恶热非热。明是虚症。经曰。阴虚则发热。阳在外为阴之卫。阴在内为阳之守。精神外
驰。淫欲无节。阴气耗散。阳无所附。遂致浮散于肌表之间而恶热也。当作阴虚火动治之。
恶寒非寒。明是热症。亦有久服热药而得之。河间谓火极似水。热甚而反觉自冷。实非
寒也
有用热药而少愈者。辛能发散。郁遏暂开耳。又曰。火热内炽。寒必荡外。故恶寒。实非
寒症。凡背恶寒甚者。脉浮而无力者。阳虚也。用参、 之类。加附子少许。
一妇人六月恶寒之极。怕风。虽穿棉袄。亦不觉热。此火极似水也。六脉洪数。小水赤
少。
予以皮硝五钱。温水化服而愈。一罗工部仲夏腹恶寒而外恶热。鼻吸气而腹觉冷。体畏风而
恶寒。脉大而虚微。每次进热粥瓯许。必兼食生姜瓯许。若粥离火食。腹内即冷。余曰。
热之不热。是无火也。宜用八味丸。壮火之源。以消阴翳。彼反服四物元参之类而殁。惜哉
（自汗 盗汗）
脉大而虚浮而濡者。汗。在寸为自汗。在尺为盗汗。伤寒脉阴阳俱紧。当无汗。若自汗
者。曰亡阳。不治。
自汗者。无时而 然出。动则为甚。属阳虚。卫气之所司也。盗汗者。寐中出。通身
如浴
觉来方止。属阴虚。荣血之所主也。大抵自汗宜补阳调卫。盗汗宜补阴降火。心虚而冷汗
自出者。理宜补肝。益火之源。以消阴翳也。阴虚火炎者。法当补肾。壮水之主。以制阳光
又有火气上蒸胃中之湿。亦能生汗。凉膈散主之。凡汗出发润。汗出如油。汗缀如珠者。
皆不治也。自汗大忌生姜。以其开腠理故也。
一论自汗属阳虚。时常而出也。宜
参 汤
黄 （蜜炙） 人参 白术（去芦炒） 白茯苓（去皮） 当归（酒洗） 熟地黄 白芍（酒炒）
酸枣仁（炒） 牡蛎（ 各一钱） 陈皮（七分） 甘草（炙二分） 乌梅（一枚）
上锉一剂。枣一枚。浮小麦一撮。水煎。温服。
一论自汗虚弱之人。可服
大补黄 汤
黄 （蜜炒） 人参 白术（去芦炒） 白茯苓（去皮） 当归（酒洗） 白芍（酒炒） 熟地
黄山
茱萸（酒蒸去核） 肉苁蓉（酒洗各一钱） 五味子（十粒） 肉桂（五分） 防风（七分）
甘草（炙三分）
上锉一剂。枣二枚。水煎。温服。
一论盗汗。属阴虚。睡中则出。醒则止也。此方治盗汗之圣药也。
当归六黄汤
当归（酒洗） 黄 （蜜炙） 生地黄 熟地黄（各二钱） 黄柏 黄连 黄芩（各一钱）
上锉一剂。水煎。空心服。
一论治盗汗。属气血两虚者。宜
滋阴益阳汤
当归（酒洗） 熟地黄 生地黄 白芍（酒炒各一钱） 黄柏（蜜水炒） 知母（蜜水炒各八
分）
人参（五分） 白术（去芦） 白茯苓（去皮） 黄 （蜜水炒各一钱） 陈皮（八分） 甘草（炙八
分）
上锉一剂。枣二枚。净小麦一撮。水煎。温服。
一论自汗盗汗。宜实腠理也。男子失精。女子梦交。自汗盗汗。宜
白龙胶
桂枝 白芍（酒炒） 龙骨（ ） 牡蛎（ 各三钱） 甘草（炙一钱）
上锉一剂。枣二枚。水煎服。
四制白术散
白术（四两） 黄 （炒一两） 石斛（炒二两） 牡蛎（ 一两） 甘草（炙一钱） 麦麸（炒
一两）
有止用白术为末。每服三钱。粟米调服。
一论心汗者。心孔有汗。别处无也。宜
茯苓补心汤
白茯苓（去皮） 人参 白术（去芦） 当归 生地黄 酸枣仁（炒） 麦门冬（去心）
陈皮 黄连（炒各等分） 甘草（炙八分） 辰砂（研末临服调入五分）
上锉一剂。枣二枚。乌梅一个。浮小麦一撮。水煎。食远服。
一秘方。治冷汗时出。宜用公猪肚洗净。装糯米入内。令满。用线缝口。入砂锅内。水
煮烂。将肚与汤一并食之。用糯米晒干为末。每服小盏空心。米汤调服。
一额上常有汗出。不论冬夏者。得之醉后当风所致。头乃诸阳之会。酒乃发阳。所以饮
酒必
见汗者。醉后阳气上升。头面之阳气必开。当风坐卧。风时入之。以致头面出汗。名曰漏风
宜
黄 六一汤
黄 （六两） 甘草（一两） 加肉桂、白芍。名黄 建中汤。
上各用蜜炙十余次。出火毒。每服一两。水煎。温服。
一论自汗不休。内伤及一切虚损之症所致者。用补中益气汤。柴胡、升麻。俱用蜜水炒
少加制附子、麻黄根、浮小麦。（方见内伤）
一论肾气虚弱。发汗发热。用六味地黄丸。（方见补益）
一论肾气虚弱。盗汗恶寒。用八味丸。（方见补益）
一论气血俱虚而盗汗者。用十全大补汤。（方见补益）
秘方。治盗汗自汗。
五倍子为末。津液调搽脐中。绸勒住。一宿即止。
一方。用何首乌末。津液调搽脐中亦效。
