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English Nomenclature Disease Overview Etiology and Pathology Types of Disease Main Manifestations Common TypesEnglish
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NeurosisNomenclature
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Neurosis is a general term for a group of psychological disorders characterized by persistent psychological conflicts that are perceived or experienced by the patient as profoundly distressing and impairing his or her psychological or social functioning, but without any verifiable organic pathological basis.
Disease profile
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Neurosis, also known as neurosis, is also known as neurosis or psychoneurosis. It is a general term for a group of mental disorders, including neurasthenia, obsessive-compulsive disorder, agoraphobia, phobias, somatoform disorders, and so on. The descriptive definition of neurosis in China Classification and Diagnostic Criteria for Mental Disorders, Third Edition (CCMD-III): "Neurosis is a group of mental disorders mainly characterized by anxiety, depression, fear, obsessive-compulsive disorder, hypochondriacal symptoms, or neurasthenia. The disorder has some personality basis and the onset is often influenced by psychosocial (environmental) factors. Symptoms are not based on verifiable organic lesions and are not commensurate with the reality of the patient's situation, but the patient is distressed and powerless by the presence of symptoms, self-awareness is complete or basically complete, and the course of the disease is often prolonged. Various neurotic symptoms or combinations thereof may be seen in infections, intoxications, visceral, endocrine or metabolic and organic brain disorders and are called neurotic-like syndromes." Because scholars in various countries understand the aetiology of neurosis is not the same point of view, over the years the naming, concept, classification of the syndrome is more controversial. 1980 the American Psychiatric Association in the classification of psychiatric disorders deleted neurosis. Our scholars still believe that neurosis is an objectively existing clinical entity, and in CCMD-III will be divided into six subtypes of neurosis: anxiety disorders, phobias, neurasthenia, somatoform disorders, obsessive-compulsive disorders, and other or to be categorized neuroses. The ****similarities are ① the onset of the disease is often related to the quality and psychosocial factors; ② the existence of a certain personality basis, often self-perceived difficulty in controlling the consciousness or behavior that should be controllable; ③ the symptoms do not have no corresponding organic basis; ④ the social functioning is relatively intact, generally clear consciousness, good contact with reality, personality integrity, and no serious behavioral disorders; ⑤ there is generally no obvious or longer psychiatric symptoms.6 Course of the disease Longer, self-awareness intact, demand for treatment.
Neurosis is a common disease, the prevalence rate is quite high. WHO according to the countries and survey data projected: 5% to 8% of the population have neurosis or personality disorders, which is five times more than severe mental illness. The prevalence rate of 100 ‰ ~ 200 ‰ in Western countries, our country for 13 ‰ ~ 22 ‰. Neurosis is also one of the most common diseases in outpatient clinics.
Aetiology
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The pathogenesis of neurosis is unclear, and it is generally believed that the weakening of an individual's nervous system is associated with dysfunctional personality traits.
Types of disorders
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Neuroses are characterized by complex and varied symptoms, including headaches, insomnia, and memory loss; others include palpitations, chest tightness, and feelings of terror. It is characterized by the emergence of symptoms and changes related to mental factors. If there are patients with gastrointestinal neurosis, diarrhea occurs whenever there is emotional tension.
Main manifestations
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The main manifestation is a persistent psychological conflict, which is perceived or experienced by the patient and is y distressing and interferes with psychological or social functioning, but has no verifiable organic pathological basis.
And the conflict is often dealt with in an exaggerated or subconscious manner
The illness is persistent, with realistic judgment remaining normal.
Common types
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According to China's original CCMD-2R psychiatric diagnostic manual, common types include neurasthenia, anxiety neurosis, phobic neurosis phobic disorders, obsessive-compulsive disorders, depression phobic disorders, obsessive-compulsive disorders, depressive neuroses, hypochondriasis, and hysteria. However, in the Chinese Classification and Diagnostic Criteria of Mental Disorders (CCMD-3) published in April 2001, depressive neurosis and hysterical hypochondriasis were separated from neuroses and categorized separately, in which depressive neurosis was renamed as "bad state of mind" and was associated with depression, manic episode, bipolar disorder, cyclothymic disorder, and other disorders. disorder, bipolar disorder, cyclothymic disorder, and cyclothymic mood disorder, while dysthymia became a separate category, divided into dysthymic somatic disorder and dysthymic psychotic disorder (formerly known as "conversion disorder" and "dissociative disorder"). "). In addition, hypochondriasis has been downgraded to a subtype of somatoform disorder, along with somatization disorders, somatoform autonomic disorders, and somatoform pain disorders, which are classified as somatoform disorders in the classification of neurotic disorders. Thus, the current classifications of neurologic disorders are:
Neurosis, anxiety disorders, phobias, obsessive-compulsive disorders, somatoform disorders, and other or neurologic disorders yet to be classified
Neurosis has been used as a transitory diagnosis, and is seldom used in actual clinical practice. The following is a detailed description of the CCMD-3 classification of each specific neurological disorder:
43.1 Phobias (phobias) [F40 fear-anxiety disorders]
It is a neurological disorder characterized by excessive and irrational fear of external objects or situations. The patient knows that it is unnecessary, but still can not prevent fear attacks, fear attacks often accompanied by significant anxiety and autonomic symptoms. The patient tries to avoid the feared object or situation, or to endure it with fear.
