自汗辨證治驗錄

Syndrome Differentiation and Treatment of Spontaneous Sweating

王興華(Xing-Hua Wang)；王光耀(Guang-Yao Wang)

自汗 ； 中醫藥療法 ； 辨證論治 ； 臨床經驗 ； Spontaneous sweating ； TCM therapy ； Syndrome differentiation ； Clinical experience

北台灣中醫醫學雜誌

7卷1期（2015 / 09 / 01）

41 - 50

繁體中文

自汗是臨床常見病症，可發生於各個年齡階段。患者常不因外界環境因素的影響，而時時汗出，動輒益甚。本文介紹一女性患者，63歲，自汗1年餘，並逐漸加重，動則汗出，心悸氣短。形體虛胖，面色㿠白無華。語音低微。情緒低落，疲倦乏力，記憶力減退，頭昏暈。口淡無味，食慾不振，納少易飽，饑餓時胃脘嘈雜，時有噁心，噯氣。大便1日2行，軟溏，不成形。有時突發腹痛，痛即欲瀉，瀉後痛減。小便清長。眠差，易醒，醒後難寐。舌質淡胖，苔薄白而潤滑。脈細軟無力。中醫辨證屬於氣血兩虛，衛外不固。治以補氣養血，固表止汗。方選歸脾湯合玉屏風散，加癟桃乾、五味子、山楂、龍骨、牡蠣、糯稻根等。治療2月，獲得痊癒。吾等認為，自汗原因較多，證候有虛有實，但以虛證多見，通過辨證論治，可以取得良好效果。

Sweating is a common clinical disease, can occur in all ages. Patients often do not have the effect of external environmental factors, and often sweating, sweating increased after the event．This paper describes a female patient, 63 years old, Sweating more than 1 years, and gradually increase, palpitations, shortness of breath. Physical weakness, Low voice. fatigue, memory loss, dizziness, loss of appetite, abdominal distension, nausea, belching and noisy. Thin stool, Sometimes abdominal pain and diarrhea. Insomnia. Pale tongue, the thin white fur. The pulse is weak. TCM syndrome differentiation belongs to the two deficiency of Qi and blood. Treatment with nourishing Qi and blood, Gubiao antiperspirant. We choose the Guipi Decoction Combined with Yuping Feng San, flat peach, hawthorn, Schisandra, dry keel, oysters, glutinous rice root etc. After 2 months of treatment, the patient was cured. Conclusion: There are many reasons sweating, body empty, evil, but the most is Deficiency. Through the syndrome differentiation and treatment, and achieved good results.

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