1.Do you know about chronic fatigue syndrome? A global survey by the World Health Organization (WHO) shows that only 5% of people are truly healthy, 20% of people are suffering from diseases, and 75% of people are in a subhealthy state. Chronic fatigue syndrome is a special manifestation of subhealth state, which is a syndrome characterized by persistent or recurrent severe fatigue (for more than 6 months), with common accompanying symptoms such as memory loss, headache, sore throat, arthralgia, sleep disorders and depression and other somatic and psychoneurological symptoms. Chronic fatigue syndrome was once described as the “yuppie flu” because more people in their thirties and forties with middle and high incomes and higher educational backgrounds were suffering from similar symptoms and seeking help. 2, the epidemiological characteristics of chronic fatigue syndrome Epidemiological surveys suggest that the prevalence of chronic fatigue syndrome in the population is about 0.2-0.7%, which is more common in 20-50 years old, and is more common in women. In the United States, approximately 40,000-80,000 people are suffering from chronic fatigue syndrome. The annual gross national product of the United States has been reduced by$9.1 billion as a result. Statistics from the UK show that the economic loss per CFS patient for 3 months is about £3,515. The Japanese Ministry of Labor announced in March 2000 that 1/3 of Japan’s working-age population suffers from CFS, and the U.S. Centers for Disease Control and Prevention predicts that chronic fatigue syndrome will become one of the major human health problems of the 21st century. About 1/3 of our population is in a state of suboptimal health. Recent studies have shown that the incidence of CFS in children and adolescents is on the rise. the prevalence of CFS has affected the social and economic development of countries around the world and has attracted the attention of many countries. 3. Chronic fatigue syndrome etiology and predisposing factors The pathogenesis of CFS remains a mystery. Despite extensive research in various aspects such as viral infections, decreased immune system function, neuroendocrine disorders, abnormal autonomic activity and nutritional metabolism and neuropsychiatric disorders, and genetic predisposition, there are no specific manifestations in clinical physical examinations and laboratory tests, and the medical community has not yet reached a consensus on its etiology. Since CFS covers different clinical symptoms and functional changes, many scholars tend to associate it with a “biopsychosocial model”. Studies have shown that chronic fatigue syndrome is easily triggered by chronic work stress, competitive pressure, emotional instability and negative life events. A questionnaire survey on exam stress among college students with CFS symptoms found that the most important causes of exam stress are the excessive attention to exam results, subjective perception of exam content and the chaotic life and study environment. 4.How to diagnose chronic fatigue syndrome? The criteria for diagnosing chronic fatigue syndrome, which is currently recognized by the medical community at home and abroad, was revised by Fukada and others of the Centers for Disease Control and Prevention in 1994. The main elements of the criteria are: persistent or recurrent severe chronic fatigue that cannot be explained after clinical evaluation, a history of not less than 6 months, fatigue that is new or has a definite beginning (i.e. no long life span), such fatigue is not caused by the labor being performed, and cannot be relieved by rest. The patient currently has a substantial decrease in all aspects of occupational ability, ability to receive education, social activity and personal life compared to the pre-disease period, and at least four of the following eight items are also present: (1) a decrease in memory or concentration of such severity as to cause a substantial decrease in all aspects of occupational ability, ability to receive education, social activity and personal life compared to the pre-disease period; (2) sore throat; (3) neck or (3) Tenderness of lymph nodes in the neck or axilla; (4) Muscle pain; (5) Multi-joint pain without redness and swelling; (6) Headache, but its attack mode, type and severity are different from the previous headache; (7) Inability to recover energy after sleep; (8) Myalgia for more than 24 hours after exertion. 5, the prevention and treatment of chronic fatigue syndrome chronic fatigue syndrome emphasis on prevention, the ancestral medicine advocates “not to treat the disease, treat the disease before”, “rather than save treatment after the disease, rather than ingestion in the first without disease.” For people at risk, they should avoid prolonged exertion and excessive mental burden; adjust their living habits and recommend a regular and planned daily living arrangement. Effective treatment of chronic fatigue syndrome is a great challenge for both doctors and patients, and patients should be detected and given early treatment in order to “save their buds”. The longer the duration of the disease, the worse the clinical outcome. The International Chronic Fatigue Syndrome Association research guidelines state that there is no clear universal treatment for CFS, and that over time, patients will experience some improvement in their symptoms, but most dysfunctions will persist for years. As a separate discipline of Chinese medicine, Tui-Na is playing an increasingly important role in medical practice. Tui Na manipulation has the effect of unblocking meridians, moving qi and blood, increasing arterial blood flow rate, improving microcirculation, promoting the removal of metabolic products, facilitating the regeneration of muscle fibers and the recovery of muscle strength, and further improving the mechanical properties of muscle tissue. In clinical work, it has been found that Tui Na is effective in relieving fatigue, memory loss, sleep disorders, pain and other symptoms in CFS patients. If you experience general fatigue, which cannot be relieved after rest, or memory loss, poor work efficiency; dizziness and heavy head, insomnia, muscle and joint pain and other symptoms it is advisable to receive consultation and treatment at the hospital as soon as possible, do not neglect it by self-perception that the condition is not serious and delay the early treatment.