Excessive Sweating: Traditional Chinese Medicine Insights and Remedies

Sweaty constitution?

Hello Doctor: I have been very prone to sweating since childhood.
Whenever I increase my physical activity or fluid intake, I sweat excessively, and I also experience severe sweating in my hands and feet.
I would like to ask if there are any dietary changes or treatments that could help improve this condition.
Additionally, when I visited traditional Chinese medicine practitioners, several of them mentioned that my "pulse is very deep." What does this mean? Thank you for your clarification.

gāi zěnme bàn, 20~29 year old female. Ask Date: 2003/02/21

Dr. Zhuang Yihui reply Traditional Chinese Medicine

In traditional Chinese medicine, excessive sweating is classified into two types: spontaneous sweating and night sweats.
Night sweats occur when sweating happens after falling asleep and stops upon waking, while spontaneous sweating refers to excessive sweating during the day, either at rest or with minimal activity.
Hyperhidrosis is more common in infants and preschool-aged children, especially those with a generally weak constitution, who are more prone to this condition.
A deep pulse indicates insufficient qi and blood, along with a weak constitution.
For spontaneous sweating, traditional Chinese medicine typically treats with formulas such as Yu Ping Feng San or Mu Li San with modifications.
For night sweats, the primary treatment is Dang Gui Liu Huang San.
Additionally, a common prescription includes Huang Qi (1 tael), Fu Xiao Mai (5 qian), and Ma Huang Gen (3 to 5 qian), which can be boiled into a soup for regular consumption.
It is advisable to consult a licensed TCM practitioner for a proper diagnosis and treatment.
Thank you! Zhuang Yihui

Reply Date: 2003/02/21

More Info

Excessive sweating, known as hyperhidrosis, can be a challenging condition that affects many individuals, leading to discomfort and social anxiety. In Traditional Chinese Medicine (TCM), excessive sweating is often viewed through the lens of the body's internal balance, particularly the relationship between Yin and Yang, as well as the functioning of various organ systems.

In TCM, the concept of "脈很沉" (chen mai) or "deep pulse" is significant. A deep pulse typically indicates that the body's Qi (vital energy) is deficient or that there is an underlying condition affecting the body's ability to regulate itself. This can be associated with various factors, including stress, dietary habits, and even emotional states. A deep pulse may suggest that your body is in a state of internal imbalance, which could be contributing to your excessive sweating.

To address excessive sweating from a TCM perspective, several strategies can be employed:
1. Dietary Adjustments: TCM emphasizes the importance of diet in maintaining health. For individuals experiencing excessive sweating, it is advisable to avoid spicy, greasy, and overly stimulating foods, as these can exacerbate sweating. Instead, focus on a diet rich in cooling foods, such as cucumbers, watermelon, and leafy greens. Incorporating foods that nourish Yin, such as pears and lotus seeds, may also help balance the body's internal heat.

2. Herbal Remedies: TCM offers various herbal formulas that can help regulate sweating. For example, formulas like "Yin Chen Hao Tang" (Artemisia Yinchenhao Decoction) may be beneficial for clearing heat and dampness from the body. Another option is "Sheng Mai San," which can help tonify Qi and nourish Yin, potentially reducing excessive sweating. It is essential to consult with a qualified TCM practitioner to determine the most appropriate herbal treatment for your specific condition.

3. Acupuncture: Acupuncture can be an effective treatment for hyperhidrosis. By targeting specific acupuncture points, practitioners aim to restore balance to the body's energy systems, promote relaxation, and improve overall function. Points that may be beneficial include those related to the heart, spleen, and kidneys, as these organs play a role in fluid regulation and emotional balance.

4. Lifestyle Modifications: Stress management techniques, such as mindfulness meditation, yoga, or tai chi, can help reduce anxiety and improve overall well-being. Since emotional factors can contribute to excessive sweating, finding ways to manage stress is crucial.

5. Consultation with a TCM Practitioner: Given that multiple TCM practitioners have noted your deep pulse, it may be beneficial to seek a comprehensive evaluation from a qualified TCM practitioner. They can provide a tailored treatment plan that addresses your specific symptoms and underlying imbalances.

In summary, excessive sweating can be effectively managed through a combination of dietary changes, herbal remedies, acupuncture, and lifestyle modifications. Understanding the underlying causes of your symptoms, such as the significance of a deep pulse in TCM, can guide you toward appropriate treatments. It is always advisable to work closely with a healthcare professional who can provide personalized care and support throughout your journey to better health.

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