[Diagnostic criteria]
1 Meet the diagnostic criteria for neurosis;
2 Fear is the mainstay of the disorder, with four of the following items being met:
1) Intense fear of some object or situation, with the degree of fear being disproportionate to the actual danger;
2) Anxiety and autonomic symptoms at the time of the attack;
3) Repeated or persistent avoidance behavior;
4) Fearfulness and fear of the object or situation; and
5) Fearfulness and fear of the object or situation. Avoidance behavior;
4 Knowing that the fear is excessive, irrational, or unnecessary but unable to control it;
3 Avoidance of the feared situations and things must be or have been a prominent symptom;
4 Anxiety disorders, schizophrenia, and hypochondriasis are excluded.
43.11 Place phobia [F40.0]
[Diagnostic criteria]
1 The diagnostic criteria for phobia are fulfilled;
2 The object of fear is mainly certain specific environments, such as plazas, closed rooms, dark places, crowded places, and means of transportation (e.g., crowded ship's cabins, train carriages), with one of the key clinical features of undue worry. There is no immediately available outlet when in the above situations;
3 Other fear disorders are ruled out.
43.12 Social phobia (social anxiety phobia) [F40.1]
[Diagnostic criteria]
1 The diagnostic criteria for phobias are met;
2 the object of the fear is mainly social situations (e.g., eating or talking in public *** occasions, meetings, conferences, or fear of behaving in an embarrassing manner on their own, etc.) and interpersonal contacts (e.g., contact with people in public *** occasions, fear of engaging in embarrassing behavior, etc.). **situations, fear of meeting the eyes of others, or fear of being scrutinized when opposite a crowd, etc.);
3 often accompanied by self-appraisal and fear of criticism;
4 other fear disorders are ruled out.
43.13 Specific phobias [F40.2 Specific (single) fear disorder]
[Diagnostic criteria]
1 Meets the diagnostic criteria for phobias;
2 The object of the fear is a fear of place and a fear of socialization does not include specific objects or situations, such as animals (e.g., insects, rats, snakes, etc.), heights, darkness, thunder and lightning, blood, traumas injections, surgery, or sharp and pointed objects;
3 Other fear disorders were ruled out.
43.2 Anxiety disorders [F41 other anxiety disorders]
are a type of neurosis characterized by anxiety. The two main types are panic disorder and generalized anxiety. Anxiety symptoms of anxiety disorders are primary, and any anxiety secondary to somatic diseases such as hypertension, coronary heart disease, and hyperthyroidism should be diagnosed as an anxiety syndrome. Anxiety accompanying other psychopathologic states such as hallucinations, delusions, obsessive-compulsive disorder, hypochondriasis, depression, and phobias should not be diagnosed as an anxiety disorder.
43.21 Panic disorder [F41.0]
It is a neurological disorder in which recurrent panic attacks are the main primary symptom. The attacks are not confined to any particular situation and are unpredictable. Panic attacks as a secondary symptom are seen in a number of different psychiatric disorders, such as phobic neurosis and depression, and should be differentiated from certain somatic disorders, such as epilepsy, heart attacks, and endocrine disorders.
[Symptomatic criteria]
1 Meet the diagnostic criteria for neurosis;
2 Panic attacks need to meet the following four items:
① No obvious trigger for the attack, no relevant specific situation, and the attack is unpredictable;
2 In the inter-episode period, there are no obvious symptoms, except the fear of having a second attack;
3 During the attack, there is strong fear, anxiety, and obvious symptoms. Fear and anxiety, and obvious autonomic symptoms, and often have personality disintegration, disintegration of reality, fear of dying, or a sense of loss of control and other painful experiences;
4 sudden onset of the seizure, quickly reach the peak of the seizure, the seizure of clear consciousness, can be recalled afterwards
[severity criteria] The patient is suffering because it is unbearable and can not be relieved, and the patient feels the pain.
