Spontaneous sweating and night sweats are actually common symptoms in clinical miscellaneous diseases, which often appear together with palpitation, insomnia, dizziness and tinnitus. It also often appears in the pathogenesis of fatigue, tuberculosis, hemorrhagic syndrome and postpartum blood deficiency of women.
The causes of this disease can be summarized as follows:
(1) from the fiery qi between heaven and earth;
(2) Internal injury of seven emotions leads to depressed fire;
3 fornication, overwork, hurting yin and yang;
(4) improper diet and spicy drinking;
⑤ Overdose or misuse of irritant drugs;
⑥ Loss of blood essence, yin injury due to serious illness, and yang deficiency;
There are many reasons for night sweats.
Zhang Jingyue said, "In case of trouble and fever, you will sweat at most. Therefore, the fire of diet ... fatigue ... wine and color ... all make people sweat. "
In terms of pathogenesis, Jing Yue thinks that spontaneous sweating belongs to the weakness of defensive qi, and night sweats belong to Yang Qi's hyperactivity. If the cause is not solid, defensive qi is also weak, which leads to spontaneous sweating and yin deficiency leads to yang deficiency, so yang steaming leads to blood heat, and blood heat leads to the discharge of body fluid, which is called night sweats.
It can be seen that spontaneous sweating and night sweats are caused by two reasons: yang deficiency and yin deficiency. Either "yin is not observed" or "yang deficiency is not solid", which always leads to imbalance between yin and yang.
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Related viscera of spontaneous sweating and night sweats.
"Sweat is the heart fluid and kidney governs five fluids", which is a symptom of spontaneous sweating and night sweats, and most of them are diseases of heart and kidney.
"Su Wen Xuan Ming Wu Qi pian" says: "The five internal organs transform fluid, and the heart is sweat". Zhang Zhicong explained that "the heart governs blood, and sweat is the body fluid of the heart", indicating that sweat and blood are in the same strain.
Su Wen Shui Re Xue Lun said, "Courage and hard work make you sweat". Su Wen's Second Discussion on Dirty Qi Law says: "People with kidney disease ... sleep, sweat and hate the wind". It shows that pathological sweating is often directly related to heart and kidney.
"Lingshu Zangfu Disease Syndrome" says: "Lung pulse ... is very slow and sweaty." "Lingshu Ben Cang Pian" says that "those who defend qi, therefore, warm the meat, make up the skin, make it fat, and those who open and close it". Ye said: "Lung governs qi and belongs to Wei". It can be seen that the formation of spontaneous sweating is also closely related to the strength of lung qi and the rise and fall of Wei qi.
"Su Wen's Theory of Meridian Differentiation" also mentioned: "Surprise and seize the essence, sweat comes from the heart; Keep heavy and walk far, sweating from the kidney; Escape from fear and sweat out of the liver; The waist is hard and sweat comes from the spleen. "
This shows that spontaneous sweating and night sweats are directly related to heart and kidney, lung, spleen (stomach) and other viscera, and also related to defending qi.
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Syndrome Differentiation and Treatment of Spontaneous Sweat and Night Sweat
Spontaneous sweating and night sweats have different characteristics in clinic.
Sweating during the day (except in hot summer) is spontaneous sweating. You will sweat when you are asleep, and you will sweat when you slap in the face (except for babies). This is night sweats.
In terms of syndrome differentiation, predecessors have different views. Ru Lin believes that spontaneous sweating belongs to yang deficiency and night sweats belong to yin deficiency. Zhang Jingyue, on the other hand, thinks: "Spontaneous sweating and night sweats also have their own syndromes of yin and yang, so it cannot be said that spontaneous sweating must belong to yang deficiency and night sweats must belong to yin deficiency ... but if there is fire or no fire, it is either yin or none other than yin".
Although the previous theories are different, they are always based on comprehensive syndrome differentiation.
There have been many discussions about the treatment of spontaneous sweating and night sweats. Generally speaking, it is believed that the treatment of yang deficiency should replenish yang, defend the weak and show the exterior; Yin deficiency should nourish yin, and excess heat should clear fire.
In addition, Li Zhongzi put forward the treatment according to the syndrome differentiation of viscera deficiency, arguing that "lung deficiency benefits its fur, heart deficiency benefits its blood, kidney deficiency helps it seal, spleen deficiency benefits qi, and liver deficiency prohibits its discharge".
The law of syndrome differentiation and treatment of spontaneous sweating and night sweats is summarized as follows.
1 Syndrome Differentiation Treatment of Exterior and Interior Yin and Yang
You sweat when you are sick.
