1) Special prescriptions for specific diseases 1. Antiperspirant drink is suitable for localized hyperhidrosis syndrome. Medicinal: 30g each of calcined keel bone, calcined oyster, and jujube, 25g each of astragalus, 20g each of dangshen and white peony root, 10g each of cinnamon twig, schisandra, and ginger, and 5g of roasted licorice. 25 cases were treated, 21 cases were clinically cured (symptoms disappeared and did not recur within 1 year), 3 cases were markedly effective (symptoms disappeared and relapsed within 1 year), and 1 case was effective (symptoms were significantly relieved). (Li Zhiwen, Zhang Huiyun. 25 cases of localized hyperhidrosis treated with Zhihan Yin. Hubei Journal of Traditional Chinese Medicine, 1996<3>: 44) 2. Guizhi plus Longmu Decoction treats sweating caused by deficiency of yin and yang, loss of yin and yang, and loss of balance between yin and yang. Use Guizhi Decoction to combine yin and yang to regulate the yin and yang; the dragon bone and human heart, and the oysters enter the kidneys to communicate with the heart and kidneys, and the yang is consolidated and the yin is maintained. It is believed that the optimal ratio of cinnamon twig to white peony root in the prescription is 1:2. If the ratio is the same or the dosage of cinnamon twig exceeds that of white peony root, the antiperspirant effect will be poor. (Shi Hongrui. Guizhi plus Longmu Decoction treats sweating syndrome. Shanghai Journal of Traditional Chinese Medicine, 1992<9>: 21) Hu Yibao believes that excessive sweating in children during sleep is caused by Yin and Yang, imbalance of Ying and Wei, failure of Wei to consolidate the surface, and imbalance of Ying and Wei. Therefore, Guizhi plus Longmu Decoction was used to reconcile Yingwei and Yin and Yang, and 56 cases were treated. Among them, 15 cases were treated with conventional treatments (oryzanol, vitB1, vitB2, glutamic acid, etc.). When ineffective, Guizhi plus Longmu Decoction was used. . In the conventional group, 2 cases were improved and 13 cases were ineffective, while in the Guizhi plus Longmu Decoction group, 38 cases were cured, 10 cases were improved, and 5 cases were ineffective. There was a significant difference in the efficacy between the two groups. (Hu Yibao. Guizhi plus dragon bone and oyster decoction to treat sleep-induced hyperhidrosis in children. Henan Traditional Chinese Medicine, 1991<5>: 26) 3. Buyang Huanwu Decoction is used to replenish qi and activate blood circulation, and is used to treat sweating syndrome caused by qi deficiency and blood stasis. In the prescription, 30g of astragalus is used, and 60-80g can be added if necessary, along with peach kernels, safflower, chuanxiong, bupleurum, keel, and oysters. It is effective for chronic sweating diseases that cannot be cured for a long time. Seven cases were treated and all achieved satisfactory results. (Zhao Mei. Modified and subtracted Buyang Huanwu Decoction to treat sweating syndrome. Jiangsu Traditional Chinese Medicine, 1993(12):38) 4. Xinjia Longyu Antiperspirant Decoction Yu Haomin intends this prescription to be used to treat systemic hyperhidrosis caused by rheumatic heart disease, pulmonary heart disease, myocarditis and arrhythmia. Choose 30-60g each of raw dragon fruit, 30-60g cornus, 30g polygonum multiflorum, 20g jujube kernel, 20g astragalus, 20g golden cherry, and 15g black plum. It is effective after treatment, usually after taking 2 to 3 doses. (Yu Haomin. Xinjia Longyu Antiperspirant Decoction for the treatment of heart disease and hyperhidrosis. Journal of Traditional Chinese Medicine, 1988<2>: 58) 5. Pig Hoof A Decoction is used to treat spontaneous sweating syndrome where the Wei Qi is not solid and the Yin is not guarded internally. It is effective in both mild and severe cases. The prescription