[Criteria for duration of illness] At least 3 panic attacks within a 1-month period, or anxiety secondary to fear of further attacks lasting 1 month after the first attack.
[Exclusion criteria]
1 Exclusion of panic attacks secondary to other psychiatric disorders such as phobias, depression, or somatoform disorders;
2 Exclusion of panic attacks secondary to somatic disorders such as epilepsy, heart attack, pheochromocytoma, hyperthyroidism, or spontaneous hypoglycemia.
43.22 Generalized anxiety [F41.1]
Anxiety disorder characterized by a lack of clarity and specificity, predominantly worry and nervousness, with significant vegetative symptoms, muscle tension, and motor restlessness. The patient is distressed by the intolerable and unrelieved nature of the disorder.
[Symptomatic criteria]
1 Meet the diagnostic criteria for neurotic disorders;
2 Predominantly persistent primary anxiety symptoms with 2 of the following:
1) Frequent or persistent fear or agitation without a clear object or fixed content;
2) Associated with autonomic symptoms or motor restlessness.
[Severe Criteria] Impairment of social functioning, and the patient is distressed because it is intolerable and cannot be relieved.
[Duration of illness] Symptomatic criteria have been met for at least 6 months.
[Exclusion Criteria]
1 Exclude secondary anxiety of somatic diseases such as hyperthyroidism, hypertension, coronary artery disease;
2 Exclude anxiety associated with excitotoxic drug overdose, hypnotic and sedative medications, or withdrawal reactions to anxiolytics, obsessive-compulsive disorder, phobias, hypochondriasis, neurasthenia, mania, depression, or schizophrenia.
43.3 Obsessive-compulsive disorder [F42 Obsessive-compulsive disorder]
It refers to a neurological disorder in which obsessive-compulsive symptoms predominate, and is characterized by the coexistence of conscious self-obsession and counter-obsession, which are in strong conflict and cause anxiety and distress to the patient; the patient experiences ideas or impulses as originating from the ego but contrary to his or her own wishes, and is unable to control them despite strong resistance; the patient also realizes the abnormal nature of obsessive-compulsive symptoms but is unable to escape from them. The patient also realizes the abnormality of obsessive-compulsive symptoms, but is unable to get rid of them. The patient is also aware of the abnormality of obsessive-compulsive symptoms, but cannot get rid of them.
2 The patient claims that the obsessive-compulsive symptoms originate from within himself, and are not imposed by others or external influences;
3 The obsessive-compulsive symptoms recur repeatedly, and the patient finds them meaningless, and feels unhappy and even distressed, so he tries to resist them, but cannot do so.
[Severity criteria] Impaired social functioning.
[Duration criteria] Symptomatic criteria have been met for at least 3 months.
[Exclusion criteria]
1 Exclusion of obsessive-compulsive symptoms secondary to other psychiatric disorders, such as schizophrenia, depression, or phobias;
2 Exclusion of obsessive-compulsive symptoms secondary to organic brain disorders, especially basal ganglia lesions.
43.4 Somatoform disorder [F45]
It is a neurological disorder characterized by persistent worry about or belief in the predominance of various somatic symptoms. The patient's repeated visits to the doctor for these symptoms, negative medical tests of all kinds, and explanations by the doctor fail to dispel his or her misgivings. Even the presence of some kind of somatic disorder sometimes does not explain the nature and extent of the symptoms complained of, or their pain and dominant ideas. It is often accompanied by anxiety or depression. The patient often denies the presence of psychological factors, although the onset and persistence of symptoms are closely related to unpleasant life events, difficulties or conflicts. The disorder occurs in both men and women and has a chronic fluctuating course. Concern, but not delusion;
③ Repeatedly seeking medical treatment or requesting medical examination, but negative test results and reasonable explanations by doctors fail to dispel their doubts.
[Severe criteria] Impaired social functioning.
[Duration Criteria] It has been at least 3 months since the symptom criteria were met.
[Exclusion Criteria] Other neurotic fear disorders (e.g., hypochondriasis, anxiety, panic disorder, or obsessive-compulsive disorder), depression, schizophrenia, and paranoid psychosis were excluded.
