How to recognize and treat neurasthenia in Chinese medicine

Neurasthenia refers to the category of insomnia, palpitations (rapid heartbeat, often accompanied by panic), depression, etc. Clinical diagnosis is divided into yin deficiency and hyperactivity (deficiency of yin fluid, hyperactivity of yang qi), bile deficiency and phlegm disturbance, renal yang deficiency, and deficiency of the heart and the spleen (weakness of the heart and spleen organs). 1. Yin deficiency and hyperactivity of yang: manifested as head swelling or pain, forgetfulness, irritability and palpitation, dry throat and mouth, etc. The treatment is based on the principle of nourishing yin and lowering fire (nourishing yin essence and lowering fire), calming liver and submerging yang (suppressing too much yang rising in the liver), and Qiju Dihuang Pills can be used. Adverse effects and contraindications of Qiji Ju Di Huang Wan are not clear. 2. Gallbladder deficiency and phlegm disturbance: manifested as deficiency annoyance and insomnia (emptiness and irritability, unable to sleep), palpitation, thin stools and other symptoms, the treatment is based on the principle of warming the gallbladder and removing phlegm, which can be used to warm the gallbladder soup plus subtraction treatment. The adverse effects and contraindications of Wen gallbladder soup are not clear. 3. Kidney yang deficiency: manifested as mental depression, lumbago and foot weakness, cold body and limbs, less sleep and easy to wake up, impotence, premature ejaculation or spermatorrhea, etc. The treatment is based on the principle of warming and tonifying the kidney yang (warming and supplementing the yang qi of kidneys), and Jin Gui Kidney qi Pill can be used as the treatment. The adverse effects of Jin Gui Kidney Qi Pills are not clear, pregnant women should not take, avoid room desire, gas, avoid eating cold food. 4. Deficiency of heart and spleen: manifested as palpitation and forgetfulness, shortness of breath and tiredness, dreamy and easy to wake up, etc. The treatment is based on the principle of strengthening the spleen and nourishing the heart (strengthening the spleen and stomach and nourishing the heart and spirit), tonifying the blood and benefiting the qi, and can be treated with Gui Spleen Soup. The adverse effects and contraindications of Guisheng Tang are not clear. If the above symptoms occur, the patient should consult a regular hospital in time, and use the medicine under the guidance of a professional physician, do not take it on your own.