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Instant Sweating 出汗症

Translated by: Joe Hing Kwok Chu

Whole Body Sweating Diagnostics 全身出汗症鑑別診斷

main symptoms

 主症特點

other symptoms

 兼有症

tongue & pulse

 舌脈

sickness

 病證診斷

small amount of sweat

 汗量較少

fever, dislike wind, sneezing,  vomiting but not much coming out

 發 熱、惡風、鼻鳴乾嘔

slow, floating pulse

 脈浮緩

cold or flu of Taiyang meridan syndrome

 太 陽中風傷衛證

large amount of sweat on the whole body

 全身大汗、汗量多

high fever, thirsty and want to drink, red face, painful forehead

高熱惡熱、煩渴引飲、面紅赤、額頭痛甚

red tongue with yellow fur, large and strong pulse

 舌紅絳苔黃燥、脈洪大有力

cold or flu of yangming meridan syndrome

 傷寒陽明經證

continuously, large amount of sweat

汗量較多、頻頻不斷

 uncomfortably thirsty and  fullness in ribcage during summer

煩渴、胸膈痞悶、發於夏暑之季

red tongue with coarse yellow fur, large and weak pulse

 舌紅苔黃粗糙、脈洪大無力

summer sweat of infectious diseases of summer

暑溫病之暑汗

More sweat on the head and palms and soles. Frequent sweating.

 手足心部及頭部汗量較多、時時皆有

dislike wind, numb and heavy sensation of limbs, scanty urine, dizziness and ringing in the ear, or swollen and painful joints.

 惡風、肢體重著麻木
小便短少 頭暈耳鳴、或關節沉重疼痛浮腫

large, fat tongue with teeth marks; floating and slow pulse.

舌胖大齒痕多、脈浮緩濡澀

 感受濕邪證
 或濕從中生證

 一身冷汗
 動則汗多喘甚

心悸、心慌、乏力、氣短
畏寒肢冷 畏寒肢冷

苔白舌淡、脉虚弱 苔白舌淡、脈虛弱

 心氣虛證
 心陽虛證

全身出汗 全身出汗

气短咳嗽、痰清稀、面色白 氣短咳嗽、痰清稀、面色白

舌淡苔白、脉浮缓无力 舌淡苔白、脈浮緩無力

肺氣虚之自汗证 肺氣虛之自汗證

 汗出頻頻不斷

肢倦乏力、氣短懶言、腹滿便溏

 舌淡、脈虛大而洪

 脾氣虛衰
中氣不足之自汗證

 睡時全身汗出
 醒則汗止

心悸、心煩、多夢、手足心熱

 舌紅少津、脈細數

 心陰虛之盜汗證

 睡時全身汗出
 醒則汗止

 咳嗽、氣短、痰少而粘
 五心煩熱

舌紅少苔、脈細數

 肺陰虛之盜汗證

 睡時全身汗出
 醒則汗止

 腰膝酸軟腰痛或夢遺滑精
 五心煩熱

 舌紅少苔、脈細數

 腎陰虛之盜汗證

Partial Sweating Diagnostics  局部出汗症鑑別診斷

main symptoms

 主症特點

other symptoms

 兼有症

tongue & pulse

 舌脈

sickness

 病證診斷

Main symptoms

 主 症特點

Other symptoms

 兼 有症

Tongue & pulse

 舌 脈

病证诊断 病證診斷

头汗出 頭汗出

 身重體倦、身目發黃、小便不利

苔黃膩、脈濡數

damp-heat syndrome  

濕熱鬱蒸證

 頭汗出

 小腹脹痛、大便色黑、小便自利
 夜熱、煩躁、譫妄

 苔黃膩、脈沉澀

膀胱蓄血證

 頭汗出

 面色白、四肢不溫、畏寒氣短神疲乏力

 舌淡、脈弱

 氣虛證

 心胸汗出

 面白畏寒、心悸氣短、倦怠乏力

 舌淡、脈虛

 心氣虛證
心血不足證

 心胸汗出

 心悸、心煩少寐、手足心熱

 舌紅少苔、脈細數

 心陰虛

 手足汗出

 胸悶、便溏、肢倦乏力、尿短赤

 苔黃膩、脈濡數

 脾胃濕熱證

hands & feet sweating

手足汗出

cold limbs, tired and lack of strength 四肢涼冷、肢倦乏力、納少便溏

pale soft tongue, weak pulse

 舌 淡嫩、脈虛弱

spleen qi deficient

脾氣虛衰證

hands & feet sweating

 手 足汗出

cold hands, feet & chest

手足心熱、口燥咽乾

red tongue with little fur, thin & rapid pulse

 舌 紅少苔、脈細數

yinxu with abundance of yang

 陰虚陽盛

 半身出汗、或左或右

 面色白、氣短心悸、四肢與唇舌發麻

舌淡、脈弱

qi deficient and xue xu blood deficient

氣虛 血虛兩虧證

上半身出汗、下半身無汗

面色蒼白、畏寒、氣短、神疲乏力

舌淡苔白、脈虛大無力

 陽氣大虛證

 sweating at the lower part of the body

下半身有汗

 lower back pain, soreness and weakness in loin and knees, spermatorrhea, dry mouth and throat, hot palms, soles and chest

腰痛、腰膝酸軟、夢遺滑精
 口燥咽乾、五心煩熱

 

 

shenyinxu (kidney yin deficient syndrome) 

腎陰虛虛火內擾證

 sweating randomly in different parts of the body or no sweat in certain parts of the body

半身汗出、或左或右、或上或下、或某一局部無汗

 also with pricky pain or paralysis of one side.

兼有刺痛、或半身不遂

 舌隱青或舌有瘀斑
 脈沉澀

 xue yu (blood stasis syndrome)

血淤

 

看:

http://journal.shouxi.net/html/qikan/yykxzh/syyjzz/200881523/wz/20081113161240702_440487.html

溫病:Na+K+ATPase 下降。慢性淺表性胃炎脾胃濕熱証與脾胃濕熱証胃黏膜的AQP4升高。
幽門螺旋杆菌感染具有濕邪重濁、粘滯、易阻遏氣機的病理特點;而在苔脈特點中的滑脈是濕重和濕趨熱化的表現,認為該菌感染的病邪性質應屬於濕邪范疇 【1】

濕阻証患者T淋巴細胞亞群(CD3、CD4,CD4/CD8比值)、紅細胞免疫指標RBC-C3bRR均下降,T淋巴細胞亞群CD8、紅細胞免疫指標RBC-ICB,sIL-2R均上升【2】

劉光華,曲長江.外濕對造模脾虛小鼠免疫學影響的實驗研究[J].遼寧中醫雜志,2003,30(5):421.【3】

【1】王建康.幽門螺杆菌感染應屬濕邪[J].實用中醫內科雜志,2003,17(4):317.

【2】【3】劉光華,曲長江.外濕對造模脾虛小鼠免疫學影響的實驗研究[J].遼寧中醫雜志,2003,30(5):421.

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Last update: June 9, 2013; 10:07 p.m. LAH