Experience in the treatment of hyperhidrosis

  In most cases, there is no corresponding name for hyperhidrosis in modern medicine, and most cases are not accompanied by organic underlying diseases (such as tuberculosis, hyperthyroidism, etc.), so there is no proven method of treatment. However, because of its lingering and long-term problems, it has a great impact on the study, work and life of these patients. We will talk about our own experience of Chinese medicine treatment in this regard.  For excessive sweating, traditional Chinese medicine classifies it into spontaneous sweating and night sweating, and attributes spontaneous sweating to Yang deficiency, while night sweating is considered to be due to Yin deficiency, but this is not always the case in clinical practice. As Jing Yue Quan Shu says, “Self sweating and night sweating are also evidenced by yin and yang, so it should not be said that self sweating must be yang deficiency and night sweating must be yin deficiency. We also found that there is no absolute boundary for self-sweating and night sweating, both of which are often combined as diseases.  For patients with both Qi and Yin deficiency, we often use self-designed sweat formula treatment, generally two or three doses can be effective. The formula is based on Astragalus membranaceus 30g, Atractylodes macrocephala 15g, Fang Feng 6g, Radix et Rhizoma ginseng 15g, Mai Dong 10g, Wu Wei Zi 6g, Cornu Cervi Pantotrichum 30g, Jujube Seed 10g, Rhizoma Dou Yi 12g, Mulberry Leaf 10g, Glutinous Rice Root 30g, Ephedra Root 15g, Long Mu 30g, In the formula, Yu Ping Feng San benefits Qi and consolidates the surface, and Ginseng Pulse San nourishes Yin and astringes sweating, then adds Cornu Cervi Pantotrichum, Rhizoma Dou Yi, Glutinous Rice Root, Ephedra Root, and Long Mu. The most thick wood qi, acid collection in the, a great opening power, liver deficiency spontaneous sweating is very effective. The mulberry leaf has a special effect on night sweats, the “materia medica” cloud Yanzhou monk, every pillow, sweating all over the body, than the day, the clothes are transparent, twenty years can not be treated. The supervisor of the temple taught him to pick mulberry leaves with dew, roasted and dried, and to drink two coins of rice in empty heart, and he was cured in a few days. In addition, the Qing dynasty doctor Lin Peiqin in the “class evidence sanctions” cloud: sweat for the heart fluid, kidney master five fluids, so sweating are caused by the heart and kidney deficiency. And it is said that where taking the medicine to stop sweating and fix the surface, it does not respond, the more astringent it is, only the heart and blood, to sweat is the heart fluid, the heart does not take blood, solid overflow for sweat, add a sour jujube seed. We have collected the experience of various schools and combined them into a formula, so it is as effective as a rafter.  For patients with Yin deficiency and internal heat, we use Artemisia annua and turtle nail soup with addition and subtraction, using Artemisia annua 10 grams, Hu Huanglian 5 grams, Zhi Mu 10 grams, Sheng Di 30 grams, Shan Yu Flesh 30 grams, Mudan Pi 10 grams, Di Bone Pi 20 grams, Yin Chai Hu 10 grams, Sheng Long Mu 30 grams, crispy turtle nail 15 grams, bamboo leaf 5 grams, of which Artemisia annua is bitter, slightly pungent and cold in nature. Turtle shell is salty cold and enters directly into the yin division, it can nourish yin liquid and is also good at entering the complex to search for evil and clear the heat in the deep yin division. Ground Bone Bark is sweet, light and cold. It is very effective in lowering the fire in the lungs and dipping the deficiency heat in the liver and kidneys. For example, we have treated a male patient, 70 years old, with night sweats at the time of childbirth for nearly 20-30 years. At 1 o’clock every midnight, he felt a fever in his chest, then sweating all over his limbs, unable to sleep, no difference in his nasal bowels, no abnormality in all examinations, red tongue with thin coating and deficient string pulse. The treatment is to nourish yin and clear heat by adding and subtracting Artemisia and turtle shell soup.  For patients with Yang deficiency and sweating, we use the combination of Yu Ping Feng San, Huang Qi Gui Zhi Wu Wu Wu Tang, Si Wei Tang, and Nei Jing Jie Di Mo Yin Tang with an addition and subtraction, using raw astragalus 30 grams, raw atractylodes 15 grams, Fang Feng 6 grams, Gui Zhi 10 grams, Hang Bai Shao 20 grams, Cornu Cervi Pantotrichum 30 grams, Ephedra Root 15 grams, made with sophora 10 grams, light dry ginger 6 grams, raw dragon mushroom 30 grams, deer artemisia 15 grams, zedoary 10 grams, roasted licorice 6 grams. He has been feeling cold and afraid of cold since he recovered from a cold, and even when the breeze brushes his face, he feels soreness all over his body, as if he is being cut by a knife. Consider the vegetative body in Yang deficiency, table sparing evil together, over with the publication of dispersing evil drugs, Wei Yang more deficient, lost its so dense job caused, to the above three doses after the alleviation of the disease, continued to take five doses, all the symptoms are removed. Among them, “neijing” art diarrhea elbow title soup, the drug is not surprising, often forgotten, Shanghai when Professor Xi that it has a good sweating and urination function. It is the principle of “the spleen is the master of the muscles” instead of “the lung is the master of the skin”; Ze diarrhea is water-repellent and clears damp heat in the bladder. In combination with Atractylodes Macrocephala. It can go with the muscle surface, and by the muscle surface of the water below the bladder, sweat out of the urine instead. It stops sweating, clears damp-heat, and clears paralysis and pain in the joints. It is also a superficial and bladder meridian medicine. The three medicines benefit from each other.