[Note] This disorder is sometimes comorbid with the presence of some somatic disorder, and care must be taken to avoid missing the diagnosis.
43.41 Somatization disorder [F45.0]
It is a neurological disorder that is characterized by a wide variety of frequently changing somatic symptoms. Symptoms may involve any system or organ of the body, the most common being gastrointestinal disturbances (e.g., pain, hiccups, acid reflux, vomiting, nausea, etc.), abnormal skin sensations (e.g., itching, burning, tingling, numbness, soreness, etc.), and skin blotchiness. Sexual and menstrual complaints are common, and there is often marked depression and anxiety. It is often a chronic fluctuating course, often accompanied by severe and long-standing disturbances in social, interpersonal and family behavior. It is much more common in women than in men and tends to develop in early adulthood.
[Symptomatic criteria]
1 Meet the diagnostic criteria for somatoform disorders;
2 Be dominated by a wide variety of recurrent, frequently changing somatic symptoms, with at least 2 of the following 4 groups of symptoms ****6:
① Gastrointestinal symptoms, such as: abdominal pain; nausea; bloating or flatulence; insipidness of the mouth or a coated tongue; vomiting or retching (b) gastrointestinal symptoms such as: abdominal pain; nausea; bloating or flatulence; tasteless mouth or thick tongue; vomiting or regurgitation; frequent, loose, or watery stools;
(c) respiratory and circulatory symptoms such as: shortness of breath; chest pain;
(d) genitourinary symptoms such as: dysuria or frequency of urination; discomfort in or around the genitals; and abnormal or profuse vaginal discharge;
(d) skin symptoms or pain such as: scars; pain, numbness, or tingling in the limbs or joints;
3 Physical examination p>
3 Physical examination and laboratory tests fail to reveal evidence of a somatic disorder that can be reasonably explained by the severity, variability, persistence, or secondary impairment of social functioning of the symptoms;
4 The predominant conception of the above symptoms causes the patient distress, and he or she continually seeks medical attention, or requests a variety of tests, but negative test results and reasonable explanations by the physician fail to dispel his or her misgivings;
5 If symptoms of hyperactivity of the autonomic mind are present but not predominant .
[Severity Criteria] Often accompanied by severe and persistent impairment in social, interpersonal and family behavior.
[Duration criteria] Symptoms and severity criteria have been met for at least 2 years.
[Exclusion Criteria] Schizophrenia and its related disorders, psychotic disorders, adjustment disorders, or panic disorders were excluded.
43.42 Undifferentiated somatoform disorder [F45.1]
[Diagnostic Criteria]
1 Complaints of somatic symptoms are characterized by diversity and variability, but there is insufficient typicality of what constitutes a somatization disorder to warrant consideration of this diagnosis;
2 The baseline criteria for a somatization disorder are met except that the duration of the illness is shorter than 2 years.
43.43 Hypochondriasis [F45.2 Hypochondriacal Disorder]
It is a neurological disorder characterized by a persistent predominant concept of fear or belief in a serious somatic disease, in which the patient's repeated visits to a physician because of this symptom, the negativity of a variety of medical tests, and the physician's explanations fail to dispel his/her misgivings. Even if the patient sometimes has some kind of physical disorder, it does not explain the nature and extent of the symptoms complained of, or the patient's suffering and dominant ideas, often accompanied by anxiety or depression. Doubts or dominant ideas about physical deformities (although insufficiently based) also belong to this disorder. The disorder occurs in both sexes, has no obvious family characteristics (unlike somatization disorder), and often has a chronic fluctuating course.
[Symptomatic criteria]
1 Meet the diagnostic criteria for neurotic disorders;
2 Have at least 1 of the following predominantly hypochondriacal symptoms:
1) Excessive worry about somatic illnesses, the severity of which is clearly disproportionate to the reality;
2) Hypochondriacal explanations of health conditions such as commonly occurring physiological phenomena and abnormal sensations, but not delusion;
3 a solid conception of the suspicion of illness, which lacks foundation but is not delusional;
3 repeated visits to the doctor or requests for medical examination, but negative results and reasonable explanations by the doctor have failed to dispel his or her suspicions.
[Severe Criteria] Impaired social functioning.
[Duration Criteria] It has been at least 3 months since the symptom criteria were met.
[Exclusion Criteria] Exclusion of somatization disorder, other neurotic disorders (e.g., anxiety, panic disorder, or obsessive-compulsive disorder), depression, schizophrenia, and paranoid psychosis.
