Do you feel groggy during the day and can't sleep well in bed at night?

Did you rest all day, but you still can't get up when you start working the next day, and your memory is getting worse and worse? ...

If the above situation occurs, be careful! Probably "chronic fatigue syndrome".

According to the survey, with the accelerated pace of social life and the increasingly fierce competition, the physical and mental strength of the human body are in a state of tension and fatigue for a long time, which makes the incidence of chronic fatigue syndrome increase year by year. Meta-analysis of the prevalence of chronic fatigue syndrome in China shows that the prevalence of chronic fatigue syndrome in China is as high as 12.54%. Modern medical research also shows that although the disease will not endanger life in a short time, it will have a serious negative impact on people's physical and mental health and quality of life because of persistent symptoms such as fatigue, sleep disorder, pain and cognitive decline.

Traditional Chinese medicine believes that fatigue is a concrete manifestation of human body's exhaustion of qi and blood essence and spirit, which are all transformed from five internal organs. Exogenous pathogens can damage lung qi; Excessive thinking, dark energy consumption, damage temper; Overworked physical strength or room will consume gas and damage essence, and damage liver and kidney; Emotional exhaustion, stagnation of liver qi, etc. Will lead to fatigue.

Physicians of past dynasties also believe that the main cause of chronic fatigue syndrome is qi deficiency, which includes heart, lung, liver and spleen deficiency, mainly liver and spleen deficiency. In previous popular science articles, it was mentioned that spleen-qi deficiency and dampness trapping the spleen and stomach can cause chronic fatigue, so today's article mainly talks about fatigue syndrome caused by liver-qi deficiency. In fact, in modern society, among people who are prone to fatigue, insomnia, dreaminess and fatigue, most of them are deficient in liver qi.

Su Wen's Six Sections on Zangxiang says: "Liver stops at the root of extreme", in which "stop" is also homophonic with "fatigue", and most doctors think that the root of stopping extreme means "relieving fatigue". It is pointed out that fatigue is closely related to liver.

The physiological function of the liver is mainly to store blood and excrete. If the liver qi is sufficient, the viscera will flourish and the human body will be full of vitality, just like spring. Deficiency of liver qi can not regulate blood, blood circulation is not smooth, and tendons and veins can not be nourished, leading to fatigue and weakness. There is also a saying in Huangdi Neijing: "Seven or eight points, the liver qi fails, and the muscles can't move", pointing out that when people reach middle-aged and old age, the liver qi gradually fails, and the activity ability of bones and muscles will decline.

In modern society, there are many reasons for liver-qi deficiency syndrome. Emotional internal injury impairs liver qi. For example, many people have anxiety, tension, depression and other negative emotions, and long-term discomfort will damage the liver qi. Long-term illness and weakness, such as the elderly are prone to various chronic diseases, will also hurt the liver, leading to liver dysfunction; Unbalanced work and rest, such as long-term high-pressure work. Overwork leads to gas consumption; In addition, improper medication can also lead to liver qi deficiency.

Clinical diagnosis and syndrome differentiation of liver-qi deficiency syndrome points out that fatigue is the most common symptom of liver-qi deficiency syndrome. Modern clinical research also discusses the basic treatment of liver-qi deficiency syndrome in detail, and holds that the clinical characteristics of liver-qi deficiency syndrome can be expressed by a formula: "Liver-qi deficiency syndrome = characteristics+* * * syndrome+basic syndrome", that is, the typical manifestations of liver-qi deficiency syndrome are listlessness (which can be understood as indifference and mental decadence), timidity, restlessness, laziness, or extreme fatigue, and suddenly feel dizzy and blurred vision.

* * * syndrome is mainly qi deficiency syndrome such as shortness of breath and slack. The basic syndromes are liver depression such as paranoia, depression, fullness of chest and ribs; Dizziness, emaciation, pallor and other blood deficiency diseases. In addition, women with insufficient liver qi will also have symptoms such as irregular menstruation, dysmenorrhea and amenorrhea. As recorded in Taiping Shenghui Prescription: "Husband's liver-qi deficiency, qi and blood deficiency, internal injury and cold, resulting in fullness of both sides, tight bones and muscles, cold limbs, abdominal pain, blurred eyes, evergreen hands and feet, unfavorable threat, and no more gas."

In the treatment of liver-qi deficiency, Etiology says: "Liver-qi deficiency … is also liver-qi deficiency, so it should be supplemented". According to the physiological characteristics of the liver, we can treat it from three aspects. First, we should benefit qi and use raw products to promote liver development, such as raw astragalus, raw ginseng, raw yam and raw licorice.

Second, regulating qi, because the liver governs the drainage, and poor drainage is usually a common cause of chronic fatigue, so you can use bergamot, Bupleurum, citron, raw malt and other qi-regulating products. To release the true qi.

The third is to strengthen the spleen and soften the liver. "synopsis of the golden chamber" says: "to know the disease of the liver, strengthen the spleen first." For the treatment of liver disease, we can start with regulating the spleen and stomach. So Rhizoma Atractylodis, Pericarpium Citri Tangerinae, Radix Paeoniae Alba, Radix Angelicae Sinensis, Radix Rehmanniae and Rhizoma Chuanxiong are commonly used to treat chronic fatigue.

Therefore, in terms of prescriptions, Dabugan Decoction, Xiaobugan Decoction and other prescriptions can be used as basic prescriptions for treating liver-qi deficiency syndrome. For example, Mr. Wu, a 66-year-old patient, said that he had insomnia for more than 65,438+0 years because of fatigue. He suffered from insomnia due to shock more than 65,438+0 years ago. The main manifestations of insomnia are difficulty in falling asleep, easy to wake up and MUBI, and can sleep for 2-3 hours at most. I often tremble during sleep, accompanied by general fatigue, easy to lie down when I am tired, afraid of cold, groggy head, dry eyes and blurred vision.

Considering that he is over half a hundred years old and has little liver qi decline, as "Ling Shu in Huangdi Neijing" said: "At the age of 50, the liver qi begins to decline, the liver leaves begin to thin, the bile begins to decrease, and the eyes are unclear", and panic and anger hurt the liver qi, resulting in liver qi deficiency. However, emotional exhaustion, stagnation of liver qi, malnutrition of lung and stomach, lack of body fluid, stagnation of phlegm and qi, and contention between phlegm and qi in the large intestine, so Mr. Wu is mainly characterized by deficiency of liver qi and phlegm. Therefore, Dabugan decoction is used to regulate liver qi, and Banxia Houpu decoction is used to promote qi and disperse stagnation, reduce adverse flow and eliminate phlegm. Because the patient has symptoms of dry stool, he added sunflower seeds and dark plum seeds to moisten the intestines and relieve constipation.

Of course, because the main symptoms and complications of different patients are different, so the medication is also different, such as liver-qi deficiency, qi stagnation, can also clear heat. If you have symptoms of fever, you can add heat-clearing products such as Cortex Moutan, Fructus Gardeniae and Cortex Phellodendri to regulate the whole body, coordinate viscera and relieve fatigue symptoms.

I hope more friends can benefit from the above expressions, and friends who need to communicate can also click on my avatar to send private messages.