It should be autonomic nervous disorder
Autonomic nervous disorder is a group of symptoms caused by long-term mental tension, excessive psychological pressure, anger and mental stimulation. Autonomic nerve dysfunction is a common disease that occurs all over the world and ranks first among various neuroses. Because the main feature of this disease is the dysfunction of the brain's high-level nerve centers and autonomic nerves, patients not only have symptoms of brain dysfunction such as headache, dizziness, head bloating, head tension, head numbness, insomnia and memory loss, but also suffer from brain dysfunction. Symptoms of functional disorders such as circulation, digestion, endocrine metabolism, and reproductive systems may occur. Patients feel that they have a variety of symptoms and a heavy mental burden. After many treatments, when the curative effect is not satisfactory, and after various examinations, and the examinations are normal, they will worry that they have some serious illness that has not been detected, and they will be distressed and check everywhere. Seeking treatment wastes a lot of medicine, time and money.
The pathological mechanism that causes autonomic nerve dysfunction is very complex. Therefore, although neuropsychiatric experts at home and abroad have done a lot of research on this, the cause of it is still unclear. After extensive investigation and research by many neuropsychiatric experts, it is generally believed that autonomic nervous system disorders and neurasthenia are closely related to the following three factors:
1. Genetic factors: Generally, patients with neurasthenia have familial origin, but this does not mean that neurasthenia is caused by genetic factors. It can only be said that it is a causative factor for this disease.
2. Social factors: Various social and psychological factors that cause excessive stress on the nervous system function will become precipitating factors of the disease. With the acceleration of the pace of modern life and rapid economic development, social industrialization, population urbanization, dense living, traffic congestion, fierce competition, unemployment, laid-offs, disparities in personal income, and certain adverse phenomena in society will all cause People are nervous. Long-term mental and psychological trauma, such as family disputes, unhappy marriages, lovelorn relationships, tense neighbor relationships, high work pressure, and disharmony between colleagues and superiors and subordinates, can also make people too nervous and overloaded, leading to neurasthenia, Autonomic nervous system dysfunction. A large number of surveys have proven that the frequency of life events experienced by patients with autonomic nervous dysfunction in the year before the onset of disease is significantly higher than that of the control group. Excessive mental time, excessive study burden, especially poor academic performance, and failure in major exams often cause excessive nervous burden. This is also an important reason for students' neurasthenia and autonomic nervous system disorders. Modern research shows that mental stimulation and excessive pressure can cause endocrine and autonomic nerve dysfunction.
3. Personality factors: Autonomic nerve disorders and neurasthenia are closely related to people's personalities. It is generally believed that people with introverted personalities and unstable emotions are more likely to be sentimental, anxious, conservative, not good at communicating with others, and keep in their own minds when things happen. , if not vented in time, will inevitably lead to autonomic nervous system disorder and neurasthenia over time, but another group of people is also a high-risk group, those who have a bad temper, are narrow-minded, competitive, unreasonable, and self-centered people Most susceptible to autonomic nerve dysfunction. In other words, people with introverted personalities and bad tempers are at high risk of autonomic nervous system disorders and neurasthenia.
In general, the cause and pathology of neurasthenia and autonomic nerve dysfunction are still not completely clear, but most neuropsychiatric experts believe that it is caused by excessive nervous function, which involves social environment, Family environment, psychological factors, personality and many other things.
Symptoms
The patient is emotionally unstable, irritable and anxious. When he is upset, he cannot watch TV, and even feels uncomfortable when he hears talking. He is flustered, angry, easily nervous, fearful, and sensitive. Suspicious, easy to cry when grievances are felt, pessimistic and disappointed, no sense of happiness, unwilling to see people, do not want to talk, not interested in anything, unhappy with anything, depressed and distressed, even feel that life is meaningless, difficulty falling asleep, superficial sleep, early awakening and dreaming Too much, fatigue, memory loss, inattention, and slow reaction.
