【摘要】 目的：观察易医脐针“四正位”针法和“雷风相薄”针法治疗疲劳性亚健康的临床疗效。方法：2020年9月—2021年3月广东省中医院治未病中心招募71例疲劳性亚健康患者，按治疗方法不同分为2组，四正位针法组采用脐针“四正位”针法治疗，雷风相薄针法组采用脐针“雷风相薄”针法治疗，观察2组治疗前后疲劳量表（FS-14）总体疲劳得分、躯体疲劳得分、脑力疲劳得分和自觉疲劳视觉模拟评分法（VAS）得分的变化。结果：治疗后，四正位针法组FS-14总体疲劳得分、躯体疲劳得分、脑力疲劳得分、自觉疲劳程度VAS得分均下降，治疗前后比较，差异均有统计学意义（P<0.05）。治疗后，雷风相薄针法组FS-14总体疲劳得分、躯体疲劳得分、自觉疲劳程度VAS评分比较，差异均有统计学意义（P<0.05）。治疗后，2组FS-14总体疲劳得分、躯体疲劳得分、自觉疲劳程度VAS评分比较，差异均有统计学意义（P<0.05）;2组FS-14脑力疲劳得分比较，差异无统计学意义（P>0.05）。在改善整体疲劳和躯体疲劳方面，“四正位”针法优于“雷风相薄”针法；在改善脑力疲劳方面，2组针法效果相当。结论：易医脐针治疗疲劳性亚健康临床疗效显著，“四正位”针法改善整体疲劳和躯体疲劳优于“雷风相薄”针法。更多还原

【Abstract】 Objective:To observe the clinical effect of I-Ching navel acupuncture with the "Sizhengwei" needling Method(obeying the needling sequence of Xùn-Gèn-Qián-Kūn and Lí-Kǎn-Zhèn-Duì) and the“Leifeng Xiangbo” Needling Method(obeying the needling sequence of Zhèn-Xùn) on the intervention in fatigue-predominant sub-health. Methods: From September 2020 to March 2021, the Center of Preventive Treatment of Guangdong Provincial Hospital of Chinese Medicine recruited 71 patients with fatigue-predominant sub-health. The patients were divided into two groups according to different intervention methods. The Sizhengwei Needling group received intervention with the navel acupuncture with "Sizhengwei" Needling Method,and the Leifeng Xiangbo needling group was intervened with the navel acupuncture with "Leifeng Xiangbo" Needling Method. The changes in the scores of total fatigue,physical fatigue,and mental fatigue in the 14-item Fatigue Scale(FS-14) as well as Visual Analogue Scale(VAS) to evaluate the subjective experience of fatigue were compared between the two groups before and after intervention. Results:After intervention,the scores of total fatigue,physical fatigue,and mental fatigue in FS-14 as well as VAS scores of subjective experience of fatigue in the Sizhengwei Needling group were decreased, differences being significant(P<0.05). The were significant differences being found in the comparison of the scores of total fatigue,physical fatigue,and mental fatigue in FS-14 as well as VAS scores of subjective experience of fatigue in the Leifeng Xiangbo Needling group before intervention and after intervention(P<0.05). After intervention, there were significant differences being found in the comparison of the scores of total fatigue and physical fatigue in FS-14 as well as VAS scores of subjective experience of fatigue between the two groups(P<0.05);the comparison of the scores of mental fatigue in FS-14 between the two groups showed no significance in the difference(P>0.05). The "Sizhengwei" Needling Method was better than the "Leifeng Xiangbo" Needling Method in the improvement of total fatigue and physical fatigue;in terms of improving mental fatigue,the two needling methods had similar effects. Conclusion:I-Ching navel acupuncture has significant clinical effect on the intervention in fatiguepredominant sub-health. "Sizhengwei" Needling Method is better than the "Leifeng Xiangbo" Needling Method in the improvement of total fatigue and physical fatigue更多还原