• Title/Summary/Keyword: spontaneous sweating

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A Study on the Mechanism of Spontaneous Sweating(自汗) and Night Sweating(盜汗) -Focusing on Discussions in Classical Medical Texts- (자한(自汗)과 도한(盜汗)의 기전에 대한 고찰 -역대 의서의 논설을 중심으로-)

  • Yun, Ki-ryoung
    • Journal of Korean Medical classics
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    • v.33 no.3
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    • pp.111-133
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    • 2020
  • Objectives : The aim of this paper is to examine the mechanisms of spontaneous sweating and night sweating, their relationship and how the explanations of their mechanisms have changed over the course of time, through examination of past discussions on spontaneous sweating and night sweating. Methods : Contents in classical medical texts that mention the mechanisms of spontaneous sweating and night sweating among search results from databases such as the Siku Quanshu were analyzed, followed by examination of each of their mechanisms, and their relationship with each other. Results & Conclusions : The cause of night sweating before the 『Danxixinfa』 was seen to be caused by yang deficiency in relation to problems of Exterior Qi and the theory of 'Heart governs perspiration', as the focus was on the phenomenon of sweating. However, it seems that yin deficiency came to be seen as playing a more fundamental role in the process of determining the root cause of night sweating. Moreover, Zhu Danxi's emphasis on nurturing yin, the composition of Dangguiliuhuangtang, and the development of the fire-heat pathology since the Jin Yuan period added to this shift in perspective. Night sweating from Shanghan could be seen as a sign of the already damaged Exterior Qi becoming more deficient while the pathogenic qi is in the half-exterior-half-interior zone, or as the pathogenic qi which entered with the Exterior Qi unsettling yin, or as a result of heat that is produced in the struggle between healthy qi and pathogenic qi that happens when Exterior Qi enters. Night sweating from miscellaneous disease could be seen as a sign of a deficient exterior that resulted from excessive entering of the Exterior Qi during yin deficiency, or resulting from relatively excessive Exterior Qi to deficient yin, producing heat that leads to sweating. If yin is not cultivated during the night but rather consumed leading to deficiency of Exterior Qi which also needs to be cultivated during night time, it could result in sweating.

A Research on the Deliria speech of "Sanghanmyeonglisoglon(傷寒明理續論)" ("상한명리속론(傷寒明理續論)" 중 섬어외 8증(證)에 대한 연구(硏究))

  • Choi, Dong-Su;Sheen, Yeong-Il
    • Journal of Korean Medical classics
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    • v.19 no.4
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    • pp.241-256
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    • 2006
  • Aversion to wind is a feeling of cold when exposed to wind; aversion to cold is a feeling of cold. The distinction between aversion to wind and aversion to cold is ambiguous because in greater yang disease the two terms seem to be used indiscriminately. It is, however, worth noting that "aversion to wind" does not occur in the lines presenting disease of the three yin. In this text, we render as "heat effusion" rather than "fever," since the Chinese term is somewhat wider in meaning than familiar English term, Heat effusion is associated with many conditions and occurs both in externally contracted disease and miscellaneous disease (雜病), disease due to causes other than external evils). In externally contracted disease of the three yang channels, heat effusion is a manifestation of the struggle between right qi and evil qi; it does not necessarily indicate the presence of evil heat. In diseases of the three yin, right qi is not strong enough to counter evil qi; hence heat effusion is absent, and instead only aversion to cold is present. Sweating occurs in a variety of patterns. A distinction is made between spontaneous and night sweating(自汗). Spontaneous sweating is so called because it occurs spontaneously without exertion. it has numerous causes. Night sweating(盜汗) is sweating during sleep that ceases on awakening.

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Case Report of a Soeumin Patient with Yang Collapse Syndrome Mistreated with Soeumin Gwakhyangjunggi-san (소음인 곽향정기산으로 오치(誤治)한 소음인 망양증 환자 치험 1례)

  • Lee, Ji-eun;Kim, Min-woo;Chun, Se-eun;Shin, Yong-jeen;Shin, Sun-ho
    • The Journal of Internal Korean Medicine
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    • v.42 no.2
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    • pp.95-103
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    • 2021
  • We report on a Soeumin patient with spontaneous sweating after a lung segmentectomy resulting from aspergillosis. During her inpatient stay, the patient received Soeumin Gwakhyangjunggi-san, Hwanggigyeji-tang, and Seungyangikgi-tang for herbal medication. She also received acupuncture, moxibustion, pharmacopuncture, and cupping therapy. A numeric rating scale (NRS) was used to assess the improvement of symptoms. Sweating was reduced, as reflected by an NRS change from 7 to 0, when the herbal medication changed from Soeumin Gwakhyangjunggi-san to Hwanggigyeji-tang. General weakness and chest discomfort were also relieved after using Hwanggigyeji-tang and Seungyangikgi-tang. These results suggest that Hwanggigyeji-tang and Seungyangikgi-tang are clinically effective for Soeumin patients who are appropriately diagnosed with yang collapse syndrome in the postoperative setting.

