13.1%), increase of functional vitality (34.0%), and fatigue management (23.3%). The key factors affecting treatment outcomes were the patient's aggressiveness in treatment (23.5%) and his/her lifestyle and environment(22.7%). This study was a pioneering research for chronic fatigue on the aspect of medical service provider in the Korean medicine. We hope that this study can be used as a basis for developing a more appropriate and reasonable practice guidelines for chronic fatigue.
Keywords
Chronic fatigue; Survey; Pattern identification; Therapy; Korean medicine;
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1 Adams D, Wu T, 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.
2 Kim JE, Seo BK, Choi JB, Kim HJ, Kim TH, Lee MH, et al. Acupuncture for chronic fatigue syndrome and idiopathic chronic fatigue: a multicenter, nonblinded, randomized controlled trial. Trials. 2015;16:314.   DOI
3 Fukuda K, Straus SE, Hickie L, Sharpe MC, Dobbins JG, Komaroff AL. International chronic fatigue syndrome study group. The chronic fatigue syndrome: a comprehensive approach to its definition and study. Ann Intern Med. 1994; 121:953-9.   DOI
4 Ellen WC, Margarita A, Lucinda B, Lily C, Charles SC, Ronald D, et al. Beyond myalgic encephalomyelitis/chronic fatigue syndrome; report guide for clinicians. Institute of medicine of the national academies. 2015. p. 3-4.
5 Myalgic Encephalomyelitis/Chronic Fatigue Syndrome. Diagnosis. Centers for disease control and prevention. July 3, 2017. Available from: https://www.cdc.gov/me-cfs/symptoms-diagnosis/diagnosis.html
6 Shin HC, Choi CJ, Song SW, Choi WS. Patients with fatigue in family practice: a pilot study for prospective study. Korean J Fam Med. 1993;14:833-42.
7 Kim YB. A statistical study on the causative factors of chronic fatigue among workers. Chonnam national university: Doctorate thesis; 1986.
8 Kim CH, Shin HC, Park YW. The prevalence of chronic fatigue and chronic fatigue syndrome: a hospital based study. Korean J Fam Med. 2000;21:1288-98.
9 Cho JG, Kim NS, Do SR, Lee YH, Yoon GJ, Park JH, et al. A policy report: Investigation of Korean use and herbal medicine consumption situation. Korea institute for health and social affairs, Ministry of health and welfare. 2011. 156 p.
10 Kwak KK, Cho JH, Son CG. Study on chronic fatigue syndrome from Oriental medicine point of view. Koeran J Orient Int Med. 2008;29:962-9.
11 Cho JH, Yoo SR, Cho JK, Son CG. Analytic study for syndrome-differentiation and Sasang-constitution in 72 adults with chronic fatigue. Korean J Orient Int Med. 2007;28:791-6.
12 Son CG. Analysis of patients visiting an oriental hospital with idiopathic chronic fatigue or chronic fatigue syndrome. J Korean Med. 2013;34:119-25.   DOI
13 Lee JH, Park SM, Seung HS, Kim YC, Lee JH, Woo HJ. Clinical investigation of fatigue among outpatients. Korean J Orient Int Med. 2001;22:299-307.
14 Baek SM, Lee SH, Kim JE, Liu Y, Park HJ, Kim BY, et al. Traditional Korean medicine pracitioner’s awareness and attitudes toward evidence based medicine. Korean J Acupunct. 2011;28:99-111.
15 Yeo MK, Park KH, Jang ES, Lee YS. A national survey on utilization of pattern identification among Korean medicine doctors. J Prev Korean Med. 2017;19:45-55.
16 Sim J, Adams N. Therapeutic approaches to fibromyalgia syndrome in the United Kingdom: a survey of occupational therapists and physical therapists. Eur J Pain. 2003;7:173-80.   DOI
17 Yeo MK, Park KH, Lee YS. A national-wide survey on utilization of pattern identification for chronic diseases among Korean medicine doctors. J Prev Korean Med. 2017;21:23-34.   DOI
18 Peng M, Ma HB, Si GM. A literature review on Chinese medicine syndrome and syndrome elements of chronic fatigue syndrome. Chin J Integr Med. 2014;2014:691-3.
19 Kim JS, Ryu BH, Park DW, Ryu KW. A study on the relationship between depression and anxiety tendencies and ki-depression/ki-stasis in chronic fatigue patients. J Assoc Neo Med. 1998;3:83-92.
20 Son HM, Park EY, Kim DH, Kim E, Shin MS, Kim TH. Experiences with, perceptions of and attitudes towards traditional Korean medicine(TKM) in patients with chronic fatigue: a qualitative, one-on-one, in-depth interview study. BMJ Open. 2015;5:6178.
21 Zhang ZX, Wu LL, Chen M, Zhang WJ, Qiu LN, Xia X. Effect of Uxu Jleyu recipe in treating 75 patients with chronic fatigue syndrome. Chin J Integr Med. 2009;29:501-5.
22 WLL, Zhang ZX, Zhang Y. Investigation of Lixu Jieyu prescription In treating 120 cases of chronic fatigue syndrome. Liaoning J Tradit Chin Med. 2012;39:283-5.
23 Zhang Y, Zhang ZX, Chen M, WLL, Wang Y. Effect of deficiency-regulating and depression-relieving formula on 5-HT and cortisol in chronic fatigue syndrome. Liaoning J Tradit Chin Med. 2012;19:10-2.
24 Li Z. Clinical observation of the thermal moxibustion therapy for chronic fatigue syndrome. China J Chin Med. 2012;27:643-4.
25 Su ZW, Fang MX, Liu HR. Clinical effects of pricking blood therapy for chronic fatigue syndrome. Liaoning J Tradit Chin Med. 2010;37:2022-3.
26 Li WW, Yu PP. Effects of combination of Tong Du Tiao Shen acupuncture therapy and strengthening acupuncture points therapy for chronic fatigue syndrome with spleen and kidney deficiency syndrome. J Sichuan Tradit Chin Med. 2016;34:183-5.
27 Jiang Q. Effects of combination of BuzhongYiqitang and Guipitang on chronic fatigue syndrome. Beijing J Tradit Chin Med. 2012;31:121-2.
28 Liu MJ. Acupuncture in back-shu points for curing chronic fatigue syndrome. J Beijing Univ Tradit Chin Med. 2009;32:351-3.
29 Zheng SH, Zheng SZ, Jiao JK, Ren R, Wei LL, Yang LX, et al. The effect of back-acupoint acupuncture and moxibustion therapy on the quality of life of chronic fatigue syndrome patients. Guiding J Tradit Chin Med Pharm. 2011;17:66-8.
30 Li SL. The clinical observation of the combination on acupuncture with needling technique to treat chronic fatigue syndrome. J Clin Acupunct Moxibustion. 2012;28:14-6.
31 Liu YL, Yang GG, Yang LJ. Therapeutic effect of acupuncture of back-shu points treating chronic fatigue syndrome and effect of psychological state. Chin Arch Tradit Chin Med. 2013;31:2327-9.