Autonomic nerve disorders can also lead to gastrointestinal dysfunction, such as loss of appetite, tasteless food, abdominal distension, nausea, hiccups, heartburn, chest tightness and shortness of breath, long sighs, throat obstruction, throat discomfort, and some The patient presented with headache, dizziness, swollen and dull head, tightness and heavy pressure in the head, dizziness and numbness, swollen and dry eyes, blurred vision, uncomfortable suffocation in the face and limbs, tightness and heaviness in the neck and back, and general body pain. Tightness, stiffness and discomfort, numbness in the limbs, heat in the palms of the hands and feet, heat in the skin all over the body, but the body temperature is normal, bursts of heat and sweating all over the body, or migratory pain, abnormal migratory sensations and other symptoms throughout the body.
Patients with autonomic nervous disorders often have subjective symptoms. Although they have been examined many times, the results are often relatively normal and no disease can be found. The above symptoms are often considered to be mental illness in clinical practice. , insufficient blood supply to the brain, heart disease, and gastrointestinal diseases, the curative effect is often low or ineffective. In fact, these symptoms are closely related to autonomic nerve disorders. If you have the above symptoms and cannot be cured with long-term treatment, you may consider regulating the autonomic nerves. , the symptoms will disappear soon.
Life adjustment and Western medicine treatment
Treatment and adjustment of autonomic nerve dysfunction:
(1) Oryzanol 20-50 is commonly used to adjust autonomic nerve function drugs. mg 3 times daily.
(2) For symptomatic treatment of palpitation, use a small amount of propranolol and diazepam (valium); for excessive sweating, use the Chinese patent medicine Yupingfeng Granules or Oyster Powder; for nervous frequent urination, use the Chinese patent medicine Shuoquan Pills Or Sanjin tablets; for gastrointestinal dysfunction, vitamin B complex solution, pepsin or multi-enzyme tablets can be used; for sleep disorders, diazepam (Dazepam) 5 mg or chlordiazepoxide 10 mg can be taken before going to bed; others can be used as appropriate. Diazepam (diazepam) 5 mg, 2 times/day; alprazolam 0.25 mg, 3 times/day; estazolam 1-2 mg, 2-3 times/day; epfoxin 0.15 g/day , use continuously for 7-30 days.
(3) Progressive relaxation training. This method is also one of the effective psychological therapies for treating insomnia. It was first proposed and developed by American physiologist Jacob Hang.
Operation method: The patient adopts a comfortable posture in a quiet environment, and repeatedly performs "contraction-relaxation" muscle training according to the instructions, contracting the muscles for 5-10 seconds each time, and then relaxing for 30- 40 seconds, the training instructions are as follows:
a Take 3 deep breaths to achieve complete relaxation. Each breath should last 5-7 seconds.
b Hold your right hip tightly and slowly count from 1 to 5. Then quickly open your right hand and experience the feeling of relaxation; repeat it again, focusing on the tension and relaxation of your fingers, palms, wrists and front hips.
c Bend your right hip, tense, relax, tense and relax your upper right hip again, and pay attention to the warm feeling after relaxation.
d Repeat step 2, switching to your left hand.
e Repeat step three, switching to your left hip.
Do it 1-2 times a day, for about 20-30 minutes each time, one of which should be done in bed before going to bed.
If during the treatment, the patient carefully observes the changes in the condition and records them in detail, on the one hand, it is easy to compare with before treatment, on the other hand, it can give himself positive reinforcement and accelerate the treatment process.
(4) Try to do as many outdoor activities as possible. Don’t be bored at home alone. If possible, you can participate in some physical exercises, such as golf, recreational ball, Tai Chi, etc. Outdoor activities not only allow you to breathe fresh air, but also regulate your autonomic nerves through various activities to achieve psychological pleasure.
(5) Provide psychological relief in a timely manner. When you encounter something that causes headaches and generate bad emotions, don't hold it in your heart, but find ways to let it out. There are two methods of psychological catharsis. One method is self-persuasion and self-liberation, which means that by thinking from a different angle, you can come to a completely new conclusion. For example, some things may be a bad thing from one perspective, but may be a good thing from another perspective. Changing the perspective of thinking about problems is a good way to relieve yourself. Another way is to use others to "release" your emotions.
