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TCM treatment of hidrosis syndrome

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Updated: Tuesday, Mar 12,2013, 10:25:12 AM
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Syndrome Differentiation and Treatment

It is essential to classify spontaneous sweating and night sweating into yin, yang, deficiency and excess types. Generally, deficiency types are more common than excess ones. Cases of spontaneous sweating are usually attributive to qi deficiency or yang deficiency while those of night sweating attributive to yin deficiency generating internal heat. If sweating is due to hyperactivity of liver fire or
accumulation of damp heat, it is of the excess type.

The treatment for the deficiency type should aim at replenishing qi, nourishing yin, consolidating the body surface and checking sweating; for the excess type, clearing away heat in the liver and dissipating dampness to regulate ying qi should be adopted. As for the case with coexistence of deficiency and excess, it must be first determined whether deficiency or excess is predominant and consideration should be given to both in the treatment.

Weakness of the Lung and Weiqi

Chief Manifestations: Sweating which is exacerbated by slight exertion, aversion to wind, susceptibility to common colds, lassitude, lusterless complexion, thready and weak pulse, and thin and white tongue coating.

Therapeutic Methods: To replenish qi and consolidate body surface.

Prescription : Modified Yupingfeng San (Jade Screen Powder), composed of Shenghuangqi ( Radix Astragali ) 12 g, Fangfeng ( Radix Saposhnikoviae ) 6 g, Baizhu (Rhizoma Atractylodis Macrocephalae ) 10 g, Dangshen (Radix Codonopsis ) 12 g, Dazao ( Fructus Jujubae ) 5 pcs and Gancao (Radix Glycyrrhizae) 5 g.

Modifications: For profuse sweating, add Fuxiaomai ( Fructus Tritici Levis) 15 g, Nuodaogen ( Rhizoma et Radix Oryzae Glutinosae ) 20 g and Duanmuli ( Concha Ostreae Usta ) 15 g; for predominant qi deficiency,increase Dangshen ( Radix Codonopsis ) to 20 g and Huangqi (Radix Astragati) to 24 g.

Disharmony between Ying Oi and Wei Qi

Chief Manifestations: Sweating with aversion to wind, general aching, intermittent chills and fever, or half-body or localized sweating, thin and white tongue coating, and even-soft pulse.

Therapeutic Methods: To regulate ying-qi and weiqi.

Prescription: Modified Guizhi Tang ( Cinnamomi Decoction), composed of Guizhi (Ramulus Cinnamomi) 6 g, Baishaoyao ( Radix Paeoniae Alba ) 12 g, Fuling (Poria) 12 g, Shengjiang (Rhizoma Zingiberis Recens ) 5 pcs and Gancao (Radix Glycyrrhizae) 3 g.

Modifications: For profuse sweating, add Duanlonggu ( Os Draconis Usta) 15g and Duanmuli ( Concha Ostreae Usta) 15 g to stop sweating; for sweating complicated with qi deficiency, add Huangqi (Radix Astragali) 12 g; for sweating complicated with yang deficiency, add Shufuzi (Radix Aeoniti Preparata) 6 g; for half-body or localized sweating, add Dazao (Fructus Jujubae ) 5 pcs and Fuxiaomai (Fructus Tritici Levis) 12 g.

Insufficiency of Heart Blood

Chief Manifestations: Spontaneous sweating or night sweating, palpitation, insomnia, lassitude, short breath, lusterless complexion, pale tongue, and thready pulse.

Therapeutic Methods: To tonify blood and nourish the heart.

Prescription: Modified Guipi Tang (Decoction for Invigorating Spleen and Nourishing Heart), composed of Huangqi ( Radix Astragali ) 12 g, Dangshen ( Radix Codonopsis ) 10 g, Baizhu (Rhizoma Atractylodis Macrocephalae ) 10 g, Zhigancao ( Radix Glycyrrhizae,roasted) 3 g, Danggui (Radix Angelicae Sinensis) 10g,Shudihuang ( Radix Rehmanniae Preparata ) 12 g, Dazao (Fructus Jujubae) 5 pcs and Guiyuanrou (Arillus Longan) 10 g.

Modifications: For profuse sweating, add Duanmuli (Concha Ostreae Usta, to be decocted first) 20 g, Wuweizi (Fructus Schisandrae) 6 g and Fuxiaomai (Fructus Tritici Levis) 12 g; for severe blood deficiency, add Zhiheshouwu ( Radix Polygoni Multiflori Preparata ) 10 g and Gouqizi (Fructus Lycii) 10 g.

Deficiency of Yin and Hyperactivity of Fire

Chief Manifestations: Night sweating, or spontaneous sweating, feverish sensation in the palms, soles and chest, or accompanied by afternoon fever, flushed
cheeks, thirst, red tongue with little coating, and thready, rapid pulse.

Therapeutic Methods: To nourish yin and subdue fire.

Prescription: Modified Danggui Liuhuang Tang (Angelicae Sinensis Decoction with Six Ingredients), composed of Danggui ( Radix Angelicae Sinensis ) 10g,Shengdihuang ( Radix Rehmanniae ) 12 g, Shudihuang (Radix Rehmanniae Preparata ) 12 g, Huangqin (Radix Scutellariae ) 10g, Huanglian ( Rhizorna Coptidis ) 3 g, Huangbai ( Cortex Phellodendri ) 10 g, Baishaoyao ( Radix Paeoniae Alba ) 10 g, Taizishen ( Radix Pseudostellariae ) 10 g, Wuweizi ( Fructus Schisandrae) 6 g and Wumei (Fructus Mume) 6 g.