43.44 Somatoform autonomic disorder [F45.3]
It is a neurologic-like syndrome resulting from somatic disorders of organ systems primarily innervated by autonomic nerves (e.g., cardiovascular, gastrointestinal, respiratory). The patient in the autonomic excitation symptoms (such as palpitations, sweating, flushing, tremor) based on the occurrence of non-specific, but more individual characteristics and subjective symptoms, such as the site of variable pain, burning, heaviness, tightness, swelling, after examination of these symptoms can not be proved that the organs and systems involved in the occurrence of somatic disorders. The disorder is thus characterized by marked autonomic involvement, nonspecific symptoms attached to subjective complaints, and insistence on attributing symptoms to a particular organ or system.
[Diagnostic criteria]
1 Fulfillment of the diagnostic criteria for somatoform disorders;
2 Signs of autonomic arousal in at least 2 of the following organ systems (cardiovascular, respiratory, esophageal and gastric, lower gastrointestinal, and genitourinary):
① Palpitations;
② Sweating;
③ Dry mouth;
④ fever or flushing of the face;
3 at least one of the following symptoms complained of by the patient:
① chest pain or discomfort in the precordial region;
② dyspnea or hyperventilation;
③ excessive fatigue with slight exertion;
④ gulping of air, eructation, and a burning sensation in the chest or epigastric region;
⑤ epigastric discomfort or a sensation of stomach turning or stirring;
4 gulping of air, eructation, and a burning sensation in the chest or epigastric region;
5 epigastric discomfort or stomach turning or stirring sensation;
6 increased frequency of bowel movements;
7 frequent urination or difficulty in urination;
8 a feeling of swelling, distension, or heaviness;
4 there is no evidence of structural or functional disturbances in the organ system(s) of the patient's concern.
5 Not exclusively seen in fear disorder or panic disorder episodes.
The organ or system considered by the patient to be the origin of the symptom is indicated by the 5th digit code:
43.441 Dysfunction of the cardiovascular system [F45.30]
Includes cardiac neuroses, neurocirculatory weakness, and DaCosta syndrome.
43.442 High gastrointestinal dysfunction [F45.31]
Includes cardiac aerophagia, ergotism, gastric neurosis.
43.443 Low gastrointestinal dysfunction [F45.32]
Includes psychogenic provocation syndrome, psychogenic diarrhea, and flatulence syndrome.
43.444 Respiratory disorders [F45.33]
Includes hyperventilation.
43.445 Dysfunction of the genitourinary system [F45.34]
Includes psychogenic dysuria and dyspareunia.
43.45 Persistent somatoform pain disorder [F45.4]
It is a persistent, severe pain that cannot be rationally explained by physiologic processes or somatic disorders. Emotional conflicts or psychosocial problems directly contribute to the onset of pain, and on examination no corresponding complaining somatic lesion is found. The course of the disease is prolonged, often lasting more than 6 months, and impairs social functioning. The diagnosis requires the exclusion of pain assumed to be psychogenic during the course of depression or schizophrenia, somatization disorders, and associated somatic disorders with pain confirmed by examination.
[Symptomatic criteria]
1 Fulfillment of the diagnostic criteria for somatoform disorders;
2 Persistent, severe pain that cannot be rationally explained by physiologic processes or somatic disorders;
3 Emotional conflicts or psychosocial problems directly contributing to the onset of the pain;
4 Failure to detect on examination the somatic lesion that corresponds to the chief complaint.
[Severe Criteria] Impaired social functioning or difficulty in getting rid of the mental suffering that initiated the treatment.
[Duration of illness] Symptomatic criteria have been met for at least 6 months.
[Exclusion Criteria]
1 Exclusion of associated physical illness and pain on examination.
2 Exclusion of schizophrenia or related disorders, psychotic disorders, somatization disorders, undifferentiated somatoform disorders, and hypochondriasis.
