Review Article

Moxibustion for Chronic Fatigue Syndrome: A Systematic Review and Meta-Analysis

Table 1

Characteristics of included studies.

StudyStudy locationSample size (male/female)Mean age (SD)Interventions groupControl groupTreatment periodOutcomes

Guo et al. (2007) [23]Jiangsu, ChinaT: 14/19
C: 12/20
T: 36.01 + 6.74
C: 35.12 + 7.30
MoxibustionDrug (fluoxetine)T: once a day for 30 days, 30 min
C: once a day for 30 days
CE
Chen et al. (2011) [24]Guangdong, ChinaT: 16/14
C: 17/13
T: 35.12 ± 4.17
C: 35.91 ± 3.25
MoxibustionDrug (vitamin C + vitamin E + trivitamins B tablets)T: once a day for 28 days, 10–20 min
C: three times a day for 28 days
CE
Lan (2011) [25]Guizhou, ChinaT: 16/14
C: 15/15
T: 30.70 + 8.801
C: 30.80 + 11.370
MoxibustionAcupunctureT: once a day, ten days per period, one days’ break between two periods, two periods in total, 20 min
C: once a day, ten days per period, one days’ break between two periods, two periods in total, 20 min
CE, FAI, AEs
Zou (2011) [26]Jiangxi, ChinaT: 15/15
C: 13/15
T: 34.67 ± 3.24
C: 35.72 ± 3.76
MoxibustionDrug (fluoxetine)T: once a day, eight days per period, three days’ break between two periods, three periods in total, 15 min
C: once a day for 30 days
CE
Wang et al. (2013) [27]Anhui, ChinaT: 12/28
C: 13/27
T: 39 ± 6
C: 38 ± 8
Thunder-fire moxibustionDrug (fluoxetine)T: once a day, ten days per period, two days’ break between two periods, two periods in total
C: once a day for 20 days
CE, AEs
Xiao et al. (2014) [28]Guizhou, ChinaT: 20/21
C: 19/20
T: 40.2 ± 8.2
C: 40.6 ± 8.5
MoxibustionDrug (vitamin B1 + vitamin B6 + oryzanol + paroxetine)T: once a day, ten days per period, three days’ break between two periods, three periods in total, 15 min
C: NR
CE, FS-14, AEs
Zhao (2014) [29]Heilongjiang, ChinaT: 10/20
C: 9/21
T: 40.80 ± 6.599
C: 41.07 ± 5.783
Ginger-partitioned moxibustionAcupunctureT: once a day, five times per week for 4 weeks, 50 min
C: once a day, five times per week for 4 weeks, 30 min
CE, FS-14
Zheng et al. (2014) [30]Guangdong, ChinaT: 23/20
C: 21/22
T: 43.5 ± 13.2
C: 42.6 ± 12.9
MoxibustionAcupunctureT: once a day, seven days per period, three days’ break between two periods, three periods in total
C: once a day, seven days per period, three days’ break between two periods, three periods in total, 30 min
CE, AEs
Shi (2015) [31]Guangdong, ChinaT: 8/22
C: 9/20
T: 39.00 ± 12.54
C: 41.62 ± 11.70
Fu-Yang moxibustionAcupunctureT: twice a week for six weeks
C: once a day, three times per week for six weeks
CE, FS-14, AEs
Tian et al. (2015) [32]Gansu, ChinaT: 24/12
C: 16/20
T: 42 ± 9
C: 42 ± 10
Gaohuang (BL43) moxibustionAcupunctureT: once a day, ten days per period, two days’ break between two periods, three periods in total
C: once a day, ten days per period, two days’ break between two periods, three periods in total, 30 min
CE, FAI, AEs
Hou et al. (2017) [33]Shandong, ChinaT: 16/12
C: 14/12
T: 43.07 ± 9.31
C: 45.62 ± 9.92
Governor moxibustionAcupunctureT: twice a month for 3 months, 6 hours
C: once a day, four times per week for 3 months, 30 min
CE, FS-14, AEs
Sai (2018) [34]Shandong, ChinaT: 17/15
C: 13/17
T: 38.97 ± 6.98
C: 37.73 ± 6.26
Viscera moxibustionAcupunctureT: once a week for 8 weeks, 2 hours
C: once a day, three times per week for 8 weeks, 30 min
CE
Luo et al. (2019) [35]Guangdong, ChinaT: 16/14
C: 15/15
T: 43 ± 4
C: 42 ± 3
Fu-Yang moxibustionAcupunctureT: once every two days for 60 days
C: once every two days for 60 days, 30 min
CE, FS-14, AEs
Xu et al. (2019) [36]Henan, ChinaT: 29/18
C: 27/20
T: 41.5 ± 5.3
C: 42.5 ± 3.6
Governor moxibustionAcupunctureT: twice a month for 3 months, 6 hours
C: once a day, four times per week for 3 months, 30 min
CE, FS-14
Wang et al. (2020) [37]Hunan, ChinaT: 13/27
C: 15/25
T: 43.00 ± 1.03
C: 43.00 ± 1.17
Panlong moxibustionAcupunctureT: once a week for 3 weeks, 2 hours
C: once a day, five times per week for 3 weeks, 30 min
CE, FS-14, FAI

AEs, adverse events; C, control group; CE, clinical efficacy; FAI, fatigue assessment instrument; FS-14, fatigue scale-14; NR: not reported; T, therapy group.