Therefore, the correct way to treat neurasthenia should be to choose the appropriate method according to the condition under the guidance of a specialist. Once the plan is established, it should not be changed at will, and it still needs to be properly consolidated after it takes effect. The following are several common clinical treatments:
Drug therapy: commonly used anti-anxiety drugs and antidepressants have obvious effects on stabilizing patients' anxiety or depression, among which anti-anxiety drugs can improve sleep. Commonly used drugs are alprazolam, deanxit, fluoxetine and paroxetine. If some patients feel mental retardation and memory loss, they can take small doses of brain metabolism improvers, such as piracetam and Ginkgo biloba leaves.
Gastrodin injection has obvious curative effect on neurasthenia (Tong Dan or Quluotong Gastrodin injection).
Chinese medicine treatment: Chinese medicine believes that neurasthenia is mostly caused by deficiency of both heart and spleen or deficiency of yin and hyperactivity of fire, and different prescriptions should be selected according to the principle of syndrome differentiation and treatment. In addition, acupuncture, qigong, massage, cupping and other Chinese medicine therapies also have certain effects on some nerve failure, which can be selected under the guidance of doctors.
Psychotherapy: The essence of neurasthenia can be introduced to patients through explanation and persuasion, so that they can make it clear that the disease is not hopeless, guide them not to focus on their own symptoms, and support them to increase their confidence in treatment. In addition, you can also use self-relaxation training, and some psychologists use hypnotherapy for treatment.
Physical therapy: meridian leveling therapy, electromagnetic field therapy, brain function health care therapy, biofeedback therapy, etc.
In short, there are many ways to treat neurasthenia, and it is best to use them comprehensively. If patients can mobilize their subjective initiative and actively cooperate with the treatment, the best treatment effect can be achieved.
treat cordially
Dermal needle
(1) acupoint selection
Key points: two sides of cervical vertebra 1 ~ 7 and five sides of thoracic vertebra12.
Matching points: forehead, head, eyebrow arch, Shenmen, Zusanli and Sanyinjiao.
(2) treatment
All the above parts are taken, and the skin needle mainly taps on both sides of the main point, with light or moderate manipulation. Tap twice from top to bottom, starting from the cervical vertebra. Then puncture the thoracic vertebra at 5 ~ 12, with three stitches each. Routine tapping on the surface of acupoints within 0.5 ~ 1.5 cm is 20 ~ 50 times. Cross three lines on the forehead and mesh the head. Same technology as before. Every day or every other day 1 time, 12 times is a course of treatment, and the interval of treatment is one week.
(3) Evaluation of curative effect
224 cases were treated by the above method, and the results showed that 15 cases were cured,10/case was markedly effective, 102 cases were effective, and 6 cases were ineffective, with a total effective rate of 97.4%. Short course of disease has good curative effect, but poor curative effect in the elderly [2, 3].
Auricular point pill pressing
(1) acupoint selection
Key points: heart, fate and divine gate.
Matching points: kidney, subcortical, positive reactant, endocrine and spleen.
(2) treatment
Generally, only the main points are selected, and matching points are added when the effect is not obvious. The pressing material can be Semen Vaccariae, Semen Phaseoli Radiati or Borneolum Syntheticum (pre-made into grains the size of rice grains), and can press acupuncture points on both sides. Then press 1 min to make the auricle hyperemia and fever. Make the patient press the auricular points 3 ~ 5 times a day, and press 1 time before going to bed for about 1 ~ 2 minutes. Change the paste every other day 1 time, 5 times as a course of treatment, with an interval of 4 days.
(3) Evaluation of curative effect
* * * 398 cases were treated, and the results showed that 120 cases were clinically cured, 167 cases were markedly effective, 93 cases were effective and 18 cases were ineffective, with a total effective rate of 95.4% [4-6].
Ear point embedding needle
(1) acupoint selection
Main acupoints: heart, kidney, Shenmen, pillow and subcortical.
Matching points: stomach, liver and spleen.
(2) treatment
Bring all the main points, and when the effect is not obvious, add matching points as appropriate. After strict disinfection of ear points, nail-shaped intradermal needles are buried and fixed with adhesive tape, so that patients can press them 3 ~ 4 times a day to feel slight pain, swelling and fever. One ear at a time, ears alternate. Replace the embedded needle 1 time every 5 ~ 7 days, and twice is 1 course of treatment.
(3) Evaluation of curative effect
* * * 19 1 case was treated by needle embedding. Results 84 cases were cured, 84 cases were effective and 23 cases were ineffective. The total effective rate was 87.9%. Clinical comparative observation shows that its curative effect is better than that of western medicine, and the curative effect of unilateral needle embedding and bilateral needle embedding is basically the same [7, 8].
