Effect of Acupuncture on Psychoneurological Symptom Cluster in Breast Cancer Survivors

Exclusion Criteria

• •1. History of psychiatric disorders (e.g., bipolar disorder, schizophrenia, substance addiction)
• •2. Presence of diseases that may impair cognitive function or interfere with study assessments (e.g., Alzheimer's disease, Parkinson's disease, brain tumors).
• •3. Fatigue attributable to a treatable condition (e.g., hypothyroidism).
• •4. Severe debilitation or significant organic disease (e.g., heart failure, severe hepatic/renal insufficiency, severe anemia, uncontrolled infection).
• •5. Use of anxiolytics, antidepressants, psychostimulants, or sedative-hypnotics within the past 4 weeks.
• •6. Chronic use of corticosteroids.
• •7. Prior acupuncture treatment within 3 months, or participation in an acupuncture or drug clinical trial within 6 months.
• •8. History of hemorrhagic disease, severe coagulation dysfunction, or current use of anticoagulants (e.g., warfarin).
• •9. Implanted cardiac pacemaker.
• •10. Pregnancy or breastfeeding.
• •11. Concurrent participation in another clinical study.