一论自汗邪在诸经。有蓄血亦有头汗。有头汗小便不利者死。关格不得尿。有头汗者死
元气下脱。有头汗如珠不流者死。柔汗发黄者死。
镇液丹
防风（去芦酒洗三两） 黄 （蜜炙二两五钱） 白术（去芦微炒一两） 中桂（一两） 白芍
（酒炒一两五钱） 大附子（面包煨去皮脐童便炒二两）
上为细末。酒糊为丸。如梧桐子大。每服五七十丸。空心酒下。加酸枣仁炒一两。
一治脚汗方
白矾（五钱） 干姜（五钱）
上锉为末。逐日洗。连五日。自然无汗。
一治盗汗。用牙猪心一个。水二碗。入砂锅内。煮烂熟为度。去心不用。另用当归、人
参各二钱。半入煮心汁内。熬至大半瓯。去渣。不拘时服。猪心食否不拘。
一论凡内伤及一切虚损之症。自汗不休者。用益气汤。加熟附子、麻黄根、浮小麦其效
捷于影响。但升麻、柴胡。俱用蜜水炒过。以杀其升发勇悍之性。又欲引参、 等药至肌表
不可缺也。如左寸脉浮洪而自汗者。心火炎也。本方加倍参、 。加麦冬、五味、黄连各五
分。如左关脉浮弦而自汗者。挟风邪也。本方桂枝、芍药。若不阴虚。只用桂枝可也。左尺
脉浮洪无力而有汗者。水亏火盛也。本方加黄柏、知母各五分。熟地一钱。壮水之主。以制
阳光。右关脉浮洪无力而自汗者。只根据本方倍参、 。右尺脉洪数无力而自汗者。或盗汗。
相火挟心火之势而上伐肺金也。宜当归六黄汤。一论自汗盗汗。乃阴阳两虚。或睡或醒时而
出也。益气汤去升麻。加茯苓、酒芍、酸枣炒、牡蛎 各一钱。黄柏蜜炒。知母蜜炒。乌梅
一个。枣一枚。浮小麦一撮。水煎服。
一人四时出汗。畏风不敢当。虽炎天必须棉衣。冬天气喘。气不相接。偶有便淋白浊。
服八
物汤。不效。服补中益气汤。少已。予以荆芥、防风、桂枝、薄荷、甘草、羌活。一剂而痊
一治自汗盗汗久不止者。以清晨采带露桑叶为末。每服三钱。空心。米饮汤送下。
恶热并非实热，明确是虚证。医经说：阴虚则发热。阳气在外作为阴气的卫护，阴气在内作为阳气的守备。精神外驰，淫欲无节制，导致阴气耗散，阳气无所依附，于是浮散于肌表之间而表现为恶热。应当当作阴虚火动来治疗。
恶寒并非实寒，明确是热证。也有因长期服用热药而导致的。刘河间认为火极似水，热势极盛反而自觉寒冷，实际上并不是寒证。
有用热药治疗后症状稍减的，是因为辛味药物能发散，使郁遏之气暂时开通罢了。又说：火热内炽，寒气必被荡涤于外，所以出现恶寒，实际上并不是寒证。凡是背部特别怕冷的，脉象浮而无力，这是阳虚，用人参、[黄芪]之类，加少许附子。
有一位妇女在六月里极度怕冷，怕风，即使穿棉袄也不觉得热，这是火极似水的表现。六脉洪数，小便赤少。
我用皮硝五钱，温水化开服用，病就好了。
一位罗姓工部官员在仲夏时节腹部怕冷而体表怕热，吸气时腹部感觉冷，身体畏风而恶寒，脉象大而虚微。每次喝一碗热粥，必须同时吃一碗生姜。如果粥离开火源再吃，腹内立刻变冷。我说：加热后仍不热，是无火的表现。适宜用八味丸，壮火之源，以消阴翳。他却反而服用四物汤、玄参之类的药物而死，可惜啊。
（自汗 盗汗）
脉象大而虚浮而濡的，是汗证。在寸口脉表现为自汗，在尺部脉表现为盗汗。伤寒病脉象阴阳俱紧，应当无汗。如果出现自汗，称为亡阳，难以治愈。
自汗，是没有固定时间自然出汗，活动后加重，属于阳虚，由卫气所主司。盗汗，是在睡眠中出汗，全身如洗澡一般，醒来后才停止，属于阴虚，由营血所主。大抵上自汗宜补阳调卫，盗汗宜补阴降火。心虚而冷汗自出的，理当补肝，益火之源，以消阴翳。阴虚火炎者，法当补肾，壮水之主，以制阳光。
又有火气上蒸胃中之湿，也能生汗，用凉膈散主治。凡是汗出头发湿润，汗出如油，汗珠粘连如珠的，都是不治之症。自汗大忌生姜，因为生姜会开泄腠理的缘故。
有一论断说自汗属阳虚，时常而出。适宜用参芪汤。
黄芪（蜜炙）一钱，人参一钱，白术（去芦头炒）一钱，白茯苓（去皮）一钱，当归（酒洗）一钱，熟地黄一钱，白芍（酒炒）一钱，酸枣仁（炒）一钱，牡蛎（煅）一钱，陈皮七分，甘草（炙）二分，乌梅一枚。
以上锉为一剂，大枣一枚，浮小麦一撮，水煎，温服。
有一论断说自汗虚弱之人，可服大补黄芪汤。
黄芪（蜜炒）一钱，人参一钱，白术（去芦头炒）一钱，白茯苓（去皮）一钱，当归（酒洗）一钱，白芍（酒炒）一钱，熟地黄一钱，山茱萸（酒蒸去核）一钱，肉苁蓉（酒洗）一钱，五味子十粒，肉桂五分，防风七分，甘草（炙）三分。
