Seven classic psychosomatic diseases

Psychosomatic diseases refer to physical illnesses in which psychological factors play an important role in the pathogenesis, mainly including seven typical types: primary hypertension, peptic ulcer, bronchial asthma, hyperthyroidism, neurodermatitis, rheumatoid arthritis, and migraine.

1. Primary hypertension

Long term mental stress and emotional fluctuations can lead to sustained excitation of the sympathetic nervous system, causing vasoconstriction and elevated blood pressure. Patients often experience symptoms such as dizziness and palpitations, and psychological intervention combined with antihypertensive drugs can significantly improve prognosis. Medications such as nifedipine and Captopril are commonly used in clinical practice to control blood pressure.

2. Peptic ulcer

Anxiety and depression can affect gastric acid secretion and mucosal defense function through the brain gut axis. The typical manifestation is periodic upper abdominal pain, and gastroscopy shows gastric or duodenal mucosal defects. Treatment requires the use of acid suppressing drugs and psychological counseling, with commonly used medications such as omeprazole and magnesium aluminum carbonate.

3. Bronchial asthma

Psychological stress can induce bronchospasm through vagus nerve reflex. Symptoms such as wheezing and chest tightness may occur during the attack, and pulmonary function tests show obstructive ventilation disorder. In addition to inhaled corticosteroids, biofeedback therapy can help reduce the frequency of seizures.

4. Hyperthyroidism

Major life events may trigger autoimmune reactions leading to excessive secretion of thyroid hormones. Patients often exhibit symptoms such as palpitations, weight loss, and irritability, and require the use of antithyroid drugs and psychological treatment. Commonly used methimazole regulates thyroid function.

5. Neurodermatitis

Long term anxiety and tension can cause a decrease in the skin's sensory threshold, forming a vicious cycle of itching and scratching. Commonly found in the neck, elbows, and other areas, with mossy skin lesions. Local use of corticosteroid ointment combined with cognitive-behavioral therapy has a better effect.

6. Rheumatoid arthritis

Psychological stress may exacerbate autoimmune reactions leading to joint synovitis. Morning stiffness and symmetrical joint swelling and pain are typical symptoms that require the use of immunosuppressive agents such as methotrexate. Relaxation training can alleviate joint pain symptoms.

7. Migraine

Emotional fluctuations are a common triggering factor, which is related to cerebral vasomotor dysfunction. Pulsatile headache may occur during the attack, accompanied by nausea and vomiting. Triptolide drugs can terminate seizures, and regular sleep patterns can help prevent recurrence.

Comprehensive intervention measures combining medication and psychological therapy are needed for psychosomatic diseases. Maintaining a regular schedule and moderate exercise can help regulate autonomic nervous system function, while learning relaxation techniques such as mindfulness meditation can effectively alleviate psychological stress. It is recommended that patients establish a healthy lifestyle, avoid overwork and emotional fluctuations, and regularly review relevant indicators. When symptoms continue to worsen, professional psychological support and medical assistance should be sought in a timely manner.