contains Astragalus membranaceus, Codonopsis pilosula, floating wheat, oyster, Schisandra chinensis, Rehmannia glutinosa, dogwood, and pig's hoof nail. 25 cases were treated, 20 were cured, and the spontaneous sweating in the other 5 cases was significantly reduced. The effect was often evident 2 to 3 doses after taking the medicine, and the cure rate reached 80%. (Lu Xi, Huang Bingjun. Observation on the efficacy of Zhuhojia Decoction in the treatment of 25 cases. Fujian Traditional Chinese Medicine, 1989 (6): 24) 6. This prescription of Jiuwei Decoction can dispel accumulated heat in the spleen and stomach and clear away the fire in the heart and liver. It is used to treat sweating syndrome in children, which is characterized by sweating during sleep and stopping after waking up. The sweating parts are pillow, chest, neck, back, chest and breast line. Sweating from the back to the shoulder blades, yellow face, thin and straight hair, gray eyelids, yellow triangular area of ??the face, gray around the lips, hot palms and soles, eyes exposed when sleeping, thin white or yellow coating, thirsty and fond of cold drinks , just do it. Medicinal use: 10g each of mulberry leaves, scrophulariaceae, Ophiopogon japonicus, white peony root, and angelica root, 6g ebony plum, 3g schisandra chinensis, 10g trichosanthin, and 6g licorice were used to treat 50 cases. The results were 32 cases markedly effective, 17 cases effective, and 1 case ineffective. (Zhang Xiaoping. 50 cases of sweating syndrome in children treated with Jiuwei decoction. Liaoning Journal of Traditional Chinese Medicine, 1992<9>: 31) (2) Single Chinese medicine 1. Agrimony Dingfu guarantees that Agrimony is effective in treating night sweats. The dosage increases or decreases according to the condition. Generally, each dose requires 30 to 50g and 5 to 15 jujubes; in severe cases, up to 90g of Agrimony and 30 jujubes are needed before taking it. effect. (Pang Guoming, Yan Guojie, Fan Sixing. Overview of research on new clinical uses of Agrimony. Traditional Chinese Medicine Information, 1991<5>: 22) Li Shengping mainly used Agrimony to treat various stubborn sweating syndromes: Agrimony with Atractylodes atractylodes is used to treat spontaneous sweating, Salvia miltiorrhiza is used to treat night sweats, Huodan is used to treat sweating in the head, and Astragalus is used to treat sweating in the whole body. (Li Shengping, Yu Yunxing. Written discussion on Agrimony. Journal of Traditional Chinese Medicine, 1992<9>: 5) 2. Fu Zi Zhong Xinshan believes that yin is abundant inside and yang floats outside. Night sweats caused by forced fluid leakage can be used to induce fire and return to the original source to treat tuberculosis night sweats. Take 12g of Yanfu Tablets, 5g of cinnamon and Schisandra chinensis, 10g of cornus, raw Astragalus 20g, take 1 dose and the night sweats will stop. (Zhong Xinshan. Aconite can cure night sweats. Journal of Traditional Chinese Medicine, 1992<11>: 6) 3. Lu Zhenqing of mulberry leaf believes that night sweats are caused by internal burning of deficiency fire, forced fluid leakage, damage to yin and transformation of dryness, resulting in excessive deficiency of yang. Mulberry leaves can replenish yin and supplement yang. Mix it with rice to drink sweet and neutral, and help mulberry leaves to replenish yin and moisturize dryness. Strength, and roast it into powder, use the burnt aroma to benefit the stomach, so that the wind is extinguished and the fire is calm, the deficient yang is hidden, and the sweat pores self-close. (Lu Zhenqing, Lu Shiping. Analysis of mulberry leaves to stop deficiency sweat and evil sweat. Journal of Traditional Chinese Medicine, 1988<8>: 639) 4. Ephedra root: Divide ephedra root and peppercorns into powder, take 3g each time, 2 times a day.
