慢性疲劳综合征已成为主要影响患者健康及心理的疾病之一，为社会、患者家庭带来沉重负担。该文系统总结了陈 兴华教授针刺治疗慢性疲劳综合征的经验，并以典型医案举隅释意。陈兴华教授认为，该病系脏腑虚损，核心为中土不足， 导致形神兼损，故基于中土理论，提出“中土为本，兼治五脏”的治则，从形神调治该病。其临证以针刺结合传统外治法， 重用足三里、内关，以补土运中，结合头针以养神益心、调神治形，联合针刺以奏补益祛劳之效，外治顾护其本。

Chronic fatigue syndrome （CFS） has emerged as a debilitating condition significantly impacting both physical health and psychological well-being，imposing substantial burdens on society and families. This article systematically summarizes Professor Chen Xinghua’s clinical experience in acupuncture treatment for CFS， illustrated with representative case studies. Professor Chen postulates that the disease primarily results from visceral deficiency，with insufficiency of the “central earth”（spleen-stomach system） as its core pathogenesis，leading to concurrent impairment of both body constitution and mental state. Based on the “central earth” theory，he proposes the therapeutic principle of “prioritizing central earth while concurrently regulating the five zang-organs” to achieve comprehensive body-spirit regulation. In clinical practice，his treatment protocol combines acupuncture with traditional external therapies，emphasizing the application of Zusanli（ST36） and Neiguan（PC6） to reinforce earth and regulate the middle jiao，complemented by scalp acupuncture to nourish the spirit，benefit the heart， and regulate mental state to treat physical symptoms. The integrated acupuncture approach synergistically achieves fatigue relief and tonic effects，while external therapies serve to consolidate the fundamental treatment.

R246.9

广州市科技计划项目（编号：2023B03J1294）