Pricking blood
(1) acupoint selection
Main acupoints: Ashi point.
Matching points: Neizhongwan.
Location of Ashi point: mostly located in the upper half of both ears.
Location of the inner middle point: the center line of the palm of the finger, one point near the midpoint of the lateral phalanx of the finger, one point before and after 1 point, and six points on the left and right.
(2) treatment
First, carefully measure the sensitive points of the ear roots with an ear point detector or a probe, and mark them. After routine disinfection, puncture quickly with disinfection spring needle or triangular needle, and the bleeding is as big as mung bean. Only one side at a time, every day or every other day 1 time, ears alternate. The treatment time is better in the morning or afternoon, but the effect is worse in the evening. If the curative effect is not obvious, acupuncture can be added to the inner middle point on the other side. 5 ~ 7 times is a course of treatment.
(3) Evaluation of curative effect
* * * 254 cases were treated, with marked effect 150 cases, effective 88 cases and ineffective 16 cases, and the total effective rate was 93.7% [9].
Body acupuncture plus application
(1) acupoint selection
Key points: Baihui and Sishencong.
Matching points: Yongquan.
(2) treatment
Acupuncture at main points. First, acupuncture at Baihui point, with a forward cross-needling of 1 inch, and twisting the manipulation rapidly and evenly from left to right for 2 minutes, with an interval of 10 minutes, and then repeating the above method for 3 times, so that the patient can take the needle for 48 hours. After Baihui started the needle, they all pricked forward 1 inch. The needle was transported lightly, quickly and evenly for 2 minutes with an interval of 10 minute, and then the previous method was repeated for 3 times, so that the patient could take the needle for 24 hours. After the needle is taken out, it will be the same as before. In this way, 9 days is a course of treatment, and the interval between courses is 3 days.
When matching points, the pearl powder, cinnabar powder, rhubarb powder and Schisandra powder are evenly mixed. Each time, 3g of fresh bamboo juice is used to make paste, which is divided into two parts and coated on a medical adhesive tape with a size of 5cm×5cm. Stick it on the left and right Yongquan points every night before going to bed, for 9 consecutive days as a course of treatment, with an interval of 3 days.
(3) Evaluation of curative effect
* * * Treating severe insomnia 168 cases, 85 cases were cured, 69 cases were effective and 4 cases were ineffective 14 cases, with a total effective rate of 9 1.7%.
Matters needing attention of neurasthenia patients-neurasthenia should pay attention to nutrition
Malnutrition can also cause some symptoms of neurasthenia. When people are hungry, they may have neurasthenia symptoms such as fatigue, inattention, slow action, headache, dizziness, lethargy or insomnia, and are not interested in anything except food. In addition, the lack of vitamin B and vitamin C, the lack of water and salt, etc. , can cause neurasthenia symptoms. Besides lipids, protein, sugars, oxygen and water, other nutrients needed by the brain, such as vitamins, calcium, phosphorus, potassium, magnesium and trace elements, are also indispensable. Patients with neurasthenia should pay special attention to the following foods with nutritional value to the brain during dietotherapy.
Foods rich in lipids: such as liver, fish, egg yolk, butter, soybean, corn, sheep brain, pig brain, sesame oil, peanuts, walnuts, etc.
Foods rich in protein: such as lean pork, mutton, beef, milk, chicken, duck, fish, eggs and bean products.
Foods rich in sugar: such as white sugar, brown sugar, honey, sugarcane, radish, rice, flour, sweet potato, jujube, beet, fruit, etc.
Foods rich in vitamin B, vitamin PP (nicotinic acid and nicotinamide) and vitamin E: such as yeast, liver, Inula, seaweed, etc.
Foods rich in vitamin C: Generally, fruits and vegetables are rich in vitamin C.
Foods rich in trace elements: such as animal liver, kidney and oysters, coarse grains, bean products, fish, spinach, Chinese cabbage and so on.
Prevention of neurasthenia
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To prevent neurasthenia, the most important thing is to have a correct understanding of the disease and firm confidence in overcoming it.
1: First of all, we should establish a regular life system and arrange our own work, study and rest. Learn to use your brain scientifically to prevent brain fatigue.
2. According to everyone's physical strength and hobbies, insist on proper physical exercise every day, such as playing ball games and gymnastics.
3. Carry out necessary treatments, such as diet therapy, acupuncture, physical therapy, qigong, etc.
Dietotherapy for neurasthenia
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According to the viewpoint of traditional Chinese medicine, neurasthenia patients can choose the following dietotherapy methods for conditioning according to different situations.
