Professional Documents
Culture Documents
PART ONE
ABNORMAL SWEATING
Translated by Jin Huide
NIGHT SWEATING
Sweating that occurs during sleep and stops upon awakening is known as night sweating or robbing sweat.
Differentiation
Heart Blood Xu: night sweating, palpitations, insomnia, pale complexion, shortness of breath, lassitude.
Tongue: pale with a thin coating. Pulse: of the Xu type.
Yin Xu with internal heat: night sweating, afternoon
fever, malar flush, restlessness, heat sensation in the
palms, soles and chest, loss of body weight, irregular
menstruation, nocturnal emission, spontaneous emission. Tongue: red with scanty coating. Pulse: thready
and rapid.
Spleen Xu with retention of dampness: night sweating, headache as if the head were tightly wrapped,
sluggishness of the limbs and body, sticky taste in the
mouth. Tongue: pale with a thin white and sticky coating. Pulse: superficial and slow.
Half-exterior half-interior invasion of pathogenic
factors: night sweating, short duration of disease, alternating chills and fever, bilateral fullness and distention
of the hypochondrium, bitter taste in the mouth, nausea.
Tongue: thin white or yellow coating. Pulse: wiry and
slippery or wiry and rapid.
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sleep, accompanied by alternating chills and fever, fullness and distention in the hypochondrium, bitter taste in
the mouth, etc. The treatment principle is to harmonise
Shaoyang. The recommended formula is Xiao Chai Hu
Tang minus Dang Shen (Radix Codonopsis Pilosulae)
and Da Zao (Fructus Zizyphi Jujubae), but with the
addition of Huang Lian (Rhizoma Coptidis) and Bi Tao
Gan (Semen Persicae). [Suggested acupuncture points:
Dazhui DU-14, Taodao DU-13, Jianshi P-5, Yanglingquan
GB-34, Qiuxu GB-40, Fuliu KID-7.]
Notes: The Complete Works of Jingyue states: Night
sweating ... can be Yin or Yang in nature. It is not correct
to say that night sweating must be the result of deficiency
of Yin. Thus it is necessary to clarify if night sweating is
caused by internal injury or invasion of external pathogenic factors. The former condition is mostly of the
deficiency type whilst the latter is mostly of the excess
type. Syndromes of mixed deficiency and excess are also
seen, although deficiency type is the more common. Of
the latter type, deficiency of both Qi and Yin may also be
seen.
ONE-SIDED SWEATING
One-sided sweating refers to sweating from either the
left or right side of the body. This condition was first
referred to in the Neijing which said: One-sided sweating dries up one side of the body. It is often present in
windstroke and diseases caused by hypofunction of the
zangfu. Sweating from the upper or lower halves of the
body is not included in this discussion.
Differentiation
Qi and Blood Xu: one-sided sweating, lassitude, dislike of speaking, pale complexion, dizziness, blurred
vision, numbness of the hands and feet. Tongue: pale
with white coating. Pulse: thready and weak.
Invasion by cold damp: one-sided sweating, spastic
pain of the muscles and tendons, restricted movement of
the joints, heaviness of the body and limbs, in severe
cases difficulty in turning the body. Tongue: white sticky
coating. Pulse: weak and superficial, or slow.
Disharmony between Ying and Wei: one-sided sweating, fever, headache, aversion to wind. Tongue: white
and moist coating. Pulse: slow and weak.
Differentiation
Retention of damp-heat: sweating from the head and
face, dysuria, yellow body and sclera, aversion to cold,
fever. Tongue: yellow sticky coating. Pulse: weak, superficial and rapid.
Yang-Xu: profuse sweating from the head and face,
pale complexion, cold limbs, shortness of breath, aversion to cold, lassitude. Tongue: pale and tender. Pulse: of
the Xu type.
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Differentiation
Heart and Spleen Qi Xu: sweating from the chest, pale
complexion, shortness of breath, lassitude, palpitations,
poor memory, loose stools. Tongue: pale and tender.
Pulse: of the Xu type.
Heart and Kidney Yin Xu: sweating from the chest,
restlessness, insomnia, palpitations, poor memory, dizziness, tinnitus, dryness of the throat and tongue, soreness and weakness of the lower back and knees, dreamdisturbed sleep, nocturnal emission, tidal fever, deep
yellow and scanty urine. Tongue: red with scanty coating. Pulse: thready and rapid.
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Differentiation
Damp-heat in the Spleen and Stomach: sweating from
the hands and feet, uncomfortable sensation in the chest
and epigastrium, anorexia, sluggishness of the body,
deep yellow and scanty urine. Tongue: yellow and sticky
coating. Pulse: weak, superficial and rapid or weak
superficial and slippery.
Spleen and Stomach Qi Xu: sweating from the hands
and feet, lassitude, shortness of breath, dislike of speaking, cold limbs, reduced appetite, loose stools. Tongue:
pale with white coating. Pulse: weak deficient.
Spleen and Stomach Yin Xu: sweating from the hands
and feet, dryness of the mouth and throat which is more
pronounced during sleep, poor appetite despite feeling
hungry, possibly dry heaves and belching, irregular
stools. Tongue: red with scanty coating. Pulse: thready
and rapid.
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