Moving is very beneficial.
spontaneous perspiration
External yang deficiency-evil wind, systemic acid-benefiting qi, exterior excess-Huangqi Jianzhong decoction floating wheat
Yang deficiency in interior-aversion to cold, body weight, lack of heat-warming interior and astringing sweat-Shenfu decoction and Shufu decoction
Deficiency of both qi and blood in exterior and interior-excessive sweating, heavy limbs and fatigue-warming interior, benefiting qi and consolidating exterior-Qifutang Ginseng
Lung and stomach are very hot-sudden sweating, body fever, thirst, irritability-clearing heat-Baihutang
Sweat while sleeping
I stopped sweating when I was sick.
have night sweat
Yin deficiency and excessive fire-dry mouth, hot flashes, sore throat, constipation-nourishing yin and clearing fire-Danggui Huang Liu decoction.
Deficiency of Yin and Yang-palpitation and insomnia, shortness of breath, fatigue and cold limbs-Supporting Yin and Yang and invigorating Qi and blood-Ginseng Yang Rong Decoction.
2. Treat according to the syndrome differentiation of the diseased viscera.
five internal organs
Prescription for treating pulse syndrome
heart
deficiency of yin
Night sweats, palpitations, palpitations, insomnia, irritability, fatigue and weak pulse.
Nourish the heart and soothe the nerves.
Tianwang Buxin Pill
deficiency of yang
Spontaneous sweating, sometimes palpitation, weak pulse, pale tongue and little fur.
Yiqi Fuyang
Fu mai Bao yuan Tang
kidney
deficiency of yin
Low back pain, soreness of waist and knees, sweating during sleep, internal heat due to bone steaming, dizziness and tinnitus.
Nourishing yin and reducing fire
Angelica Huang Liu Decoction removes Qin Lian and adds five flavors, tortoise plastron, etc.
deficiency of yang
Hyperhidrosis, cold hands and feet, low back pain, chills, pale face, impotence and polyuria.
Warming kidney and strengthening yang
Ginseng antler Guifu Bawei Pill
lung
deficiency of yin
Cough, dry throat, bloody sputum, night sweats, and rapid pulse.
Benefiting lung and nourishing yin
Lily Gujin Decoction or Yuehua Pill
Deficiency of vital qi
Sweating, catching a cold, low voice, shortness of breath, laziness in talking and coughing.
Yiqi Gubiao
Huangqi Liu Yi decoction ginseng ephedra root
liver
deficiency of yin
Dizziness, wet dream, night sweats.
Soften the liver and suppress yang
Qibaomei beard pill
deficiency of yang
Sweating, cold hands and feet, Huang Qing's gray face, self-loathing to see, flabby bones and muscles.
Strengthening spleen and nourishing liver
Huangqi Jianzhong decoction removes ginger and adds Angelica sinensis and Cinnamomum cassia.
spleen
deficiency of yin
Hands and feet skin fever, hunger, dry stool, sweating, severe fatigue.
Nourish spleen and lung
Yam, Polygonatum odoratum, lotus seeds and jujube are added to the pulse-generating powder.
deficiency of yang
Fatigue of limbs, mental fatigue, shortness of breath and laziness, loose stool, spontaneous sweating.
Warming spleen and kidney
Shufu decoction fried dried ginger and calcined keel
3 visceral medication
deficiency of yin
heart
Reusable: Semen Platycladi, Radix Rehmanniae, Radix Angelicae Sinensis, etc.
kidney
Reusable: Rehmannia glutinosa, tortoise plastron, black beans, etc.
liver
Reusable: Radix Paeoniae Alba, Mume Fructus, Semen Ziziphi Spinosae, Concha Ostreae, Fructus Schisandrae Chinensis, etc.
lung
Reusable: Colla Corii Asini, Fructus Schisandrae Chinensis, Radix Adenophorae, Radix Ophiopogonis, etc.
spleen
Reusable: Polygonatum odoratum, yam, etc.
deficiency of yang
heart
Reusable: cinnamon, accessories, etc.
kidney
Reusable: Radix Aconiti Lateralis Preparata, Cornu Cervi Pantotrichum, Fructus Lycii and Herba Cistanches.
liver
Reusable: keel, dogwood, etc.
lung
Reusable: ginseng, astragalus, atractylodes macrocephala, etc.
spleen
Reusable: Atractylodis Rhizoma, Fructus Jujubae, Lentils, Poria, etc.
In short, the symptoms of spontaneous sweating and night sweats focus on distinguishing between yin and yang and between deficiency and excess. The treatment of yang deficiency is mainly to replenish qi and tonify exterior, while the treatment of yin deficiency is mainly to nourish yin and protect body fluid. If yin and yang are deficient for a long time, yin and yang are complementary.
If the excess and the deficiency are mixed, it is necessary to treat them according to syndrome differentiation. For example, excessive sweating due to yin deficiency and heat can be treated with Danggui Huang Liu Decoction. I think these principles must be mastered in clinic.