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Acupoint Application as a Traditional Chinese Medicine Treatment for Fatigue Associated with Chronic Obstructive Pulmonary Disease
Published on: September 5, 2025
[Chronic fatigue syndrome: A new disorder?]
J-D de Korwin1, L Chiche2, I Banovic3
1Faculté de médecine, université de Lorraine, département de médecine interne et d'immunologie clinique, CHU de Nancy, hôpital de Brabois-BPC, rue du Morvan, 54511 Vandœuvre-lès-Nancy cedex, France.
Chronic Fatigue Syndrome (CFS) presents diagnostic and management challenges due to unclear pathophysiology. A new concept, Systemic Exertion Intolerance Disease, simplifies diagnosis and encourages research for this complex condition.
Area of Science:
- Medical Science
- Immunology
- Neurology
Background:
- Chronic Fatigue Syndrome (CFS) remains a debilitating and poorly understood condition over 30 years after its identification.
- Diagnostic difficulties and lack of standardized management contribute to patient suffering and physician confusion.
- The multifactorial pathophysiology involves infections, psychological factors, and persistent inflammatory, immunological, and muscular abnormalities.
Purpose of the Study:
- To review the current understanding of CFS pathophysiology.
- To introduce and analyze the new diagnostic concept of Systemic Exertion Intolerance Disease (SEID).
- To discuss the implications of SEID for patient management and future research.
Main Methods:
- Rigorous analysis of existing scientific data on CFS.
- Review of the proposed diagnostic criteria and conceptual framework for SEID.
- Comparative analysis of SEID with previous CFS and myalgic encephalomyelitis (ME) terminology.
Main Results:
- CFS pathophysiology is complex, involving immune, inflammatory, muscular, and neuroendocrine dysfunctions.
- The SEID concept offers a simplified diagnostic approach, moving away from previous terminologies.
- SEID acknowledges the central role of post-exertional malaise in the patient experience.
Conclusions:
- The SEID concept represents a significant shift in understanding and diagnosing CFS/ME.
- While it is premature to classify SEID as a distinct disease, it is a catalyst for improved patient recognition and research.
- Further research is needed to validate SEID and refine management strategies for patients with CFS.
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