It has been nearly two weeks since the Spring Festival holiday, and many people have returned to work or study, but many people find that even after ten days have passed, they still feel a series of discomforts, such as difficulty getting up every day, Depressed and weak at work and study, not wanting to move even during breaks, or even emotional problems such as irritability, depression, anxiety and other symptoms. Many people think that this is post-holiday syndrome, and it will get better if you adapt for a while, but it may be chronic fatigue.
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chronic fatigue< /p>
Modern medicine believes that chronic fatigue syndrome is a syndrome mainly characterized by physical and mental fatigue, often accompanied by symptoms such as sleep disturbance, anxiety and depression, fatigue, low-grade fever, itching or sore throat. It is very similar to the symptoms of post-holiday syndrome, except that, yes, post-holiday syndrome can be improved after a short period of adjustment, while the symptoms of chronic fatigue are long-lasting. However, due to the complex etiology of chronic fatigue, modern medicine is not effective in treating this condition.
Chronic fatigue belongs to the categories of “consumption of labor”, “lily disease” and “depression syndrome” in traditional Chinese medicine. It leads to the damage of viscera function, the imbalance of qi, blood, yin and yang, such as qi deficiency, blood deficiency, yin deficiency, yang deficiency, yang qi deficiency, qi and blood deficiency, yin and yang deficiency, and even qi and blood yin and yang deficiency. The pathogenesis is more complex and can involve the five viscera and six fu-organs, of which the liver, spleen and kidney are most closely related.
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Chronic fatigue, mostly related to liver and spleen Kidney-related
spring growth, summer growth, autumn harvest, winter storage are the laws of nature, and the yin and yang qi of the human body also rise and fall with the natural qi. The function of the body’s internal organs will also be adjusted according to the four seasons. Especially in the early spring after the Spring Festival, when the cold in winter has not subsided, and the humidity in the spring is gradually rising, and during the holidays, people have just experienced spicy, greasy, tobacco and alcohol, etc. Affected by various factors such as staying up late, the function of the zang-fu organs is very likely to be disordered at this time, resulting in the occurrence of chronic fatigue.
1. Spleen deficiency and dampness
The TCM team emphasizes that the spleen and stomach are the foundation of the acquired nature and the source of qi and blood biochemistry. Throughout, in patients with chronic fatigue syndrome, the main cause of deficiency of qi and blood can be attributed to the abnormal transportation and transformation of the spleen and stomach. The spleen controls the transportation and transformation. Strong and plump. Therefore, people with spleen deficiency are often easily attacked by dampness pathogens, dampness is yin pathogenic factors, and dampness is abundant, yang is weak, and it is easy to block qi and damage yang qi. The spleen likes dryness and hates dampness, and dampness is heavy The viscous nature makes the two intertwined with each other, and the symptoms of fatigue and fatigue are more difficult to heal for a long time.
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2. Liver stagnation and qi stagnation< /p>
The liver controls diarrhea, and the liver qi has the function of dredging and regulating the whole body qi, promoting the distribution of body fluid, qi and blood in the whole body and assisting the transportation and transformation of the spleen and stomach. Regulation is closely related to the onset of this disease. In the spring, the liver is responsible for the growth of hair, and many students and office workers are affected by study and work, and are more likely to lose their emotions, resulting in liver stagnation and qi stagnation, thereby affecting their body and mind, The liver’s laxative function is abnormal, thereby It affects the transportation and transformation of the spleen and stomach and the distribution of qi, blood and body fluids, resulting in symptoms of deficiency due to stagnation.
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3. Insufficient kidney essence
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The kidney is the innate foundation, the root of qi, the main growth and development and the qi transformation of the zang-fu organs, and promotes and regulates the physiological functions of the various zang-fu organs. Essence is the foundation of the body. Professor He believes that if the essence of the kidney is sufficient, the organs and orifices of the zang-fu organs can be warmed and various physiological activities can be performed normally. If the life is irregular and overworked, the normal physiological function of the kidneys can be affected, resulting in the gradual weakening of the kidney essence and the kidney qi, and the body will inevitably experience symptoms such as weakness of the limbs and backache.
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Diagnostics as a whole, treats by stages< /strong>
The TCM team believes that Chronic fatigue syndrome patients often have multiple pathogenesis, mixed with deficiency and reality, rather than a single syndrome, so it is difficult to use one treatment method alone. If the righteousness is used alone, the evil qi will be prosperous. Therefore, the disease can be differentiated and treated in stages.
