A 40-year-old woman who feels fatigued and sleepy all the time should seek prompt medical attention to identify the cause and treat the cause. The causes of the symptoms can be divided into physiological factors and pathological factors, physiological factors are mainly fatigue, menopause, pathological factors are common is the emergence of anemia, thyroid disease, brain disease, etc. I. Physiological factors 1, fatigue: overwork and stress can cause fatigue, resulting in physical tiredness, fatigue and sleepiness. Patients need to clarify whether the recent fatigue is caused by too much work or excessive exercise. It is recommended to ensure sufficient sleep and develop good rest habits, the above symptoms can be alleviated; 2, menopause: 40-year-old women in the menopause stage, due to endocrine disruption, can cause menopause syndrome, fatigue, sleepiness is one of the symptoms, accompanied by anxiety, irritability, inattention and other performance. If it is clear that menopause is the cause, first of all, it is recommended that patients maintain a good mood and perform self-psychological adjustment. The symptoms of menopause can be relieved or eliminated by strengthening physical exercise, increasing sunlight hours, and consuming sufficient protein and calcium-rich foods to maintain physical health. Second, pathological factors 1, anemia: anemic patients can also appear fatigue, sleepy, if the patient has anemia, it is recommended to consume as little tea or spinach and other beverages and food. Because tea and spinach contain tannic acid, and iron will form difficult to absorb substances excreted with feces, easily causing anemia. Patients can consume more foods such as dates, wolfberries, cinnamon and lotus seeds. In addition, patients are advised to exercise properly, such as jogging, swimming, brisk walking, etc., to maintain a happy mood and help relieve symptoms; 2, thyroid disease: such as hypothyroidism, patients can also appear tired, tired and sleepy, in addition, there may be weakness and fear of cold, skin symptoms, etc.. If the patient is in the early stage, oral treatment with levothyroxine is recommended. In the middle and late stages, in addition to oral thyroid hormone supplementation, symptomatic treatment such as oxygen and fluid administration is needed to control infection and heart failure, etc. 3. Brain diseases: diseases such as cerebral arteriosclerosis may occur, resulting in lack of oxygen to the brain, leading to fatigue and sleepiness. In addition, patients may experience headache, dizziness, memory loss, lack of concentration and other symptoms, which can be treated with drugs such as piracetam. If the patient has anxiety and depression symptoms can be treated symptomatically. There are sleep disorders can be short-term application of small doses of benzodiazepines to improve brain function.