Is it true that you're always tired when you're not doing anything?
Is it true that although the daytime is dull, but at night when you lie in bed, but toss and turn, sleep is not good?
Whether it is a full day's rest, the next day to start working still can not lift the spirit, and the memory is getting worse and worse ......
If the above situation, beware! It is likely that the "chronic fatigue syndrome".
According to the survey, with the social pace of life continues to accelerate, increasingly fierce competition, the human body's physical and mental long-term in a state of tension and fatigue, so that the incidence of chronic fatigue syndrome has been rising year by year. A Meta-analysis of the prevalence of chronic fatigue syndrome in Chinese population shows that the prevalence of chronic fatigue syndrome in China is as high as 12.54%. Modern medical research has also shown that although the disease is not life-threatening in the short term, it can have a serious negative impact on a person's physical and mental health and quality of life due to fatigue, sleep disorders, pain, cognitive decline and other symptoms that last for a long time.
According to Chinese medicine, fatigue is a specific manifestation of the depletion of the human body's qi, blood, essence and spirit, and qi, blood, essence and spirit are produced by the five organs. External disease, more injuries to the lung gas; excessive thinking, dark depletion of blood, damage to the spleen; physical overwork or excessive house labor is depletion of gas and injury to the essence, damage to the liver and kidneys; emotional upset, the liver and qi stagnation, etc., can lead to the occurrence of fatigue.
Successive generations of medical doctors also believe that chronic fatigue syndrome pathogenesis is mainly for the qi deficiency, qi deficiency, including the heart, lungs, liver, spleen qi deficiency, mainly to the liver, spleen qi deficiency. In the previous article, we have talked about the deficiency of spleen qi, wet spleen and stomach can cause chronic fatigue, so today's article is mainly about the fatigue syndrome caused by the deficiency of liver qi. In fact, in modern society, most of the people who suffer from fatigue, insomnia, sleeplessness, tiredness and fatigue are suffering from liver qi deficiency.
"Su Wen - six sections of the Tibetan elephant theory" said: "the liver, the strike pole of this", where "strike" is also "fatigue" with "fatigue" of the "fatigue" homophone, most of the medical practitioners, "fatigue", "fatigue", "fatigue", "fatigue", "fatigue". Here, "strike" is also synonymous with "fatigue", and most medical doctors believe that "eliminating fatigue" is also the meaning of "striking the base of the liver". It was pointed out that fatigue is closely related to the liver.
The physiological function of the liver is mainly to hide blood and excretion. If the liver is sufficient, the organs are powerful, and the human body is full of vitality, like spring. If the liver is not enough, the inability to adjust the blood, blood line is not smooth, the sinews are not able to feed, thus appearing fatigue and weakness and other manifestations. The Yellow Emperor's Classic of Internal Medicine also said: "seven eight, liver gas decline, tendons can not move", pointing out that people to the middle and old age, liver gas gradually decline, muscle and bone activity will decline.
Modern society, the cause of liver qi deficiency evidence of many reasons, emotional internal injuries, can consume liver qi, such as many people have anxiety, tension, depression and other bad moods, long-term can not get comfortable, will consume the liver qi; chronic illnesses, such as the elderly prone to a variety of chronic diseases, etc., can also be injured to the liver, resulting in liver dysfunction; labor and leisure disorders, such as long hours of high-pressure state of mind, such as work, overwork led to gas consumption In addition, improper use of medication can also lead to liver qi deficiency.
The study of clinical diagnosis and identification of liver qi deficiency states that among the many symptoms of liver qi deficiency, the most common is fatigue. Modern clinical research has also explored the basis of liver qi deficiency in detail, and concluded that the clinical characteristics of liver qi deficiency can be expressed by a formula: "Liver qi deficiency = characteristics + **** signs + basic evidence", that is, liver qi deficiency is typically manifested in the will of the depressed (which can be interpreted as indifference, spirit), timid and good at work. The typical manifestations of liver qi deficiency are depression of will (which can be interpreted as indifference, disheveled spirit), timidity, fearfulness, restlessness, intolerance of hard work, or extreme fatigue, and a sudden feeling of dizziness and blurred vision.