The Study on the ${\ulcorner}SangHanIlJeGeum{\lrcorner}$ ("상한육서(傷寒六書).상한일제금(傷寒一提金)"에 대한 연구(硏究))

  • Kim, Bong-Hyeon;Sin, Yeong-Il
    • Journal of Korean Medical classics
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    • v.18 no.4 s.31
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    • pp.145-154
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    • 2005
  • The SangHanIlJeGeum(傷寒-提金) explain the six channel of disease. The Greater Yang controls the construction and defence, and governs the exterior of the body, which serves as the body's external barrier. Accordingly, many of the signs associated with greater yang appear in the early stages of disease. The essential features of greater yang disease are a pulse that is floating, headache, stiffness and pain of the head and nape, heateffusion, and aversion to cold. The main feature of Yang brightness disease is yang hyperactivity and heat exuberance. An evil can directly enter the yang brightness channel from the exterior, but it usually passes into the channel from the greater yang. Yang brightness disease is generally characterized by generalized heat effusion, spontaneous sweating, aversion not to cold but to heat, and a pulse that is large. Distinction is made between a heat patter and a repletion pattern.

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Different Pathology between General and palms-and-soles hyperhidrosis in Korean Medicine and Medicine (자한(自汗)과 수족한(手足汗)에 대한 한의학 및 의학적 고찰)

  • Lee, Wook Jin;Kim, Byoung Soo
    • The Journal of Korean Medicine
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    • v.41 no.1
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    • pp.11-20
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    • 2020
  • Objectives: We noticed that hyperhidrosis can be differentiated by whether it is topical or systemic in both Korean medicine(KM) and Modern medicine(MM). Comparing between topical and systemic sweating, we will figure out similarity between KM and MM about stimuli on sweat. Methods: All research is done by finding information on text-book, article, books. Results: Hyperhidrosis is differentiated by whether it is topical or systemic in both Korean medicine(KM) and Modern medicine(MM). First, systemic sweating(SS) is affected by body temperature. In KM, Heat and Cold(plus yang deficiency) can make human sweat systemically. In MM, heat is also mentioned as stimulus. Second, topical sweating(TS) can occur on emotionally-stressed situation especially on palms-and-soles. In KM, this phenomenon is explained by heart spirit(心神) and disease transmitted by pericardium meridian(手厥陰心包經 是動病). In MM, anatomically hyperhidrosis on palms-and-soles is generated by adrenergic sympathetic nerve which is involved with stress. Third, sweating on palms-and-soles also can be generated by internal organ. In KM, hyperhidrosis on palms-and-soles is explained as illness on stomach meridian(足陽明胃經). The 70% of parasympathetic nerve is vagus nerve which is located at internal organs-usually gastrointestinal tract. In that point, stomach and parasympathetic nerve seem to be involved in hyperhidrosis on palms-and-soles. Conclusion: Hyperhidrosis is differentiated similarly by whether it is topical or systemic in both Korean medicine and Modern medicine. Conserving each perspective of KM and MM, one perspective can be useful to other by supplementing other's weak point.

A Case of Soeumin Mang-yang Syndrome Compared to Cold Syndrome with Pseudo-heat Symptoms (진한가열증(眞寒假熱證)을 보인 소음인(少陰人) 망양증(亡陽證) 환자(患者) 치험(治驗) 1례(例))

  • Kim, Il-Hwan;Park, Hye-Sun;Lee, Sang-Min;Kim, Hyo-Soo
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.3
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    • pp.150-155
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    • 2005
  • 1. Objectives This case is aimed to verify the relation of Soeurnin Mang-yang Syndrome and Cold Syndrome with pseudo-heat syndrome. 2. Methods The patient has high fever, general body sweating, thirst and constipitation is diagnosed as Soeumin Mang-yang Syndrome. Mang-yang Syndrome one of the symptoms in the Exterior Febrile Disease induced from the Kidney affected by Heat in Soeumin(少陰人) marked by spontaneous sweating and fever with chills. This syndrome is similar to Cold syndrome with pseudo-heat symptoms in general symptoms and pathologic process. Therefore, We medicate Doksampalmul-tang to this patient who diagnosed as Soeumin Mang-yang Syndrome. 3. Results and Conclusions The symptoms that the patient has fever, sweating, thirst and constipitation are solved after the medication. This means recovery of Yang-Energy in Kidney and the spleen.

