Patient: I have been working as a writer for the past two years, and I have been sedentary, staying up late, on the computer for a long time, and under a lot of mental stress. Eyes are always sore (just close them), eyes are very dry when I get up from sleep, and there are bloodshot eyes all the time. The scalp is tight, the head is very mixed, the trigeminal nerve (like the bile meridian) on both sides of the head is swollen and painful (like a blockage), the neck above all feels very dry, always dry mouth, water can not come up, very uninspired, yellow face, easily feel fatigue, always sleepy, after lunch if not lying down to rest, feel very uncomfortable, if it is summer, the head will be stuffy when the day is hot, it is easy to get heat stroke, like the head Not usually, the heat can not be dispersed. This is the feeling of the head. At the same time, I often have indigestion, and when I don’t eat much, I get bloated, and I used to digest very fast, and the lumbar back muscles (the two muscles that are attached to the spine) are strained, and they bulge, and it hurts when I poke and press them. The lumbar muscle is also strained, the left side often feels like a nerve pump, often if you stand for a while to feel the lumbar muscle sore, a bent back, will feel a “pop”, bent back sitting for a long time will be very sore. The waist is always cold when you sleep. I often have dreams, very dreamy. The meniscus on the finger is only left on the left thumb, and it is observed that once I stay up late, the meniscus will be found to become less the next day. I have seen doctors, some said chronic conjunctivitis, some said liver and spleen disorders, some said bad intestines and stomach mental stress, said Yin deficiency fire, the effect is general. Even a doctor thought I was too on fire, prescribed a gentian drainage liver soup, the result pulled two days, the intestines from then on can not stand cold, before are quite resistant, and digestion is very fast. I’ve also been taking Liu Wei Di Huang Wan and Tonic Zhong Yi Qi Wan, but nothing else has had any particular effect. Please help me diagnose what this is all about, and I hope you can help me analyze it from the perspective of Chinese medicine. Lai Changqin, Department of Traditional Chinese Medicine, The First Hospital of Xiamen University: This disease is caused by a deficiency of liver yang qi and liver blood. The liver is the essence of fatigue. Long-term exertion, strain on liver qi, insufficient liver qi, sore eyes and easy fatigue; qi does not go up, fluid can not spread head and face, then dry mouth and face; qi does not carry blood up, then brain ischemia, dizziness, blurred vision, unclear thinking, yellow face; liver qi deficiency, liver meridian congestion, easy to be injured by summer dampness, easy heat stroke. Liver Yang deficiency causes stiffness, soreness and coldness in the meridians in the morning; Liver Yang deficiency with wind-dampness and heat causes red eyes and limb pain. Insufficient liver blood makes the liver easily tired and sleepy at noon; insufficient liver blood makes the liver deficient in fire and dreamy. Aggravated by staying up late. Insufficient Liver Blood, Liver does not drain the Spleen and Stomach, eating and abdominal distension, and weakness of the Spleen and Stomach over time; weakness of the Spleen and Stomach, and loss of nourishment of the latter is aggravated by insufficient Liver Blood.