CLINICAL CHARACTERISTICS AND TRADITIONAL MEDICINE PATTERNS OF PATIENTS WITH CHRONIC FATIGUE SYNDROME AT THE MILITARY INSTITUTE OF TRADITIONAL MEDICINE IN THE FIRST QUARTER OF 2026

Thị Quỳnh Nguyễn 1, Thị Tuyết Nhung Trần 2, Thị Minh Châu Đào 1, Thị Minh Phương Lê 1,
1 Hanoi Medical University
2 Military Institute of Traditional Medicine

Main Article Content

Abstract

Objective: To describe the clinical characteristics and traditional medicine syndromes of patients with chronic fatigue syndrome (CFS) at the Military Institute of Traditional Medicine in 2026.


Subjects and Methods: A cross-sectional descriptive study was conducted on 105 patients diagnosed with CFS who were examined and treated at the Military Institute of Traditional Medicine during the first quarter of 2026.


Results: The mean age was 68.99 ± 11.35 years; the percentage of patients aged over 60 years were 79%. The female-to-male ratio was 2:1 (65% vs. 35%). Homemakers were the highest percentage with 48.6%, while non-manual workers were the lowest (7.6%). Most patients had CFS for more than 36 months (75.2%). The most common symptoms included substantial reduction in work or study capacity (93.3%), fatigue not substantially alleviated by rest (84.8%), post-exertional malaise following physical exertion (90.5%), and sleep disturbances (80%) were the most common symptoms, followed by decreased concentration (78.1%), unrefreshing sleep (77.1%), and dizziness upon prolonged standing (63.8%). Among traditional medicine patterns, heart-spleen deficiency was the most prevalent (35.2%), followed by liver-kidney yin deficiency (30.5%), and spleen-kidney yang deficiency was the least common (3.8%).


Conclusion: Most CFS patients treated at the Military Institute of Traditional Medicine in the first quarter of 2026 were elderly, had a long duration of illness, and often had comorbid cardiovascular diseases, with a heart-spleen deficiency pattern.

Article Details

References

1. CDC. IOM 2015 Diagnostic Criteria. Myalgic Encephalomyelitis/Chronic Fatigue Syndrome. May 22, 2024. Accessed June 4, 2025. https://www.cdc.gov/me-cfs/hcp/diagnosis/iom-2015-diagnostic-criteria-1.html
2. Global, regional, and national burden of multiple sclerosis 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019;18(3). doi:10.1016/S1474-4422(18)30443-5
3. Li Yuxiao, Yang Jingya, Chau lan Chi, et al. Is there a role for traditional and complementary medicines in managing chronic fatigue? a systematic review of randomized controlled trials. Front Pharmacol. 2023;14:1266803. doi:10.3389/fphar.2023.1266803
4. Trần Thị Thu Thủy. Đánh Giá Tác Dụng Điều Trị Của Cao Lỏng TQMB Trên Bệnh Nhân Hư Lao Thể Tỳ Khí Hư. Luận văn Thạc sĩ. Y Hà Nội; 2021.
5. Viên Uyển Lệ; Khang Minh Tường; Ngô Trí Huệ; Dụ Bình. Nghiên cứu lâm sàng về tiêu chuẩn phân loại biện chứng trong Y học cổ truyền đối với Hội chứng mệt mỏi mạn tính. Tạp chí Y học cổ truyền Trung Quốc Thiểm Tây. 2009; 30(05):515-517
6. Vahratian A, Lin JMS, Bertolli J, Unger ER. Myalgic Encephalomyelitis/Chronic Fatigue Syndrome in Adults: United States, 2021-2022. National Center for Health Statistics (U.S.). National Health Interview Survey (NHIS); 2023. doi:10.15620/cdc:134504
7. Inger Johanne Bakken, Kari Tveito, Nina Gunnes, et al. Two age peaks in the incidence of chronic fatigue syndrome/myalgic encephalomyelitis: a population-based registry study from Norway 2008-2012. BMC Med. 2014;12. doi:10.1186/s12916-014-0167-5
8. Rowe PC, Barron DF, Calkins H, Maumenee IH, Tong PY, Geraghty MT. Orthostatic intolerance and chronic fatigue syndrome associated with Ehlers-Danlos syndrome. J Pediatr. 1999;135(4). doi:10.1016/s0022-3476(99)70173-3