The interesting but confusing phenomenon of neurasthenia and chronic fatigue syndrome

Abstract

The term ‘neurasthenia’ is rather confusing, particularly for the Chinese. It has undergone metamorphosis, and is nowadays characterised by unexplained persistent physical symptoms especially chronic fatigue. It is a common presentation to primary care doctors, and these patients are frequent consumers of health care services of various types. There is a high association with psychological distress and other psychiatric disorders have to be ruled out in order to reduce confusion. Treatment is rather non-specific, though antidepressants and/or cognitive-behavioural therapy can be quite effective. The author recommends that the term ‘eurasthenia’ be used as a layman term while communicating with the patient, but to use ‘chronic fatigue syndrome’ as a medical terminology when corresponding with other colleagues.