43.49 Other or to be classified somatoform disorders [F45.8; F45.9]
43.5 Neurasthenia [F48.0]
means a neurological disorder characterized by weakening of cerebral and somatic functioning, characterized by a tendency to be easily aroused but easily fatigued, and manifested by affective symptoms of nervousness, annoyance, and irritability and by symptoms of physiological dysfunction such as tense muscular pain and sleep disorders. It is characterized by emotional symptoms such as nervousness, worry and irritability, and physiological dysfunction such as muscle tension pain and sleep disorders. These symptoms are not secondary to somatic or cerebral disorders, nor are they part of any other mental disorder/most often have a slow onset, and often have been present for several months at the time of diagnosis, and can be traced back to the stressors that led to the prolonged mental tension and fatigue. Occasionally, insomnia or headaches may start suddenly with no apparent cause. The course of the disease is continuous or waxes and wanes. In recent centuries, the concept of neurasthenia has gone through a series of changes, with the change in doctors' understanding of neurasthenia and a variety of special syndromes and subtypes of separation, in the United States and Western Europe has not this diagnosis, the CCMD-3 working group field test proved that the diagnosis of neurasthenia in our country is also significantly reduced.
[Symptom criteria]
1 Meet the diagnostic criteria for neurosis;
2 Have predominantly debilitating symptoms of cerebral and somatic functioning characterized by persistent and distressing mental fatigability (e.g., a feeling of lack of energy, self-perceived slowness of the brain, inattentiveness or lack of persistence of attention, poor memory, and decreased efficiency of thinking) and physical fatigability, which are not recovered by rest or recreation, and have at least At least two of the following:
1) Emotional symptoms, such as worry, nervousness, irritability, and so on, are often related to various conflicts in real life, and it is difficult to cope with them. There may be anxiety or depression, but not predominant;
② excitability symptoms, such as feeling mentally excited (such as memories and associations increased, mainly to directional thinking, but non-directional thinking is very active, due to the difficulty in controlling the pain and unhappiness), but there is no increase in verbal movement. Sometimes sensitive to sound and light;
3) Muscle tension pain (such as tension headache, limb muscle pain) or dizziness;
4) Sleep disorders, such as difficulty in falling asleep, dreaming, waking up feeling unrelieved, loss of sleepiness, sleep-wake rhythm disorder;
5) Other psychophysiological disorders. Such as dizziness, tinnitus, panic, chest tightness, abdominal distension, indigestion, frequent urination, excessive sweating, impotence, premature ejaculation, or menstrual disorders;
[Serious Criteria] The patient feels pain or takes the initiative to seek treatment for the obvious feeling of weakening of cerebral and somatic functions, which affects his social functions.
[Duration of disease] The patient has met the symptomatic criteria for at least 3 months.
[Exclusion Criteria]
1 Exclude any of the above subtypes of neurosis;
2 Exclude schizophrenia and depression.
[Description]
1 Neurotic symptoms that are seen in other subtypes of neurosis, only other corresponding types of neurosis should be diagnosed;
2 Neurotic symptoms are commonly seen in a variety of organic brain disorders and other somatic disorders, in which case the diagnosis should be made as a neurasthenic syndrome of these disorders.
43.9 Other or neurotic disorders to be classified [F48 Other neurotic disorders]
[Diagnostic Criteria]
1 A condition in which the patient complains of symptoms that are not primarily mediated through the autonomic nervous system and are confined to a specific system or part of the body;
2 A condition that is temporally closely related to a stressful event or to the difficulties and problems presently being faced and that is Complaints of significantly increased (interpersonal or medical) attention to the patient, such as pain, swelling, ants in the skin, and sensory abnormalities (tingling or numbness);
3 Examinations that indicate that they are not the result of a physical illness;
4 Various forms of dysphagia, such as dysphagia caused by a choking sensation in the pharynx, and psychosomatic strabismus and other spasticity disorders (not including Tourette's syndrome and other tic disorders of childhood or adolescence); psychogenic pruritus (excluding specific skin lesions, such as pemphigus, dermatitis, eczema, or psychogenic urticaria); and psychogenic dysmenorrhea (excluding painful sexual intercourse or dyspareunia, etc.), are also classified in this category.
Chinese medicine's diagnostic and therapeutic concepts of neurosis:
Identification of qi and yin deficiency.
The treatment is to harmonize blood and promote yang, replenish heart qi, nourish and nourish the heart and spirit, and calm the mind.
The formula is Yi Xin Ding Zhi Tang.
Composition: 10 grams of Angelica sinensis, 12 grams of Radix Salviae Miltiorrhizae, 5 grams of Sandalwood, 3 grams of Fructus Ziziphi, 6 grams of Jujube Seed, 6 grams of Fructus Ziziphi, 5 grams of Schizandra chinensis, 6 grams of Platycodon grandiflorus, 12 grams of Calcined Oyster.
Methods water decoction, 1 dose per day, twice a day.
Origin Gengfu Fang
.