What to do if I always sweat at night?
A 49-year-old male patient had no obvious incentive to develop night sweats 3 years ago, and every time he woke up, he found wet underwear, with soft waists and knees, palpitations, insomnia, and dreams.
No fever, cough and hemoptysis; no significant weight loss, poor appetite, had been to hospitals and private clinics, no significant effect was seen, and symptoms can be exacerbated every time you work and excessive alcohol and tobacco consumption.
The patient’s two palpitations were red, thinner, with hot hands and feet, red tongue and less moss, and pulse count.
The initial diagnosis was night sweats (heart and kidney yin deficiency).
Treatment is based on the principles of nourishing yin and tonifying the kidney, and nourishing the heart and soothe the nerves.
The prescription uses Liuwei Dihuang Pills for flavor: 24 grams of cooked ground, 12 grams of mandarin duck meat, 12 grams of Huaishan, 9 grams of diarrhea, 9 grams of paeonia, 9 grams of Poria, 12 grams of Polygala 12 grams, 12 grams of jujube kernels, 12 grams of Schisandra chinensis9 grams, keel 20 grams (broken), oysters 20 grams (broken).
Take one dose daily, decoction twice a day, and even take 7 doses to relieve the above symptoms. Take another 7 doses and the symptoms disappear.
After taking more than 14 consecutive doses, it was recovered, and there was no repetition in the next 8 months.
Traditional Chinese medicine calls sweating “night sweats” and “sleeping sweat” after falling asleep at night. It is because you do not consciously sweat after falling asleep, the amount of sweat decreases, and the sweat stops after waking up.
Clinically, there are five symptoms of upset fever, insomnia and more dreams, redness in the two palate, dry mouth and dry throat, red tongue and less moss, pulse count and other symptoms of yin deficiency and fire.
Liuwei Dihuang Pill is a basic recipe for nourishing yin and tonifying kidneys. It is characterized by softness of waist and knees, dizziness, warmth of hands, feet and heart, red tongue and less moss, and pulse counts as the main points of differentiation.
For neurasthenia, chronic nephritis, tuberculosis, diabetes, hyperthyroidism, high blood pressure, pediatric developmental delay, early senile cataract and so on, which belong to kidney yin ulcer, can be used in addition and subtraction (cause those with spleen deficiency and loose stools with caution).
Fang Zhongshu is nourishing kidney and filling essence, which is a remedy for Chinese medicine; mandrill meat nourishes liver and kidney and astringent essence, Huaishan benefits the spleen and solidifying essence, replacing Chen medicine; Zexie clears kidney fire, and prevents the nourishment of cooked ground, DanpiqingRelieve liver and fire, and make the temperature of the yam meat, Poria is leaking to the kidney to help the spleen of yam.
The medicines are used in combination to make it nourish without leaving evils, and to release without hurting the right one.
In this case, due to excessive night sweats and the symptoms of heart yin deficiency, Schisandra chinensis, Ziziphus Japonica, Bai Ziren, Polygala chinensis, keel and oyster were added to gather sweat and calm the mind.