Can be, the treatment of neurasthenia, the most important one is to pay attention to the combination of work and rest. Participate in running, gymnastics, ball games and swimming and other sports activities, the nervous system has a good regulatory role, can promote the nervous system excitation and inhibition of the benign conversion, can make the patient's neurasthenia symptoms to be reduced or disappeared, so that the brain response is flexible, think fast, improve work efficiency.
Physical activity has the role of exercise and increase the function of the nervous system. Neurasthenia people to participate in physical exercise, in addition to should be in accordance with the amount of strength, progressive, comprehensive and persistent and other basic requirements, should pay extra attention to matters are: first, according to the individual's physical condition, the level of exercise, the severity of the disease, a strict grasp of the exercise load, generally moderate for the appropriate. Exercise in the middle to arrange appropriate rest, must not rely on the enthusiasm of the moment, practicing too long, too much, too fierce. Exercise after feeling refreshed, sleep improvement, you can see the effect of the day. Secondly, to choose a good time and place to exercise. Best in the morning or evening before, to the fresh air, quiet environment of the trees along the river. Not suitable for activities before bedtime, so as not to over-excitement, hindering sleep. Again, do some light organizing activities after exercise. Such as massage, foot washing, etc., in order to promote physical and mental peace and tranquility.
Second, the clinical manifestations of neurasthenia
Many patients with poor character traits before the disease: low self-esteem, sensitivity, suspicion, lack of self-confidence or biased subjectivity, impatience, winning the heart of the cut, and thus easy to lead to the life events of the relaxation of the regulation of the obstacles to the brain in the long term in the persistent tension and the onset of the disease. Most scholars believe that mental factors are the main cause of neurasthenia. All can cause continuous tension and long-term internal contradiction of some factors, so that the process of neural activity is strongly and persistently in a state of tension, more than the tolerance limit of the nervous system tension, can be onset. For example, excessive fatigue and no rest is the excessive tension of the excitation process; dissatisfaction with the present situation is the excessive tension of the inhibition process; frequent changes in the living environment and do not adapt to the central nervous system in excessive tension and fatigue. The cerebral cortex of the nerve cells have a fairly high tolerance, after intense mental labor, although fatigue, but a little rest or sleep can be restored, however, long-term intense tension state of neural activity, once beyond the limit of tolerance, may produce neurasthenia.
Three, how to diagnose neurasthenia
(a) Symptomatic criteria
1 meet the diagnostic criteria of neurosis;
2 to the brain and body function debilitating symptoms are mainly characterized by persistent and distressing mental fatigue (eg, feel no spirit of feeling slow, poor concentration or not lasting, poor memory, thinking efficiency decreased) and physical fatigue Fatigue, after rest or recreation can not be recovered, and at least two of the following:
(1) Emotional symptoms, such as worry, nervousness, irritability, etc., often related to the real life of the various contradictions, and feel that the difficulties are heavy, difficult to deal with. There may be anxiety or depression, but it is not predominant;
(2) excitatory symptoms, such as feeling mentally excitable (e.g., increased recall and association, mainly struggling with directional thoughts while non-directional thoughts are very active, pain and unhappiness due to difficulty in controlling them, but no increase in verbal movements. Sometimes sensitive to sound and light.
(3) Muscle tension pain (e.g. tension headache, limb muscle pain) or dizziness;
(4) Sleep disorders, such as difficulty in falling asleep, dreaming, waking up feeling unrelieved, loss of sleepiness, and disturbances in sleep-wake rhythms;
(5) Other psychophysiological disorders, such as dizziness and dizziness, ringing in the ears, panic attacks, chest tightness, abdominal bloating, dyspepsia, urinary frequency, excessive sweating , impotence, premature ejaculation or menstrual disorders.
(2) Severe criteria
The patient feels pain or seeks treatment on his own initiative because he obviously feels that his brain and body functions are weakened, which affects his social functions.
(C) Duration of the disease
It has been at least 3 months since the symptomatic criteria were met.
Four, neurasthenia how to differential diagnosis
Many cases diagnosed as neurasthenia in the past, in line with the current criteria for depression or anxiety disorders. For some cases, however, it is more appropriate to use the description of neurasthenia than any other neurotic syndrome. In adopting the diagnostic category of neurasthenia, depressive disorders and anxiety disorders should first be excluded. Early in the course of schizophrenia, patients may have symptoms similar to those of neurasthenia, but the sense of distress is not pronounced and the search for treatment is not strong. With the development of the disease and the emergence of psychiatric symptoms, it is not difficult to identify.
1. Schizophrenia
Schizophrenia early and remission can appear neurasthenia symptoms, but the patient's attitude towards their disease is indifferent to the urgent demand for treatment and have the corresponding psychotic symptoms can be identified;
2 depression
differential diagnosis is often very difficult, especially in patients with mild depression, is often misdiagnosed as neurasthenia. This is because depressed patients often suffer from insomnia, fatigue, lack of concentration, lack of spirituality, and various somatic complaints. The two types of symptoms are similar, physical examination are no corresponding positive signs, such as neglecting to check the patient's depressed mood often leads to misdiagnosis. Therefore, clinical diagnosis of neurasthenia must exclude depression. Depressed patients manifested as low mood, loss of pleasure, loss of interest in daily life, self-blame, self-guilt, often develop negative suicidal ideation. The patient's symptoms may show rhythmic fluctuations of morning heaviness and night weakness. Early awakening is a characteristic of sleep disorders in depression. The course of depression may have periodic remissions.
3Chronic fatigue syndrome
It is a group of disorders characterized by fatigue that cannot be resolved by rest. Syndrome lasting more than six months and not found to cause fatigue of medical or psychiatric diseases, often accompanied by low fever, sore throat, lymph node pain, muscle weakness, muscle pain, arthralgia, head swelling pain, persistent fatigue psychosomatic symptoms (such as irritability, forgetfulness, inattention, difficulty in thinking, depression, etc.), sleep disorders (manifested as excessive sleep or insomnia). Physical examination revealed low-grade fever (37.6C-38.6C), non-exudative pharyngitis and tenderness of swollen lymph nodes in the anterior and posterior cervical or pharyngeal isthmus. Objective signs such as low-grade fever, sore throat, enlarged lymph nodes and tenderness are helpful in differentiating it from neurasthenia.