Xiaoqin is a university student with excellent grades, she is busy studying for her exams, but now she can’t be bothered to study, worrying about her mother’s condition day and night. Xiaoqin’s mother is 48 years old and has always been in good health, with no history of hypertension, diabetes and other chronic diseases, but in the last 2 years she has often felt tightness in her chest, unable to breathe, feeling very breathless with a little labor, palpitations so strong that she must rest; she often complains of chest and back pain, cool spine, hot and cold, easy to sweat, scalp numbness in the hands and feet, shaking hands to hold things, but also very easy to nervous, afraid of noise, the surrounding sound If the noise around her is a little loud, her heart feels like it’s going to fall off. Xiaoqin’s family is from the rural area, her parents have always been very hard, the family has an old man and a young woman, Xiaoqin Shanghai study burden is also heavy, but for Xiaoqin to study well, her mother is busy all day and night without feeling tired, but now can not work, all day weak, sleep only the first half of the night, the second half of the night because of feeling panic, palpitations (she describes herself as carrying a drum in her arms, like a thief feeling scared), and then It was difficult to sleep because of the gas and breathing difficulties. The 24-hour electrocardiogram had 136 atrial premature, several pairs of atrial premature, and short bursts of atrial tachycardia, but the chest X-ray, cardiac ultrasound, and flat-panel exercise electrocardiogram were all abnormal. The actual fact is that you can find a lot of people who are not able to get a good deal on this kind of things. I saw Xiaoqin’s family in the clinic when her father carried her mother on his back and Xiaoqin carried her luggage into the treatment room, her mother’s face was as pale, her eyes were dull, more than 40 years old, looking like an elderly person who was too old to walk, which surprised me and made me very sympathetic to this family. After listening patiently to Xiaoqin’s condition, I reassured Xiaoqin that Xu Zhimin of the Cardiovascular Medicine Department at Shanghai Xinhua Hospital understands your feelings and hopes that I can help make your mother feel better as soon as possible. From your description and the tests done, the local hospital’s diagnosis is still largely accurate, with atrial premature beats, short burst atrial tachycardia, the diagnosis of arrhythmia should be established, and secondly, your mother should belong to a serious phytonadic dysfunction, as long as you cooperate with the treatment, your mother’s condition will definitely get better. I finally patiently explained the characteristics of her mother’s condition and said that it was not necessary to spend money on hospitalization, as long as the examination and treatment were carried out in the outpatient clinic, the disease could be treated well with less money. With the understanding and cooperation of Xiaoqin’s family, after nearly two weeks of treatment, Xiaoqin’s mother’s condition has improved significantly, and she can walk on her own, her face is also rosy, and her face shows a long-lost smile. So what is vegetative dysfunction? First of all, let’s know what is the vegetative nervous system? In medical science, the nerves of the human body that emanate from the brain center and innervate the internal organs are called the phytonerves, which are mainly divided into sympathetic and parasympathetic nerves, and their main function is to regulate the physiological activities of the human heart, lungs, esophagus, gastrointestinal tract, kidneys and adrenal glands, blood vessels, skin and other organs. For example, during exercise, the human body adapts to the physiological activity of exercise by increasing heart rate, respiratory rate, lung capacity, gastrointestinal vasoconstriction, skeletal muscle vasodilation, and sweat gland activity. In order to distinguish them from the motor (animal) nerves emanating from the brain and spinal cord centers that innervate skeletal muscles and produce random movements, these nerves are called vegetative nerves, or the autonomic nervous system. For example, we cannot control our heart rate by increasing or decreasing our heartbeat at will, or control our blood pressure by contracting blood vessels at will, but its activity is obviously influenced by the emotional activity of the human body because: both the vegetative nerve center and the emotional regulation center are located in the hypothalamus region of the brain, and the hypothalamus is the common pathway between the emotional response and the autonomic integration center. Secondly, 5-hydroxytryptamine, dopamine and norepinephrine are the common neurotransmitters of the two systems. Therefore, emotional disorders often lead to disorders of the vegetative nervous system, which not only cause dysfunction of the internal organs, but also cause abnormal sensations in the corresponding organs, resulting in various “somatization symptoms” that are similar to the symptoms of various organ diseases, but difficult to explain by anatomy, pathology and physiology. “somatization symptoms”, such as palpitations and panic through increased sympathetic nerve activity in the vegetative nerves without real heart disease, and chest pain through abnormal sensory nerves, resulting in complex symptoms of the condition and difficulty in judgment. From Xiaoqin’s mother’s symptoms, there are manifestations of both dysfunction or disorder of the plant nerves, such as excessive sympathetic nerve activity (hand trembling, sweating, palpitations, etc.) and abnormal sensory nerves (such as chest and back pain, coldness in the spine, numbness in the scalp and limbs, etc.), and she also has manifestations of emotional disorders, such as easy tension, fear, fear of annoyance, fear of sound, poor sleep, early awakening, etc. If the doctor asks in depth, there may be If the doctor asks deeper, there may be many emotional problems that have not been unearthed, long-term work, stressful life, lack of interpersonal communication may be the cause of emotional disorders. Why does Xiaoqin’s mother keep looking bad? The local doctor diagnosed her as having a vegetative nervous system disorder, and in fact has noticed that her mother’s illness is difficult to explain with a few rooms early. Usually clinicians classify such patients as having a wide range of symptoms (more than 6 major discomforts), cross-system discomforts (involving multiple systems such as cardiovascular, digestive, and respiratory systems), and medically difficult to explain (difficult to explain with a single organ disease) as having a disorder of the vegetative nervous system or dysregulation. Her mother’s premature atrial tachycardia can also be said to be the result of cardiac phytonadic disorder, and if this disorder is mainly cardiovascular symptoms, it is called cardiac phytonadic disorder, so by analogy there are also gastrointestinal phytonadic disorders, etc. The problem is that Xiaoqin’s mother did not receive the appropriate formal treatment, in fact, many clinicians, as long as the organic disease is ruled out, for the vegetative nerve dysfunction has traditionally not enough attention, often using general Chinese medicine, nourishing the heart muscle and so on, which is hardly effective. Therefore, some of the so-called difficult and complicated diseases may be that we only focus on the corresponding organ disease, ignoring the overall plant nervous dysfunction as a common feature of the disease, moreover, we ignore the profound nature of the mood disorder as a disease, so it becomes difficult in the diagnosis and treatment.