Sluggish

Introduction The main manifestation of sluggishness is mental weakness. Neurasthenia is a common neurological disorder. Patients often feel mental and physical weakness, are prone to fatigue, work inefficiency, dull eyes, often have headaches and other physical discomforts and sleep disorders, but there is no device. A qualitative lesion exists. The main symptoms of neurasthenia are: fatigue, excitement, sleep disorders, mood disorders, tension pain and autonomic dysfunction.

Cause

Neurasthenia is mainly caused by various reasons for the weakening of the inhibition process in the cerebral cortex. Because the internal inhibition process is late in the development of human race and the excitatory process of individual occurrence, it is relatively fragile. When the high level of nervous activity is excessively tense or even dysfunctional or accompanied by other harmful factors (such as other diseases of the body), it is not only It is vulnerable and often the first to suffer damage, manifested as an early stage in which the process of excitement is relatively advanced, ie, neurasthenia.

At this time, the patient's self-control ability is reduced, and some emotional and emotional reactions that can usually be controlled should be out of control, such as; irritability, instability, sluggishness, etc. Excitatory release increases the energy consumption of nerve cells and, in addition, exacerbates the excitement of high-level neural activity. In addition, due to the weakening of the internal inhibition process, the nerve cell recovery ability is reduced, resulting in a decrease in nerve cell energy and depletion. Therefore, clinically, patients are prone to excitement and are exhausted.

an examination

Related inspection

Nervous system examination of blood routine routine cerebrospinal fluid iron

1. There are psychosocial factors that cause excessive brain activity.

2. Has a susceptibility or character.

3. Clinical symptoms are easy to be excited, mental fatigue is easy, headache, sleep disorders, secondary anxiety.

4. The course of disease is at least 3 months, with repeated fluctuations or prolonged characteristics. Each time the disease fluctuates more than the mental factors.

5. Comprehensive physical examination, including neuropsychiatric examinations or other necessary examinations, can indeed exclude other physical illnesses or early mental illness.

Differential diagnosis

1. Brain organic and physical diseases

Symptoms of neurasthenia are common in various brain organic diseases such as cerebral arteriosclerosis, intracranial lesions, intracranial infections, and brain injury; various acute and chronic industrial poisoning; and various chronic physical diseases such as tuberculosis , ulcer disease, chronic hepatitis, sinusitis, thyroid and adrenal diseases. If the neurasthenia symptoms occur after the above diseases, the corresponding brain or physical diseases should be diagnosed.

2. Severe psychosis

Symptoms of neurasthenia can be seen in the early, intermediate, and remission phases of severe psychosis such as schizophrenia and depression. Such patients may have symptoms of neurasthenia in the early stage, often do not actively care about their own health, do not actively ask for treatment, and have corresponding psychotic symptoms, which can be identified.

3. Other neurotic disorders

Symptoms of neurasthenia are also common in anxiety disorders, dysthymia, somatization disorders, and suspected illnesses. If the patient has typical symptoms of this type of disease, the principle of diagnosis based on grades is no longer diagnosed as neurasthenia, but diagnosed as various corresponding diseases.

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