(Chen Guiting, Yang Sixu. Practical Diagnosis and Therapeutics of Integrated Traditional Chinese and Western Medicine. Beijing: China Medical Science and Technology Press, 1991.820) 5. Dried kudzu: Divide alum and dried kudzu into equal parts and use 60g decoction each time to wash hands and feet to treat sweaty hands and feet. (Chen Guiting, Yang Sixu. Practical Diagnosis and Therapeutics of Integrated Traditional Chinese and Western Medicine. Beijing: China Medical Science and Technology Press, 1991.820) Research on Syndrome Differentiation and Treatment of Spontaneous Hyperhidrosis Zhang Yuqing divided spontaneous sweating into 3 types: Damp and heat accumulation, forced fluid leakage Types: Medicinal talc, Poria cocos, Alisma, Polyporus, Coix seed, Coix seed, Tongcao, Scutellaria baicalensis, tangerine peel, Pinellia ternata, agarwood, wheat, loquat leaves, Digu bark, Guizhi, can remove dampness and heat and stop sweating; For gallbladder and phlegm-heat type: add or subtract Wendan Decoction; for qi deficiency and steaming type: use medicinal ginseng, Atractylodes, Poria, Polyporus, Alisma, Citrus aurantium, tangerine peel, Patchouli, cardamom to strengthen the spleen and remove dampness. (Yang Yuhe. Analysis of Zhang Yuqing's case of treating sweating. Journal of Gansu College of Traditional Chinese Medicine, 1993 (2): 5) Chai Kequn et al. discussed the treatment from three aspects: dampness, blood stasis, and phlegm: If the dampness evil does not change and the sweat comes from sleep, if the dampness evil is present, On the outside, use Sanren Decoction to unblock qi, dispel dampness and clear away heat; if dampness is inside, it should be treated by strengthening the spleen and diluting dampness, and you can choose Wuling San, Linggui Zhugan Decoction, etc.; dampness can transform heat, If dampness and heat accumulate in steam, add or subtract Yinchen Wuling Decoction, Daochi Powder, etc. to clear away heat and reduce dampness. For those with blood stasis and pulse obstruction, body fluid overflow, or qi deficiency and blood stasis, a modified version of Buyang Huanwu Decoction can be used to replenish qi, activate blood circulation, and remove blood stasis and dredge collaterals; for yang deficiency and stasis, treatment should be to warm yang stagnation and remove blood stasis and dredge collaterals. , the prescription is Shenfu Decoction combined with Xuefu Zhuyu Decoction; for yin deficiency and blood stasis, add or subtract Guanjian combined with Xuefu Zhuyu Decoction, which can nourish yin, activate blood circulation and remove blood stasis. Water transport is stagnant and body fluids are leaking. For those with qi stagnation transforming fire and liquid refining into phlegm, use Wendan Decoction to resolve phlegm and clear away heat; for those with phlegm-damp accumulation and spleen failure to strengthen the phlegm and saliva, use the method of drying dampness, resolving phlegm, and regulating qi. For harmony, use Erchen Decoction. Chai Kequn, Wang Deyu. Dampness, blood stasis, phlegm and sweat syndrome. Journal of Traditional Chinese Medicine, 1995 (11>: 667) Zhang Zhenhui analyzed 23 patients with half-body sweating and divided them into 5 types: Yangming heat-excessive type: treatment should be to clear and purge Yangming evil heat, and the syndrome should be modified with Baihu decoction. , Fu syndrome should be modified with Chengqi Decoction, and syndrome with combined fu organs should be modified with Baihu Chengqi Tang; Liver meridian stagnation and heat type: treat with nourishing yin and clearing heat, nourishing blood and soothing the liver, and choose Danzhi Xiaoyao Powder with modification; Yin deficiency internal heat type : Add or subtract Liuwei Dihuang Pills to nourish yin and clear away heat; For Qi and blood deficiency type: To replenish qi and nourish nutrition, to support Yang and strengthen the defense, add or subtract Bazhen and Shiquan Dabu Decoction; For Yang Qi deficiency type: choose Gui Fuli Add mud to the middle soup to warm yang and replenish qi. Among them, 21 cases were cured and 2 cases were effective. (Zhang Zhenhui. Syndrome differentiation and treatment of half-body sweating. Journal of Traditional Chinese Medicine, 1993<2>: 740) Research on the etiology and pathogenesis of spontaneous hyperhidrosis. Traditional Chinese medicine believes that spontaneous sweating is mostly due to qi deficiency, while night sweats are due to yin deficiency and internal heat. However, in later generations, Doctors are not limited to this statement. Xu Shanyuan believes that spontaneous sweating is not all caused by yang deficiency, but also by yin deficiency. Spontaneous sweating