Modifications: For profuse sweating, add Muli (Concha Ostreae ) 30 g, Fuxiaomai (Fructus Tritici Levis) 15 g and Nuodaogen (Rhizoma et Radix Oryzae Glutinosae) 20 g to stop sweating; for severe afternoon fever, add Qinjiao (Radix Gentiannae Macrophyllae ) 10 g, Yinchaihu ( Radix Stellariae ) 10 g and Baiwei (Radix Cynanchi Atrati) 10 g to clear away asthenic heat.

Accumulation of Pathogenic Heat

Chief Manifestations: Continuous sweating with yellow-stained sweat, flushed face with a hot sensation,restlessness, bitter mouth, yellow urine, thin and yellow tongue coating, wiry and rapid pulse.

Therapeutic Methods: To clear away heat in the liver and dissipate dampness to regulate ying qi.

Prescription: Modified Longdan Xiegan Tang (Gentianae Decoction for Purging Liver Fire), composed of Huangqin ( Radix Scutellariae ) 10 g, Zhizi ( Fructus Gardeniae) 10g, Mutong (Caulis Akebiae) 3 g, Zexie ( Rhizoma Alismatis ) 12 g, Cheqianzi ( Semen Plantaginis, wrapped) 10 g, Shengdihuang (Radix Rehmanniae) 12g and Nuodaogen ( Rhizoma et Radix Oryzae Glutinosae) 20 g.

Modifications: For severe interior heat and scanty urine, add Yinchen (Herba Artemisiae Scopariae) 10 g; for less predominant damp heat retention, flushed face and less pronounced thirst, add Huangbai (Cortex Phellodendri) 10 g, Cangzhu (Rhizpma Atractylodis) 10 g, Yiyiren ( Semen Coicis) 12 g and Niuxi ( Radix Achyranthis Bidentatae) 10 g.

Other Treatments

Chinese Patent Drugs

Yupingfeng San (Jade Screen Powder): 6 g each time, twice daily; applicable to spontaneous sweating due to qi deficiency.

Longdan Xiegan Wan (Gentianae Pill for Purging Liver Fire): 6 g each time, twice daily; applicable to spontaneous sweating and night sweating due to retained damp heat in the liver and gallbladder.

Single-drug or Experiential Prescriptions

Maimendong ( Radix Ophiopogonis ) 12 g, Wumei ( Fructus Mume ) 12 g, Wuweizi ( Fructus Schisandrae) 12 g and Dazao ( Fructus Jujubae ) 10 pcs. Decoct the above herbs in water and take the decoction in 2 divided doses. It is applicable to night sweating due to yin deficiency.

Equal amounts of Chaihu (Radix Bupleuri) and Huhuanglian (Rhizoma Picrorhizae ). Grind the above herbs into powder and infuse the powder for oral taking.It is applicable to night sweating due to yin deficiency.

Xianhecao ( Herba Agrimoniae) 30 g and Dazao (Fructus Jujubae) 15 g. Decoct the herbs in water and take the decoction. It is applicable to night sweating.

Huangqi ( Radix Astragali ) 15 g, Fuxiaomai (Fructus Tritici Levis) 15 g and Dazao ( Fructus Jujubae) 5 pcs. Decoct the herbs in water and take the decoction, 1 dose a day. It is applicable to spontaneous sweating due to qi deficiency.

Mahuanggen ( Radix Ephedrae ) 10 g, Muli ( Concha Ostreae) 20 g and Fuxiaomai (Fructus Tritici Levis) 20 g. Decoct the herbs in water and take the decoction, 1 dose a day. It is applicable to spontaneous sweating.

Wumei ( Fructus Mume ) 10 pcs, Fuxiaomai (Fructus Tritici Levis ) 15 g, Sangye ( Folium Mori ) 10 g and Dazao ( Fructus Jujubae ) 5 pcs. Decoct the herbs in water for oral use. It is applicable to night sweating due to yin deficiency.

Bietaogan (Fructus Pruni Immaturus) 10 pcs, Fuxiaomai (Fructus Tritici Levis) 15 g and Dazao (Fructus Jujubae) 5 pcs. Decoct the herbs in water for oral use, 1 dose a day. It is applicable to night sweating.

External Therapy

Grind Wubeizi ( Galla Chinensis ) into powder and add a little water to make paste. Then apply the paste to the umbilical region at bed-time and fix it with gauze.
It is applicable to night sweating.

Equal amounts of Wubeizi (Galla Chinensis ) and Baifan (Alumen). Grind the above herbs into fine powder, mix up the powder with warm water to make paste. Apply the paste to the umbilical region and fix it with gauze. Change the dressing every other day. It is applicable to night sweating.

Mahuanggen (Radix Ephedrae) 50 g, Duanmuli ( Concha Ostreae Usta ) 50 g, Chishizhi (Halloysitum Rubrum) 25 g and Longgu (Os Draconis) 25 g. Grind the above herbs into fine powder, wrap the powder with a piece of thin, tough silk for dabbing the hidrotic part.

Duanmuli (Concha Ostreae Usta) 50 g, Huashi (Talcum) 90 g, Mahuanggen (Radix Ephedrae) 150 g, Gongdingxiang (Gemma Caryophylli ) 30 g and Songxiang (Colophonium) 60 g. Grind the above herbs into fine powder, wrap 15 g of the powder with a piece of thin, tough silk and dab the hidrotic part until sweating stops.

Baifan (Alumen) 20 g and Gegen (Radix Puerariae) 20 g. Decoct the herbs in water and wash the hands and feet with the decoction several times a day. It is applicable to polyhidrosis of hands and feet.

Tags: TCM Hidrosis-syndrome

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