以上锉为一剂，大枣二枚，水煎，温服。
有一论断说盗汗，属阴虚，睡中出汗，醒则停止。此方是治疗盗汗的神药。
当归六黄汤
当归（酒洗）二钱，黄芪（蜜炙）二钱，生地黄二钱，熟地黄二钱，黄柏一钱，黄连一钱，黄芩一钱。
以上锉为一剂，水煎，空腹服用。
有一论断说治疗盗汗，属气血两虚者，适宜用滋阴益阳汤。
当归（酒洗）一钱，熟地黄一钱，生地黄一钱，白芍（酒炒）一钱，黄柏（蜜水炒）八分，知母（蜜水炒）八分，人参五分，白术（去芦头）一钱，白茯苓（去皮）一钱，黄芪（蜜水炒）一钱，陈皮八分，甘草（炙）八分。
以上锉为一剂，大枣二枚，净小麦一撮，水煎，温服。
有一论断说自汗盗汗，宜固密腠理。男子失精，女子梦交，自汗盗汗，适宜用白龙胶。
桂枝三钱，白芍（酒炒）三钱，龙骨（煅）三钱，牡蛎（煅）三钱，甘草（炙）一钱。
以上锉为一剂，大枣二枚，水煎服。
四制白术散
白术四两，黄芪（炒）一两，石斛（炒）二两，牡蛎（煅）一两，甘草（炙）一钱，麦麸（炒）一两。
也有只用白术研为末，每服三钱，粟米调服。
有一论断说心汗，仅在心孔处有汗，别处没有。适宜用茯苓补心汤。
白茯苓（去皮），人参，白术（去芦头），当归，生地黄，酸枣仁（炒），麦门冬（去心），陈皮，黄连（炒），以上各等分，甘草（炙）八分，辰砂（研末临服调入五分）。
以上锉为一剂，大枣二枚，乌梅一个，浮小麦一撮，水煎，饭后服用。
有一个秘方，治疗冷汗时时流出，适宜用公猪肚洗净，装入糯米至满，用线缝口，放入砂锅内，水煮烂。将猪肚与汤一并食之。用糯米晒干研为末，每服一小盏，空腹，米汤调服。
有一论断说额上常有汗出，不论冬夏，得之于醉后当风所致。头是诸阳之会，酒能发阳，所以饮酒必见汗，是因为醉后阳气上升，头面之阳气必开，当风坐卧，风邪乘入，以致头面出汗，名叫漏风。适宜用黄芪六一汤。
黄芪六两，甘草一两。加肉桂、白芍，名叫黄芪建中汤。
以上各用蜜炙十余次，去火毒。每服一两，水煎，温服。
有一论断说自汗不休，由内伤及一切虚损之症所致者，用补中益气汤。柴胡、升麻，都用蜜水炒，少加制附子、麻黄根、浮小麦。（方见内伤篇）
秘方，治疗盗汗自汗。
五倍子研为末，津液调匀搽于脐中，用绸带勒住，一夜即止。
一方，用何首乌末，津液调匀搽于脐中也有效。
有一论断说自汗邪在诸经，有蓄血亦有头汗。有头汗且小便不利的死，关格不得尿，有头汗的死，元气下脱，有头汗如珠不流者死，柔汗发黄者死。
镇液丹
防风（去芦头酒洗）三两，黄芪（蜜炙）二两五钱，白术（去芦头微炒）一两，中桂一两，白芍（酒炒）一两五钱，大附子（面包煨去皮脐童便炒）二两。
以上为细末，酒糊为丸，如梧桐子大。每服五七十丸，空腹酒下。加炒酸枣仁一两。
一方治脚汗。
白矾五钱，干姜五钱。
以上锉为末，每日洗，连洗五日，自然无汗。
一方治盗汗，用牙猪心一个，水二碗，入砂锅内，煮烂熟为度。去心不用。另用当归、人参各二钱，一半投入煮心汁内，熬至大半碗。去渣，不拘时候服用。猪心吃与否不拘。
有一论断说凡内伤及一切虚损之症，自汗不休者，用益气汤，加熟附子、麻黄根、浮小麦，其效捷于影响。但升麻、柴胡，都用蜜水炒过，以杀其升发勇悍之性。又欲引参、芪等药至肌表，不可缺也。如左寸脉浮洪而自汗者，心火炎也，本方加倍参、芪，加麦冬、五味、黄连各五分。如左关脉浮弦而自汗者，挟风邪也，本方桂枝、芍药，若不阴虚，只用桂枝可也。左尺脉浮洪无力而有汗者，水亏火盛也，本方加黄柏、知母各五分，熟地一钱，壮水之主，以制阳光。右关脉浮洪无力而自汗者，只根据本方倍参、芪。右尺脉洪数无力而自汗者，或盗汗，相火挟心火之势而上伐肺金也，宜当归六黄汤。
有一论断说自汗盗汗，乃阴阳两虚，或睡或醒时而出也。益气汤去升麻，加茯苓、酒芍、酸枣炒、牡蛎各一钱，黄柏蜜炒，知母蜜炒，乌梅一个，枣一枚，浮小麦一撮，水煎服。
一人四季出汗，畏风不敢当风，虽炎天必须穿棉衣，冬天气喘，气不相接，偶有便淋白浊。服八物汤，不效。服补中益气汤，稍好。我用荆芥、防风、桂枝、薄荷、甘草、羌活，一剂而痊愈。
