In the case of women aged 40-50 years with paroxysmal hot flashes, one might first think of perimenopausal syndrome, which may be accompanied by a disruption of the menstrual cycle, or a state of amenorrhea. If the diagnosis at this point is indeed a menopausal state based on sex hormone levels, perimenopause, if the symptoms are particularly pronounced, can be evaluated to see if HRT hormone replacement therapy can be done. However, there may be other causes. Some patients have partial sweating, such as sweating on the hands called hand sweating, which may be related to sympathetic nerve abnormalities and can be resolved by minimally invasive treatment of the nervous system. There are also diabetic patients with abnormal sweating that need to know if they have diabetic autonomic neuropathy, a condition that may be segmental hemianopsia. The basic treatment for autonomic neuropathy is first to control blood sugar, then nutritional neurological therapy to repair the nervous system. If the sweating is combined with panic and hand tremors, it is necessary to exclude whether there is hypoglycemia. In addition, if sweating is also combined with emotional impatience, fluctuations, and dryness, you need to identify whether there is a state of hyperthyroidism. There may also be night sweats, and in this case it is necessary to identify whether there is a combination of other infections, such as tuberculosis.