***The main evidence is the appearance of shortness of breath, slackness and other Qi deficiency. And the basic evidence of suspicion and anxiety, melancholy, chest and rib pain and fullness and other liver depression; dizziness, emaciation, face color is not gorgeous and other blood deficiency. In addition, women with Liver-Qi deficiency may also suffer from irregular menstruation, dysmenorrhea, amenorrhea and other symptoms. As recorded in the "Taiping Shenghui Fang", "the liver deficiency, Qi and blood deficiency, internal injury to cold, resulting in fullness of the two coils, tendon constriction, cold extremities, must be abdominal pain, eyes and eyes dark, hands and feet, often green, coercion in the unfavorable, can not be too much breath, is the liver qi insufficiency of the wait also."
In the treatment of liver qi deficiency, "the origin of all diseases," said: "Liver qi insufficiency ...... is a deficiency of liver qi is also desirable to supplement. According to the physiological characteristics of the liver, can start from three aspects of treatment, one is to replenish the qi, it is appropriate to use raw products, along with the nature of the liver ascension, such as with raw astragalus, raw sun ginseng, raw yam, raw licorice and so on.
The second is to regulate the qi, because the liver is the main detachment, and the detachment of the qi is usually a common cause of chronic fatigue, so we can use the Buddha's hand, Chaihu, citron, raw malt and other qi regulating products, in order to detach the qi.
The third is to strengthen the spleen and soften the liver, "Jin Gui Yao Liao" said: "know the disease of the liver, when the first real spleen. Therefore, it is common to use the products that strengthen the spleen and soften the liver, such as atractylodes macrocephala, chenpi, paeonia lactiflora, Angelica sinensis, Radix et rhizoma Ligustici Chuanxiong, etc. to treat chronic fatigue.
Therefore, in terms of formulae, formulae such as Big Liver Tonic Soup and Small Liver Tonic Soup can be used as basic formulae to treat liver qi deficiency with additions and subtractions according to the evidence. For example, the patient Mr. Wu, 66 years old, reported that he had insomnia with fatigue for more than 1 year, more than 1 year ago due to shock insomnia, insomnia is mainly manifested in the difficulty of falling asleep, shallow sleep and easy to wake up, dreaming a lot, up to 2-3 hours of sleep, sleep process often body trembling, accompanied by fatigue, fatigue and like to lie down, fear of cold, dizziness, dry eyes, blurred vision, nausea, dry stools, pale red tongue with yellowish moss.
Considering that he is over half a hundred years old, his liver qi is weak, as Huangdi Neijing - Lingshu says: "At the age of fifty, the liver qi begins to weaken, the liver leaves begin to thin, the bile begins to decrease, and the eyes begin to be unclear", and he is injured by fear and anger, which results in a deficiency of the liver qi. And emotional upset, liver qi stagnation, the lung and stomach is not declared, fluid is not distributed, gathered into phlegm, phlegm and qi wrestling in the large intestine, so Mr. Wu is mainly for the liver qi deficiency, and both phlegm. Therefore, Mr. Wu is mainly suffering from liver qi deficiency, and has phlegm. Therefore, we use Dazhong Liver Tang to regulate liver qi, combined with Hanxia Houpu Tang to move qi and disperse knots, and to lower reverse phlegm, due to the patient's symptoms of dry stools, so we add the use of winter sunflower seeds, Ullemi nut to assist in lubricating the intestines and laxatives.
Of course, due to different patients, their main symptoms, comorbidities are different, so the medicine is also different, such as liver qi deficiency, qi is not smooth can also be turned into heat, if the symptoms of heat, can be added with dandelion, gardenia, cypress, etc. to clear the heat of the product, from the overall conditioning, so that the internal organs are coordinated, fatigue, such as the symptoms of the self-soluble.
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