Heat aversion is not [excess] heat; it is clearly a deficiency syndrome. The Classics state: "Yin deficiency generates heat." Yang resides outside as the guard of Yin, and Yin resides inside as the guardian of Yang. When spirit and mind wander outward and sexual desires are unrestrained, Yin Qi dissipates, leaving Yang without attachment. Consequently, Yang floats and scatters between the muscle layers and skin surface, manifesting as heat aversion. It should be treated as "Yin deficiency with fire hyperactivity."
Cold aversion is not [excess] cold; it is clearly a heat syndrome. It may also result from long-term consumption of hot-natured drugs. Liu Hejian stated that "extreme fire resembles water"; when heat is extreme, one may feel cold internally, but this is actually not a cold syndrome.
Some cases improve slightly after using hot-natured drugs because pungent flavors can disperse and temporarily open up stagnation. Furthermore, "when fire burns intensely within, cold is driven to the exterior," causing cold aversion, which is essentially not a cold syndrome. For those with severe cold aversion in the back and a floating yet forceless pulse, this indicates Yang deficiency. Use herbs such as Renshen (Ginseng Radix) and Huangqi (Astragali Radix), with a small amount of Fuzi (Aconiti Lateralis Radix Praeparata).
A woman experienced extreme cold aversion in June, fearing wind; even wearing cotton-padded clothes, she felt no warmth. This is "extreme fire resembling water." Her six pulses were surging and rapid, and her urine was scanty and dark red.
I administered Wupiao (Natrii Sulfas) five qian, dissolved in warm water, and she recovered.