In the early stage of the disease, the righteousness is not deficient, and the evil is the main factor, which is mostly caused by the stagnation of water and dampness and the stagnation of liver qi. Deficiency, the patient has the phenomenon of loss of qi and blood, and people who have been ill for a long time often have stagnation of qi and blood, so they should be attacked and supplemented, and the treatment should be to nourish qi and blood, activate blood and remove stasis; Liver and kidney deficiency, viscera deficient, so the main purpose is to nourish the liver and kidney.
In terms of prescription and medication, the TCM team is good at adjusting the dosage of prescriptions at any time according to syndrome differentiation, pays attention to individualized treatment, and starts from the overall situation when applying syndrome differentiation and treatment. According to the evil of the patient’s conditionIn the case of deficiency and excess, choose the corresponding prescription and medication, pay special attention to protecting the spleen and stomach, and at the same time take into account other organs, so as to adjust the balance of yin and yang and achieve good curative effect.
Case sharing
Ms. Fan, 37 years old, was diagnosed at the beginning of March 2021. Chief Complaint: After the Spring Festival holiday, there was no obvious incentive for fatigue and fatigue, accompanied by body backache and low back pain. At that time, it was not taken seriously. After that, the symptoms of fatigue and fatigue persisted. Afterwards, I went to the hospital for physical examination, but no obvious organic lesions were found. Present symptoms: The patient felt fatigued and weak, accompanied by low back pain, poor sleep, average appetite, diarrhea 2 to 3 times a week, occasional abdominal pain during menstruation, pale tongue, white greasy coating, and slippery pulse. Diagnosis: Chronic Fatigue Syndrome, TCM syndrome differentiation is mainly due to spleen deficiency and dampness, combined with deficiency of qi, blood and kidney essence. To add and subtract Wuling San and Wupi Drink, prescription: Poria, stir-fried grain buds, stir-fried white lentils, stir-fried coix seed, Alisma, mulberry white bark, big belly bark, cinnamon twig, plantain, Porcine, dried tangerine peel, dried ginger. 7 doses, 1 dose per day, decocted in water and served 2 times.
Second diagnosis: The patient complained that although the symptoms were relieved, there was still diarrhea, fatigue and low back pain, and the tongue was red and the coating was slightly greasy. Prescription: Codonopsis, Fried Coix Seed, Eucommia, Mulberry Parasitic, Fried White Lentils, Atractylodes, Poria, Chinese Yam, Divine Comedy, Malt, Gorgon, Orange Peel, Raw Hawthorn, Dog Chi, Agaricus, Amomum, Wood Fragrance, Roasted Licorice, Coptis . 7 doses, 1 dose per day, decocted in water and served 2 times.
Third diagnosis: reduced diarrhea, good appetite, but still fatigue, low back pain, pale tongue, thin white fur, thin and weak pulse, prescription: Astragalus, Agrimony, Fried Guya, Salt Eucommia, Mulberry parasitic, Poria, Codonopsis, Atractylodes, Angelica, Rehmannia glutinosa, Paeonia lactiflora, Red Dates, Dodder, Dodder, Dog Chi, Achyranthes, Zhi Licorice, Ginger, Cinnamon. 7 doses, 1 dose per day, decocted in water and served 2 times.
Fourth diagnosis: The patient’s low back pain was relieved, and the remaining symptoms disappeared. Afterwards, he continued to take 14 doses to consolidate the aftermath.
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Press: The patient is busy with work and has irregular life and rest. In addition to the irregular life and diet during the Spring Festival, the spleen and stomach will eventually become weak, which not only makes the water and grain fines transport and transform, but also causes the qi and blood to be deficient. At the same time, the patient is known to have deficiency of liver and kidney, coexistence of various pathogenesis, and mixed deficiency and reality. At the time of the first diagnosis, the patient’s symptoms of water and dampness were relatively severe, and the righteousness was still present, so the first treatment was to expel pathogens, and the treatment was to strengthen the spleen and divert water to remove dampness. At the time of the second diagnosis, the patient’s dampness has disappeared, the spleen deficiency is still there, the tongue is reddish, and there is still heat. . At the time of the third diagnosis, the patient’s water and dampness have been eliminated, and the evil qi has disappeared. However, the spleen and stomach have been weak for a long time and under the busy work, the qi and blood have been deficient. After the fourth diagnosis, the patient’s qi and blood gradually recovered, and the symptoms gradually disappeared, so the kidney essence was supplemented to consolidate the aftermath.