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A Study on the East-West Medicine Clinical Aspect of Climacteric Women Focusing on Hot Flush (안면홍조를 중심으로 한 갱년기 여성의 동서의학적 임상양상 연구)

  • Jang, Jun-Bock;Cho, Jung-Hoon;Lee, Kyung-Sub;Yoon, Young-Jin
    • The Journal of Korean Medicine
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    • v.29 no.4
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    • pp.180-193
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    • 2008
  • Objectives: We intended to identify factors related to the severity of hot flush of climacteric women from an East-West medical point of view. Methods: We surveyed 446 climacteric women who had received Korean oriental medical questionnaires about clinical symptom patterns and health medical examinations at Kyung-Hee University Medical Center over 1 year, from June 2007 to May 2008. Then, we compared hot flush with clinical symptom pattern and health medical examination result. Results: As the severity of hot flush increased, hypnagogic disorder in sleep pattern, abdominal gaseous distention in digestion pattern, tenesmus in evacuation pattern, yellow or reddish urine in voiding pattern, spontaneous sweating in sweating pattern, chest oppression in psychologic pattern, not-pulling-bedclothes in cold-heat pattern and mouth dryness in craniocervical symptom increased (p<0.05). In relation to digestion pattern, the severity of hot flush showed statistical significance according to prevalence of gastritis diagnosed by gastroscopy and upper GI series(p<0.01). In relation to voiding pattern, the severity of hot flush showed statistical significance according to prevalence of urine protein diagnosed by urinalysis (p<0.05). In relation to sweating, psychologic & cold-heat pattern, triiodothyronine (T3) increase and thyroid stimulating hormone (TSH) decrease were significantly correlated as the severity of hot flush increased (p<0.01). Conclusions: The result showed that hot flush of climacteric women had to be considered in respect of digestion disorder related to gastritis and sweating psychologic cold-heat disorder related to thyroid hormone.

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A Study on the Characteristics of Descriptions of the Perspiration in "Hwangjenaegyeong(黃帝內經)" (황제내경(黃帝內經)에 보이는 한(汗)관련 서술(敍述)의 특징(特徵)에 대한 고찰(考察))

  • Lyu, Jeong-Ah;Jang, Woo-Chang;Baik, You-Sang;Jeong, Chang-Hyun
    • Journal of Korean Medical classics
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    • v.23 no.2
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    • pp.205-223
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    • 2010
  • In Korean Traditional Medicine(abbreviated to K.T.M.), hyperhidrosis and anhidrosis are the targets of the medical treatment. Furthermore sweating appearance is also one of the important symptoms which explain a particular situation of the patient in K.T.M. And at "Sanghanron(傷寒論)" which is a traditional chief clinical bible written by Jang Gi(張機) later Han dynasty(漢代) in China made full use of the various kinds of diaphoresis[汗法] as a main medical treatment with purgation therapy[下法] and emetic therapy[吐法]. So the sweat in itself not only is the disease, but also is one of the symptoms explain a disease pattern. This thesis inquires into "Hwangjenaegyeong(黃帝內經)" referring to sweat which is the origin of recognition to the sweat in K.T.M. Some theses similar to this research had been made progresses and already reported, but most of them have classified the contents into biology, pathology, diagnosis, treatment after the model of western medical theory. In the aspect of comparative studying with other literature and clinic practical using, we found characteristics of referring to sweat in "Hwangjenaegyeong(黃帝內經)". And we classify the characteristics into some categories as follows. 1. There are some terms which make a title including sweat and symbolize the characteristics, for example sweat of soul[魄汗], sweat of death[絶汗], sweat of streaming[灌汗], sweat of weakness[白汗], sweat of sleep[寢汗], sweat of bright and heat[炅汗], sweat of kidney[腎汗], sweat of escaping[漉汗], cold sweat[寒汗], sweat on the head[頭汗], hyperhidrosis[多汗], heavy sweat[大汗]. But there aren't spontaneous sweat[自汗] or sweat like a thief[盜汗] which are the normal terms referring to sweat in history of K.T.M. And there are several descriptions about sweat appearance such as sweating in half of body[汗出偏沮], sweating in the rear end and thigh and knee[汗出尻陰股膝], hyperhidrosis in the neck and aversion to wind[頸多汗惡風], hyperhidrosis in the head and face and aversion to wind[頭面多汗惡風], cannot stopping the sweating under head[頭以下汗出不可止], make a person sweat to one's feet[令汗出至足], sweating like escaping[漯漯然汗出], sweating like soaking[汗出如浴], sweating become moist[汗出溱溱], hardly escaping sweat[汗大泄], escaping sweating[漉漉之汗], sweat moisten the pores [汗濡玄府], ceaseless sweating like pouring[汗注不休] sweating like pouring and vexation[汗注煩心], damp with sweat[汗汗然], sweating spontaneously[汗且自出], removal of fever with sweat drying[熱去汗稀]. That can be divided into sweat region and sweat form. 2. There are detailed explanations of the principle of perspirations caused by hot weather, hot food, hard working and meeting damp pathogen. 3. There are some explanations of the principle of removing fever due to the excessive heat from internal and external body through sweating by replenishing the body fluid. And many descriptions about overcoming the febrile disease by dropping temperature through sweating and many diaphoresis for curing. 4. There are some descriptions about five Jang organs perspirations and attachment of five mucous body fluid to five Jang organs. 5. There are pathogenic progresses after sweating affected by the Six Atmospheric Influences and water. And detailed explanations of disease mechanism a sweat leading to another disease. 6. There are descriptions about various sweat absent situations.