An official named Luo suffered abdominal coldness while experiencing external heat aversion during midsummer. Inhaling air made his abdomen feel cold, and he feared wind and felt cold overall. His pulse was large, deficient, and faint. Each time he drank a bowl of hot porridge, he had to consume a bowl of ginger simultaneously. If the porridge cooled down before eating, his abdomen would immediately feel cold. I said, "If heating does not produce warmth, there is no Fire." The appropriate treatment is Bawei Wan (Eight-Ingredient Pill with Rehmannia Root) to strengthen the source of Fire to dispel Yin shadows. Instead, he took Sini Tang (Four-Ingredient Decoction) and Xuanshen (Scrophulariae Radix) and died. What a pity.
(Spontaneous Sweating and Night Sweats)
When the pulse is large, deficient, floating, and soft, it indicates a sweating disorder. Spontaneous sweating manifests at the Cun position, while night sweats manifest at the Chi position. In Shanghan (Cold Damage) disease, if both Yin and Yang pulses are tight, there should be no sweating. If spontaneous sweating occurs, it is termed "Yang Collapse" (Wang Yang) and is difficult to treat.
Spontaneous sweating occurs without fixed timing, worsens with movement, belongs to Yang deficiency, and is governed by Wei Qi (Defensive Qi). Night sweats occur during sleep, covering the whole body like bathing, and stop upon waking; they belong to Yin deficiency and are governed by Ying Blood (Nutritive Blood). Generally, spontaneous sweating should be treated by tonifying Yang and regulating Wei Qi, while night sweats should be treated by tonifying Yin and descending Fire. For heart deficiency causing spontaneous cold sweat, the proper approach is to tonify the Liver and benefit the source of Fire to dispel Yin shadows. For Yin deficiency with flaming Fire, the method is to tonify the Kidney, strengthen the master of Water to control Solar brightness (excess Yang).