Symptoms of rising liver fire include palpitation, irritability, insomnia, dreaminess and rapid pulse. Such patients can choose foods with the functions of clearing away liver-fire, nourishing heart and calming nerves, such as spinach, rape, shepherd's purse, wax gourd, bitter gourd, bamboo shoots, fresh lotus root, celery, leek, day lily, wheat, mulberry, pear, peach, sunflower seed, mung bean, longan, egg, mutton, duck meat and black-bone chicken.
Symptoms of deficiency of both qi and blood: palpitation and insomnia and MUBI are prone to wake up, dizziness, forgetfulness, loss of appetite, mental fatigue and weak pulse. Such patients can choose foods with the functions of invigorating spleen and benefiting qi, enriching blood and nourishing heart, such as japonica rice, glutinous rice, millet, soybean and its products, barley, carrot, pumpkin, tomato, milk, ginseng, carp, mandarin fish, pig liver, pig belly, beef, sheep heart, rabbit meat, pigeon eggs and so on.
Symptoms of heart-kidney disharmony include palpitation, anxiety, insomnia, forgetfulness, night sweats, soreness of waist and knees, nocturnal emission and rapid pulse. Such patients can choose foods that nourish yin, clear heat and communicate with heart and kidney, such as glutinous rice, red dates, lilies, spina date seeds, medlar, tremella, goose, pig lung, pig pancreas, wax gourd, bitter gourd, eggplant and crucian carp.
There are many reasons for neurasthenia and the course of disease is long. Patients should relieve their troubles, build up confidence and actively carry out appropriate physical exercise according to their respective constitutions. At the same time, we should choose the necessary drugs and treat the symptoms.
In addition, you can also choose the following diet regimen:
Stewed chicken with gastrodia elata
Ingredients: hen 1 hen (about 1500g), gastrodia elata 15g, 50g of water-frozen mushrooms, 500g of chicken soup, and proper amount of seasoning.
Cooking method: Gastrodia elata is washed and sliced, put into a bowl, steamed in a cage 10min and taken out. Boneless chicken, cut into small pieces, blanch in oil and take out. Stir-fry onion and g5minger in oil, add chicken soup and seasoning, pour chicken pieces, simmer for 40 minutes, add gastrodia elata slices, stew for 5 minutes, thicken and pour chicken oil.
How to eat, how much to eat: with meals or alone.
Function: calming the liver and calming the wind, nourishing blood and calming the nerves.
Tip: folk prescription
1: Drinking 1 cup of hot sugar water before going to bed will inhibit the cerebral cortex and make you fall asleep quickly.
2. Drink 1 cup of hot milk before going to bed. Tryptophan in milk can make people fall asleep.
3. Drinking 1 spoon of cold boiled water and vinegar before going to bed can help you sleep.
4. Lily 15g, japonica rice 50g, glutinous rice 50g, * * * boiled into porridge, and eaten with appropriate amount of rock sugar.
5. 50 grams of fresh lily, soaked in water for one day and night, fried with rock sugar.
6. Take raw and cooked dates 15g, decoct them in water to remove residues, cook them with lily juice, and eat them in soup.
7. 60-90 grams of fresh lily can be mixed with honey, and taken before going to bed after steaming, which has the effect of clearing the heart and calming the nerves.
8. Slice onion 100g, soak it in 600mL of soju, and take it out after 1 week. Use onion wine 10ml, milk 90ml, egg 1 and half an apple to make juice. After blending, drink it 30 minutes before going to bed.
9. There is a milky white slurry in lettuce, which has a calming effect. When in use, the lettuce is sliced and cooked, and soup is drunk before going to bed, which is helpful for sleeping.
10: soak in water with notoginseng to soothe the nerves and help sleep.
Peanut leaf soup
Take a proper amount of fresh flowers and leaves and take them with boiling water before going to bed. Seven days is 1 course, and most of the second to third courses are effective. It is suitable for patients with hyperactivity of liver fire and disharmony between heart and kidney.
Lian Xin soup
Take 30 plumula Nelumbinis, add a little salt, decoct in water, and take it every night before going to bed, 10 day. It is suitable for patients with hyperactivity of liver fire and disharmony between heart and kidney.
Suanzaoren decoction
Take 50 grams of jujube and decoct it in water. 7- 10 days before bedtime is 1 course of treatment. Suitable for patients with heart-kidney disharmony.
Coix seed and red jujube porridge
Take 50g of glutinous rice, 50g of coix seed, and 0/0 pieces of red dates/kloc, and add water to stew porridge. Take it twice a day for 10 days. Suitable for patients with heart-kidney disharmony.
Albizia julibrissin leaf soup
Take Albizia Albizia leaves 100g and decoct them in water every night. 7- 10 days before bedtime is 1 course of treatment. Suitable for patients with heart-kidney disharmony.
