In the clinic, there are often patients with thick stacks of checklists, full of pain and sorrow, complaining of discomfort from head to toe. So many tests, also ate a lot of drugs, constantly running around in large hospitals and small hospitals, just no effect. Tormented themselves, also tormented the surrounding people. Seriously affect the quality of life. At this time, we may wish to change our thinking, leaving aside the existing checklist and treatment, to think about mental illness. Doing some scale tests often reveals that patients are suffering from anxiety disorders, of which the prevalence of generalized anxiety disorder is constantly increasing. So what is generalized anxiety disorder? Clinical manifestations: 1. Anxiety and worry: manifested as frequent worry about some dangerous or unfortunate event that may occur in the future and is difficult to anticipate. Fear of sexual expectations, irritability, sensitivity to noise, fidgeting, decreased concentration, and worry. For example, the fear of a car accident when the child leaves the house. This type of anxiety and worry whose level is very disproportionate to reality is called worried waiting and is the core symptom of generalized anxiety. There is often a premonition of panic, and the person is distracted, restless and worried all day long, as if misfortune is about to befall them or their loved ones. It is difficult to concentrate, lose interest in things in daily life, and study and work are seriously affected. 2.Motor restlessness: manifested as rubbing hands and feet, walking back and forth, nervousness and restlessness, inability to sit still, visible tremor of eyelids, facial muscles or fingers, or the patient feels trembling. Some patients have double frowning, facial and limb muscles are tense and painful, or feel muscle twitching, often feel tired, etc. 3, physical manifestations: (1) digestive system dry mouth, swallowing difficulties with blockage, foreign body feeling in the esophagus, excessive exhaustion, increased or reduced intestinal peristalsis, stomach discomfort, nausea, abdominal pain, diarrhea; (2) respiratory system chest pressure, inspiratory difficulties, shortness of breath and suffocation, hyperventilation; (3) cardiovascular system palpitations, precordial discomfort; (4) genitourinary system urinary frequency and urgency, erectile dysfunction, dysmenorrhea (5) nervous system tremor, tinnitus, vertigo, pain at irregular sites; (6) sleep disorders insomnia, night terrors; (7) other symptoms depression, obsessive thinking, depersonalization; (8) autonomic nervous function excitement hyperhidrosis, facial redness or pallor, etc. Diagnosis: Somatic disorders such as thyroid, heart, substance abuse, and other functional psychiatric disorders need to be ruled out before diagnosis. A diagnosis of generalized anxiety disorder must be the presence of anxiety symptoms for most of at least several weeks, usually having lasted for more than 6 months, with impaired social functioning. Treatment 1. Herbal treatment. According to the patient’s condition, the identification of Chinese medicine generally includes: liver qi stagnation, liver fire inflammation, phlegm obstruction, qi and blood deficiency, liver and kidney deficiency, silt and blood internal obstruction, etc. The treatment can be used with the addition and subtraction of Yi Yao San, Dan Gardenia Yi Yao Wan, Wen Bile Tang, Tian Wang Tonic Heart Dan, Jiaotai Wan, Liu Wei Di Huang Wan, Blood Mansions and Blood Stasis Soup, etc.; 2. Western medicine treatment. As the disease is prone to recurrence, some cases need to maintain medication for 3 to 5 years to achieve full remission. Note the use of drugs, stopping or reducing drugs must be communicated with the doctor, many patients in this regard listen to the surrounding neighbors or friends and do not listen to the doctor and lead to recurring disease prolongation of the body does not heal. Commonly used drugs are the following categories. (1) Anti-anxiety drugs. Benzodiazepines and buspirone, etc.; (2) antidepressants. Venlafaxine, duloxetine, paroxetine, trazodone, amitriptyline, doxepin, escitalopram and buspirone; (3) others. 3. Psychotherapy. Interpretive psychotherapy, relaxation therapy, behavioral therapy, biofeedback therapy, psychoanalytic therapy, Morita therapy, and hypnotherapy can be applied.