Additionally, Fire qi steaming upward into dampness in the Stomach can also generate sweat; this is treated with Liangge San (Cool the Upper Jiao Powder). Cases where sweat wets the hair, flows like oil, or beads up like pearls are all untreatable. Ginger is strictly contraindicated for spontaneous sweating because it opens the Cou Li (pores/skin texture).
One discussion states that spontaneous sweating due to Yang deficiency, occurring frequently, is suitable for Shenqi Tang (Ginseng and Astragalus Decoction):
Huangqi (Astragali Radix, honey-fried) 1 qian, Renshen (Ginseng Radix) 1 qian, Baizhu (Atractylodis Macrocephalae Rhizoma, de-rhizome and fried) 1 qian, Baifuling (Poria, peeled) 1 qian, Danggui (Angelicae Sinensis Radix, wine-washed) 1 qian, Shudihuang (Rehmanniae Radix Praeparata) 1 qian, Baishao (Paeoniae Radix Alba, wine-fried) 1 qian, Suanzaoren (Ziziphi Spinosae Semen, fried) 1 qian, Muli (Ostreae Concha, calcined) 1 qian, Chenpi (Citri Reticulatae Pericarpium) 7 fen, Gancao (Licorice Root, fried) 2 fen, Wumei (Mume Fructus) 1 piece.
Crush these ingredients for one dose. Add one Jujube (Ziziphus jujuba) and a pinch of Xiaomai (Triticum aestivum). Decoct in water and take warm.
For weak patients with spontaneous sweating, Dabu Huangqi Tang (Great Tonification Astragalus Decoction) is suitable:
Huangqi (Astragali Radix, honey-fried) 1 qian, Renshen (Ginseng Radix) 1 qian, Baizhu (Atractylodis Macrocephalae Rhizoma, de-rhizome and fried) 1 qian, Baifuling (Poria, peeled) 1 qian, Danggui (Angelicae Sinensis Radix, wine-washed) 1 qian, Baishao (Paeoniae Radix Alba, wine-fried) 1 qian, Shudihuang (Rehmanniae Radix Praeparata) 1 qian, Shanzhuyu (Corni Fructus, wine-steamed, pitted) 1 qian, Rongshurong (Cistanches Herba, wine-washed) 1 qian, Wuweizi (Schisandrae Chinensis Fructus) 10 grains, Rougui (Cinnamomi Cortex) 5 fen, Fangfeng (Saposhnikoviae Radix) 7 fen, Gancao (Licorice Root, fried) 3 fen.
Crush these ingredients for one dose. Add two Jujubes. Decoct in water and take warm.
Night sweats belonging to Yin deficiency, occurring during sleep and stopping upon waking, are best treated with this holy medicine for night sweats:
Danggui Liuhuang Tang (Six-Huang Decoction with Angelica):
Danggui (Angelicae Sinensis Radix, wine-washed) 2 qian, Huangqi (Astragali Radix, honey-fried) 2 qian, Shengdihuang (Rehmanniae Radix) 2 qian, Shudihuang (Rehmanniae Radix Praeparata) 2 qian, Huangbai (Phellodendri Cortex) 1 qian, Huanglian (Coptidis Rhizoma) 1 qian, Huangqin (Scutellariae Radix) 1 qian.
Crush these ingredients for one dose. Decoct in water and take on an empty stomach.