Fried pork heart with Lycium barbarum leaves
Take 1 pig heart, wash and cut into pieces, and stir-fry Lycium barbarum leaves150-200g with peanut oil. It is suitable for neurasthenia due to deficiency of both qi and blood, as well as madness and schizophrenia.
Schisandra decoction
Take Schisandra chinensis 15-20g and decoct it in water. Suitable for neurasthenia.
Weierzhunao decoction
Take pig brain 1, Chinese yam 50g and Lycium barbarum 15g, put them into a pot, add appropriate amount of water, salt, onion and ginger, and simmer with slow fire. Suitable for neurasthenia.
Mixed pig brain
Soak 100g pig brain in clear water, remove blood tendons, wash, drain, add appropriate amount of yellow wine, onion and ginger, put in a drawer, steam for about 20 minutes, let cool, add 10g sesame oil, appropriate amount of soy sauce and garlic paste, and mix well. Suitable for neurasthenia. Symptoms include insomnia, dreaminess, memory loss, dizziness and fatigue.
Lotus seed and lily pork soup
Take 30g of lotus seeds, 30g of lily and 250g of lean shredded pork, simmer in water, and season after the meat is cooked. Suitable for neurasthenia. Symptoms include palpitation, insomnia, dizziness and nocturnal emission.
Medicated diet therapy for neurasthenia patients
In the treasure house of traditional Chinese medicine, there are many works about medicated diet, which have accumulated rich experience and are valuable medical heritage. For thousands of years, it has made great contributions to the health care of our people and the people of the world, and it still has great practical value for the prevention and treatment of many chronic diseases.
The formula of medicated diet for preventing and treating neurasthenia is introduced as follows:
(1) longan jujube porridge: longan 15g, jujube 5 ~ 10g, japonica rice porridge 100g. Has the effects of nourishing heart, tranquilizing mind, invigorating spleen and enriching blood. It is suitable for people with heart-blood deficiency, palpitation and insomnia, forgetfulness and fatigue, spontaneous sweating and night sweats.
(2) Sea cucumber porridge: sea cucumber, japonica rice or glutinous rice 100g. First soak the sea cucumber, wash it, slice it, and cook it with rice into porridge. Has the functions of tonifying kidney, replenishing essence and nourishing blood. Suitable for people with kidney deficiency, blood loss, physical weakness and frequent urination.
(3) Semen Platycladi porridge: Semen Platycladi 10 ~ 15g, appropriate amount of honey, and 50 ~ 100g of japonica rice. It has the effects of moistening intestine, relaxing bowels, nourishing heart and calming nerves. Suitable for palpitation and insomnia, forgetfulness and chronic constipation. In addition, a single jujube kernel (mashed and boiled first) and lotus seeds can be cooked into porridge with japonica rice, with the same curative effect.
(4) Gouqi porridge: 60 grams of glutinous rice and 0/20 grams of rice/kloc. Wash the handle and remove impurities for later use. Wash the rice, cook it in a pot until it is half cooked, and pour it into a bowl to cook it together. It is characterized by red and white, thick waxy and slightly sweet. It has the effects of tonifying kidney, improving eyesight and hearing, and is effective for dizziness and tinnitus.
(5) Cereal porridge: composed of wheat, jujube and japonica rice, it is a good prescription for insomnia, palpitation and mental fatigue caused by deficiency of heart-qi, and has the functions of calming the heart and calming the nerves and nourishing the spleen and stomach. The cooking method of porridge is as follows: take 100g wheat, wash it, put it in proper amount of water, take it out after boiling for 20-30min, add 100g polished rice and 6 jujube slices, and cook it. 1 ~ twice a day. Take it for 5-6 days. If 10g fried jujube kernels are added to this porridge, the sedative effect will be better.
(6) Lily porridge: The elderly are sickly and have insufficient heart and kidney, which often leads to heart and kidney failure, insomnia, dreaminess, forgetfulness, distraction, sentimentality and even sleepless nights. The formula is 30g of lily, soaked in clear water for half a day to remove its bitterness, then 50g of rice is added, cooked until the rice is ripe and fragrant, and appropriate amount of rock sugar is added, and taken/kloc-0 each time in the morning and evening. Patients with severe insomnia can take cinnabar 1g twice a day. Lily contains a little starch, fat, protein and a little alkaloid (colchicine). It has the functions of clearing away heat, nourishing yin, moistening lung and calming nerves, and is a nourishing medicine for treating neurasthenia.
(7) Glutinous rice, yam and lotus seed porridge: fresh yam 90g (sliced), lotus seed 30g, japonica rice 250g, boiled porridge, and sweet-scented osmanthus with sugar stains. Has the effects of invigorating the middle energizer, invigorating the spleen, nourishing the stomach, calming the heart and calming the nerves.