ICD-10 describes Neurasthenia as having two or more of the following symptoms: persistent or distressing complaints of dyspepsia, dizziness, tension headaches, increased fatigue after mental effort, or of weakness/exhaustion after minimal effort.
Before diagnosing neurasthenia, it’s important to rule out other medical and psychiatric disorders that present with fatigue as well as this clearly ill-defined syndrome, as well as other syndromes that share this symptomatology.
Chronic fatigue syndrome is diagnosed in the absence of medical or other psychiatric disorder(s), though neuropsychiatric symptoms may be present. Chronic fatigue syndrome is characterized by profound fatigue (present at rest, and made worse by physical and mental effort), muscle pains, headache, sore throat, functional impairment, and non-specific soft signs, such as mild fever, mild lymphadenopathy.
Management
· Behavior therapy.
· Supportive psychotherapy.
· Drug treatment. Homoeopathy medicines.
HOMOEOPATHIC REMEDIES
ACONITUM NAPELLUS
Numbness in the arms and hands with formication, pricking, and tingling. Numbness, icy coldness, and insensibility of hands and feet. Extreme anxiety and fear of death. Creeping sensation as of insects over back, arms, and thighs. Painful stiffness in back and hip joint. Numb sensation extending into legs. Tensive, pressive pains in lumbar and sacral regions, on stepping.
AVENA SATIVA
This remedy will calm and strengthen the nerves if you have neurasthenia caused by mental exhaustion or a loss of body fluids, as well as if your brain is weak, tired, irritable, and gets excited easily.
KALI PHOSPHORICUM
Overworked nerves can become exhausted, resulting in deafness or noises in the ears, pressing headaches that can also keep you awake at night, poor memory, vertigo with weak vision, weak sight optic nerve exhaustion, and weakness in the extremities, bladder, and sexual organs.
LYCOPODIUM CLAVATUM
Hepatic derangement, weak digestion, a flatulent abdomen, poor memory, confusion of thought, sadness and depression, despair of salivation, tearful, aching pains in extremities, worse during rest and at night, a sweet tooth craving, and restless sleep are all symptoms of this condition.
NATRUM MURIATICUM
Appropriate for spinal neurasthenia. The small of the back feels paralyzed, especially when rising. Back feels broken, legs weak, trembling, worse in the morning. Feet heavy as lead. Bladder weak, troublesome dribbling or urine after a normal stool. Skin harsh, sallow, and dry. Mucous membranes dry, cracked, and glazed, with smarting and rawness or scanty, corrosive discharges. Mouth d
NUX VOMICA
Patients with irritable moods with a tendency to hypochondriasis, defective memories, low energy, patients with whom everything goes wrong, trifling illnesses are intolerable, dyspepsia, constipation, ineffective urging to micturate or defecate, numbness of limbs, constant pain in the small of the back, and trembling of limbs are just a few of the symptoms.
PHOSPHORIC ACID
This remedy is well suited to young rapidly growing people, especially in cases of depression and spermatorrhoea. Neurasthenia from persistent grief, mental over-exertion, sexual excesses, or any nervous strain on the body or mind. Indifference, apathy, and torpidity of body and mind. Burning in the spine and limbs.
PHOSPHORUS
Weakness, prostration, nervous debility, and trembling of the entire body. Weakness and exhaustion from loss of vital fluids. Irritability, weakness, and over-sensitivity to all impressions. The head is weak and the patient cannot think. Burning in small spots, better from rubbing. Weak legs with numbness and coldness. Weak sphincters.
PICRIC ACID
Brain fog, especially in businessmen who become depressed and weary from slight fatigue; mental inactivity; desire to be down and rest; even slight mental exertion results in exhaustion and headache; sexual irritability; in the morning, there is a tired aching in the lumbar region; the legs are heavy and weak with soreness of the muscles and joints.
SILICEA
Numbness in the toes, fingers, and back. Constipation. Exhausted after excitement, as long as the excitement lasts, they feel well, but when the excitement is over, the wretched feeling re-appears. Troublesome and persistent aching in neck muscles and occiput. Patient dreads any mental or physical exertion due to nervous exhaustion. Patient must warm up to his work in order to do anything.
ZINCUM METALLICUM
Consequences of exhausting diseases include neurasthenia with hyperaesthesia, stiffness and tension in the neck, tearing pains, burning along the entire spine, worse sitting, tearing, trembling, and lameness in limbs, great weakness, particularly in the lumbar region and bend of the knees, transfer of pains from one side to the other, and a propensity to convulsions from injuries to the spine, worse from climbing vines and twisting, better
ZINCUM PHOSPHORICUM
Darting pains from the forehead back to the occiput, businessmen’s brain fog, making them sluggish, pale, and depressed as well as anxious and worried.
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