For night sweats due to dual deficiency of Qi and Blood, Ziyin Yiyang Tang (Nourish Yin and Benefit Yang Decoction) is suitable:
Danggui (Angelicae Sinensis Radix, wine-washed) 1 qian, Shudihuang (Rehmanniae Radix Praeparata) 1 qian, Shengdihuang (Rehmanniae Radix) 1 qian, Baishao (Paeoniae Radix Alba, wine-fried) 1 qian, Huangbai (Phellodendri Cortex, honey-water fried) 8 fen, Zhimu (Anemarrhenae Rhizoma, honey-water fried) 8 fen, Renshen (Ginseng Radix) 5 fen, Baizhu (Atractylodis Macrocephalae Rhizoma, de-rhizome) 1 qian, Baifuling (Poria, peeled) 1 qian, Huangqi (Astragali Radix, honey-water fried) 1 qian, Chenpi (Citri Reticulatae Pericarpium) 8 fen, Gancao (Licorice Root, fried) 8 fen.
Crush these ingredients for one dose. Add two Jujubes and a pinch of clean Xiaomai (Triticum aestivum). Decoct in water and take warm.
To consolidate the Cou Li (skin texture) for spontaneous and night sweats, especially for men with seminal emission and women with dream intercourse, Bailong Jiao (White Dragon Gel/Paste Formula) is suitable:
Guizhi (Cinnamomi Ramulus) 3 qian, Baishao (Paeoniae Radix Alba, wine-fried) 3 qian, Longgu (Fossilia Ossis Mastodi et Scapulae, calcined) 3 qian, Muli (Ostreae Concha, calcined) 3 qian, Gancao (Licorice Root, fried) 1 qian.
Crush these ingredients for one dose. Add two Jujubes. Decoct in water and take.
Sizhi Baizhu San (Four-Processed Atractylodes Powder):
Baizhu (Atractylodis Macrocephalae Rhizoma) 4 liang, Huangqi (Astragali Radix, fried) 1 liang, Shihu (Dendrobii Caulis, fried) 2 liang, Muli (Ostreae Concha, calcined) 1 liang, Gancao (Licorice Root, fried) 1 qian, Maifan (Triticum frumentum bran, fried) 1 liang.
Alternatively, use only Baizhu powdered, taking 3 qian per dose mixed with millet.
Heart sweat, where sweat appears only at the heart region and nowhere else, is treated with FulingBXixin Tang (Poria Heart-Nourishing Decoction):
Baifuling (Poria, peeled), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma, de-rhizome), Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix), Suanzaoren (Ziziphi Spinosae Semen, fried), Maidong (Ophiopogonis Radix, de-core), Chenpi (Citri Reticulatae Pericarpium), Huanglian (Coptidis Rhizoma, fried)—all equal parts. Gancao (Licorice Root, fried) 8 fen, Chensha (Cinnabar, ground fine, added just before taking) 5 fen.
Crush these ingredients for one dose. Add two Jujubes, one Wumei (Mume Fructus), and a pinch of Xiaomai (Triticum aestivum). Decoct in water and take well after meals.
Secret recipe for spontaneous cold sweat: Clean a male pig's stomach thoroughly, fill it with glutinous rice until full, sew it shut with thread, and boil it in a clay pot until tender. Eat both the stomach and the soup together. Dry the glutinous rice, grind into powder, take one small cup on an empty stomach mixed with rice water.
Forehead sweating occurring year-round, caused by exposure to wind after drunkenness, is called "Leakage Wind" (Lou Feng). The head is the meeting point of all Yang meridians, and alcohol promotes Yang rising. After drinking, Yang rises, opening the pores of the head and face. Sitting or lying in the wind allows pathogenic wind to enter, causing sweating on the head and face. Huangqi Liuyi Tang (Astragalus Six-to-One Powder) is suitable:
Huangqi (Astragali Radix) 6 liang, Gancao (Licorice Root) 1 liang. Adding Rougui (Cinnamomi Cortex) and Baishao (Paeoniae Radix Alba) creates Huangqi Jianzhong Tang (Astragalus Middle-Tonifying Decoction).
Fry each herb with honey over ten times to remove fire toxicity. Take 1 liang per dose, decocted in water, taken warm.