by yin deficiency can be caused by deficiency of both lungs and kidneys or insufficient liver yin and excessive liver yang. (Xu Shanyuan. Differentiation of spontaneous sweating due to yin deficiency and night sweats due to yang deficiency. Journal of Zhejiang College of Traditional Chinese Medicine, 1983(6): 8) Based on clinical practice, Ma Juli and others believe that night sweats are not all due to yin deficiency, qi deficiency, loss of qi, yang loss of solidification, dampness and heat Fumigation, excessive blood heat, internal obstruction of dampness, stagnation of heat, spleen and kidney deficiency, qi and yin deficiency, etc. can all cause night sweats. (Ma Juli, Yan Huifang. Night sweats are not all Yin deficiency. Shaanxi Correspondence Teaching of Traditional Chinese Medicine, 1994 (1): 1) Modern doctors mostly believe that the pathogenesis of this disease should be caused by dampness, phlegm, and blood stasis. Chai Kequn combined with the physiology of sweating and believed that sweat syndrome is caused by the invasion of dampness evil, causing qi stagnation and loss of catharsis. If dampness evil is on the outside, Weiyang will be trapped, Qi transformation will fail, and the Yingwei will be out of balance. Ying will be in the inside. The triple burner is trapped by dampness, and the Yingwei is blocked. If the dampness evil turns into heat over time, sweating will increase. Blood stasis can also cause sweating. Blood stasis will lead to imbalance of Qi and blood circulation, abnormal distribution of body fluids, resistance to the outside, and opening and closing. Loss of the Si will result in excessive sweating, dysfunction of the Qi transformation of the lungs, kidneys, and spleen, which will affect the normal compressing and excretion of body fluids, resulting in phlegm. Turbid phlegm will also affect the normal operation of the Yingwei Qi. Loss of solidity outside the Wei, and leakage of body fluids will result. For sweat certificate. (Chai Kequn, Wang Deyu. Syndrome of dampness, blood stasis, phlegm and sweating. Journal of Traditional Chinese Medicine, 1995(11): 667) Li Furen, a veteran Chinese medicine practitioner, believes that blood stasis and phlegm block the meridians, and poor circulation of qi and blood can cause excessive sweating. (Liu Yi. Li Furen's medical treatment case. Journal of Traditional Chinese Medicine, 1993<5>: 275) Hu Mingcan blamed the spleen and lungs for the location of this disease. He believed that the spleen is the source of phlegm, and the lungs are the organ for storing phlegm. Spleen disease When it reaches the lungs, if the opening and closing of the lungs are unfavorable, the lungs will lose their firmness and cause excessive sweating like stains. (Hu Mingcan. Examples of modified methods of treatment. Journal of Traditional Chinese Medicine, 1992 (6): 38) Li Hongxiang, an old Chinese medicine doctor, believes that the location of spontaneous sweating is in the kidneys. Due to the deficiency of kidney qi, the distribution of body fluids is abnormal and sweating continues. (Zhang Xiaochun. Li Hongxiang treats spontaneous sweating with the method of nourishing the kidneys and diluting water. Beijing Traditional Chinese Medicine, 1993<6>: 10) Hu Zhen believes that the location of night sweats is in the kidneys. The heart fire is only hyperactive and the heart and kidneys are not communicating, which can force fluid to overflow and cause night sweats. Kidney qi deficiency can cause night sweats. If yang and fire are weak and water and fire are not harmonious, night sweats will not stop; if kidney deficiency is not resolved, qi transformation is unfavorable, and loss of opening and closing can also cause body fluids to overflow and cause night sweats. (Hu Zhen. Experience in treating night sweats and kidneys. Zhejiang Journal of Traditional Chinese Medicine, 1989<12>: 542) The etiology and pathology of spontaneous hyperhidrosis 1. The etiology and pathology of Western medicine Innervated by sympathetic postganglionic fibers. Facial sweating is controlled by the superior cervical ganglion of the sympathetic nerve, while sweating of the upper, lower limbs and trunk is controlled by the inferior cervical ganglion, thoracic ganglion and lumbar ganglion. The high-level sweating centers are in the cerebral cortex, hypothalamus, oblongata and spinal cord. .
Spontaneous hyperhidrosis is an abnormal increase in sweating under non-physiological conditions, and the cause is mostly unknown.
Certain organic diseases of the nervous system, such as thalamus, internal capsule, striatum, brainstem and other parts of the body
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