Literature Study on Bojoongikgitang and Clinical Application (동의보감(東醫寶鑑) 중 보중익기탕(補中益氣湯)의 임상응용(臨床應用) 연구(硏究) - 문헌고찰 및 활용성을 중심으로 -)

  • You, Seung-Yeol;Lim, Young-Hwan;Kook, Yoon-Bum
    • Herbal Formula Science
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    • v.17 no.1
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    • pp.45-59
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    • 2009
  • To beef up natural immunity, we have used Bojoongikgitang which has been known to treat enervation in the oriental medicine. This study is analyzed out structure material and the chief virtue of a prescription through Literature Study on Bojoongikgitang and Clinical Application. And this study is investigated to make sure of the necessity and additional symptoms in using Bojoongikgitang. The results are as follows : 1. It is regarded that the structure materials of Bojoongikgitang consist of Astragali Radix one jeon(錢) five poon(分), Ginseng Radix, Atractylodis Macrocephalae Rhizoma, Glycyrrhizae Radix one jeon for each, Citri Pericarpium, Angelicae Gigantis Radix five poon for each, Cimicifugae Rhizoma, Bupleuri Radix three poon for each. 2. The necessity symptoms in using Bojoongikgitang are a pale complexion, drowsy eyes(目無精光), vigorless, lethargy, sluggish talk. 3. The fittest prescriptions prior to the necessity symptoms in using Bojoongikgitang are Bojoongikgitang added Paeoniae Radix Alba, Scutellariae Radix in fever, exterior heat, mild fever, Bojoongikgitang added Ephedrae Radix, Tritici Fructus Levis, Aconiti Iateralis Preparata Radix in spontaneous sweating, spontaneous sweating by yang deficiency, Bojoongikgitang added Paeoniae Radix Alba, Scutellariae Radix in feeling the pulse like a flood, largeness and weakness, scatter and largeness, flood and largeness for diagnosis respectively. Bojoongikgitang Entering the heart channel by culturing the blood prescription in vexation, vexation and anxiety, Soongihwajoongtang in headache, DossiBojoongikgitang in rigor, Bojoongikgitang annexed Saengmaecsan in thirst, Daninsamtang or Jojoongikgitang in asthma, asthma by congestion of the upwardness, Eeegongsan in light eating, eschewing food, losing one's appetite, Ikweeseungyangtang in deficiency failing to control blood and blood collapsey. 4. To treat a functional disease is superior to organic one in using Bojoongikgitang.

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A study on the relationship between the symptom of Shanghanlon(傷寒論) and the defensive Gi(衛氣) (『傷寒論』 병증(病症)과 위기(衛氣)의 관계에 대한 연구(硏究))

  • Bang, Jung-kyun
    • Journal of Korean Medical classics
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    • v.29 no.2
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    • pp.151-163
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    • 2016
  • Objectives : Shanghanlon is based on the Hwangjenaegyeong(黃帝內經)'s theory. Therefore, the contents of the Naegyeong can interpret Shanghanlon's provision, Chengwuji(成無己) followed the same way. Therefore, I studied the relationship between the symptom of Shanghanlon and the defensive Gi(衛氣), I try to prove that the Naegyeong is the theoretical basis of Shanghanlon. Methods : Naegyeong explains that defensive Gi protects the outer parts of the body, and runs the outer parts of the body. So I will explain the spontaneous sweating(自汗) aversion to cold(惡寒) pain(痛症) fever(發熱) difficulty of urination(小便不利) using the function of defensive Gi. Results & Conclusions : The defensive Gi and the nutrient Gi(營氣) run together, if the defensive Gi is weak, can not protect the nutrient Gi. If the defensive Gi does not perform the function of inducing astringency(固攝), the symptom of spontaneous sweating appears. If aversion to cold is caused by the weak of defensive Gi, we use the treatment of warming the Yang(溫陽). If aversion to cold is caused by the defensive Gi can not run, we use the treatment of activating the Yang(通陽). If the Gi and Blood(氣血) is not feeding properly, the pain occurs. In this case, we use the treatment of activating the Yang(通陽). The fever is caused by the stagnation of defensive Gi. If the defensive Gi is weak, the symptom of difficulty of urination appears.