If you feel depressed, you can vent it to your fellow villagers, classmates, and close friends, or you can have a good cry to vent your psychological depression, and you will suddenly feel relaxed. Because they are relatives and friends, not only will the other party not care about your excessive words, but they will also provide comfort and advice. This method is very beneficial for the mental health care of menopausal men.
(6) Living habits must be regular. Eating, sleeping, and activities must be done scientifically. Eat regularly and don't overeat; drink in moderation and don't be greedy; it's best to go to bed early and get up early; watch TV at night and be selective; don't sit for hours at a time until the announcer shouts "goodbye." While watching TV, make every effort to perform sitting or standing activities. Wash your face after watching TV to prevent radioactive dust from sticking to your face. Don't sleep in in the morning, get up as early as possible and go outside to participate in some activities. Facts have shown that regular living habits not only help people's physical health, but also help cultivate their good mood.
(7) Studies have shown that music is good for health. Music therapy has the functions of hypnosis and promoting blood circulation. According to your own symptoms and conditions, you can choose some classical light music, or listen to light music while resting in the early morning, in the afternoon when you are tired from homework, or before falling asleep (try not to use disco music). Such music), often has the effect of eliminating fatigue and tension, reducing psychological stress and entertaining the body and mind. What needs to be reminded is that the time for listening to music should be reasonable, not too long, and the volume should not be too loud, otherwise, it will be just the opposite.
Clinical manifestations and traditional Chinese medicine treatment
Mainly adopt syndrome differentiation and treatment methods. Prescription medicines are prescribed according to different symptoms. Generally speaking, they are mainly divided into three types of treatment:
(1) Kidney yin deficiency syndrome: clinical manifestations include menstrual disorder, shortened menstrual cycle, small amount or large amount. , or collapse or leakage, dizziness, tinnitus, paroxysmal heat in the cheeks, sweating, soreness in the waist and knees, heel pain, or dry skin, dry mouth and constipation, oligouria, yellow color, red tongue with less coating, and thready and rapid pulse. . The prescriptions generally use Zuogui Pills and Erzhi Pills. If symptoms such as dry eyes occur, take Qiju Dihuang Pills; if you are restless, insomnia and dreamy, take Lily Rehmannia Decoction or Ganmai Dazao Decoction and Coptis Ejiao Decoction.
(2) Kidney Yang deficiency syndrome: clinical manifestations include heavy menstruation, listlessness, gray complexion, cold and painful waist and back, long and clear urine, frequent nocturia, or floating face and swollen limbs, and thin and white tongue coating. , pulse is deep and weak. The prescription is made up of Yougui Pills.
(3) Syndrome of deficiency of both kidney yin and yang: clinical manifestations include menstrual disorders, dizziness, tinnitus, forgetfulness, cold and pain in the lower back, pale tongue, thin coating, and weak pulse. The prescription generally uses Erxian Decoction and Erzhi Pills. Commonly used Chinese patent medicines can be added or subtracted according to the symptoms. If the symptoms of kidney deficiency are obvious, choose Liuwei Dihuang Pills, Qiju Dihuang Pills, Maiwei Dihuang Pills, Zhibai Dihuang Pills, Bawei Dihuang Pills and other Dihuang Pills; for insomnia and irritability. If the symptoms are obvious, you can choose Chinese patent medicines such as Zhusha Anshen Pills, Baizi Yangxin Pills, Tianwang Buxindan, Anshen Anzhi Pills, etc.; if you have obvious symptoms of depression, you can choose Chinese patent medicines like Xiaoyao Powder with flavor. Kunbao Pills, selected by Tongrentang from tens of thousands of famous ancient Chinese medicine prescriptions, has shown considerable advantages in both treatment and health care, and is trusted by doctors and patients. Since the root cause of menopausal syndrome in both men and women is liver and kidney deficiency, the selection of drugs is basically the same, especially Kunbao Pills, which men can choose without hesitation when they experience menopausal symptoms. If men have obvious sexual dysfunction problems, they can choose Yang-supporting Chinese patent medicines such as Shenrong Sanbian Pills and Baibu Zengli Pills.