Direct moxibustion may be able to improve symptoms of fatigue, according to the results of a small study carried out in the US. Eleven female volunteers aged 25 to 60 years, all of whom were diagnosed with fatigue due to Spleen qi and yang deficiency, had three to five moxa cones burned at 11 acupuncture points once per week for eight weeks. Symptomatic improvement was seen after treatment on the SF-36 Energy/Fatigue Scale, SF-36 Social Function Scale and Flinders Fatigue Scale. Heart rate variability data also showed improvement in three of four participants. (Direct moxibustion to treat spleen qi and yang deficiency fatigue: a pilot study. J Acupunct Meridian Stud. 2014 Apr;7(2):76-82).

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