For unceasing spontaneous sweating caused by internal injury and all deficiency consumptive diseases, Buyi Yiqi Tang (Supplement Middle and Boost Qi Decoction) is used. Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma) are honey-water fried, with a small amount of Zhifuzi (Prepared Aconite Lateralis Radix), Mahuanggen (Ephedrae Radix et Rhizoma), and Xiaomai (Triticum aestivum). (See Internal Injury section).
For Kidney Qi deficiency causing fever after sweating, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is used. (See Tonification section).
For Kidney Qi deficiency causing night sweats and cold aversion, Bawei Wan (Eight-Ingredient Pill) is used. (See Tonification section).
For dual deficiency of Qi and Blood causing night sweats, Shiquan Dabu Tang (Ten-Ingredient Great Tonification Decoction) is used. (See Tonification section).
Secret recipe for night and spontaneous sweating: Grind Wubeizi (Galla Chinensis) into powder, mix with saliva, apply to the umbilicus, and bind tightly with silk. Stops overnight.
Another formula: Apply He Shouwu (Polygoni Multiflori Radix) powder mixed with saliva to the umbilicus; also effective.
Discussion: Spontaneous sweating with pathogens in various meridians, blood stasis, or head sweating. Head sweating with difficulty urinating leads to death. Guan Ge (Obstruction and Reversal) with inability to urinate and head sweating leads to death. Collapse of Yuan Qi (Primal Qi) with head sweating leads to death. Head sweating like pearls that do not flow leads to death. Soft sweat with yellowing of the skin leads to death.
Zhenye Dan (Liquid-Stabilizing Pill):
Fangfeng (Saposhnikoviae Radix, de-rhizome and wine-washed) 3 liang, Huangqi (Astragali Radix, honey-fried) 2.5 liang, Baizhu (Atractylodis Macrocephalae Rhizoma, de-rhizome and lightly fried) 1 liang, Zhonggui (Cinnamomi Cortex) 1 liang, Baishao (Paeoniae Radix Alba, wine-fried) 1.5 liang, Dafuzi (Aconiti Lateralis Radix, bread-wrapped and baked, peel and navel removed, stir-fried in child's urine) 2 liang.
Grind into fine powder, make pills with wine paste, size of Sophora japonica seeds. Take 50-70 pills on an empty stomach with wine. Add 1 liang of fried Suanzaoren (Ziziphi Spinosae Semen).
Formula for foot sweat:
Binfan (Alumen) 5 qian, Jiang (Dried Ginger) 5 qian.
Grind into powder, wash feet daily for five consecutive days; sweat will naturally cease.
Formula for night sweats: Use one pig heart, boil in two bowls of water in a clay pot until tender. Discard the heart. Take Danggui (Angelicae Sinensis Radix) and Renshen (Ginseng Radix), 2 qian each. Add half to the heart boiling liquid, simmer until reduced to nearly half a bowl. Strain and take at any time. Whether to eat the heart is optional.
Discussion: For internal injury and all deficiency consumptive diseases causing unceasing spontaneous sweating, Yiqi Tang (Boost Qi Decoction) with Shufuzi (Prepared Aconite Lateralis Radix), Mahuanggen (Ephedrae Radix et Rhizoma), and Xiaomai (Triticum aestivum) works swiftly. However, Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) must be honey-water fried to reduce their ascending and aggressive nature. This helps guide Renshen and Huangqi to the muscle layer.
If the left Cun pulse is floating and surging with spontaneous sweating, it indicates Heart Fire blazing; double Renshen and Huangqi in the base formula, add Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Chinensis Fructus), and Huanglian (Coptidis Rhizoma), 5 fen each.
If the left Guan pulse is floating and wiry with spontaneous sweating, it involves Wind pathogen; use Guizhi (Cinnamomi Ramulus) and Shaoyao (Paeoniae Radix) from the base formula. If not Yin deficient, only Guizhi is needed.
If the left Chi pulse is floating, surging, forceless, with sweating, it indicates Water deficiency and Fire excess; add Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma), 5 fen each, and Shudihuang (Rehmanniae Radix Praeparata) 1 qian to strengthen Water to control Fire.
If the right Guan pulse is floating, surging, forceless, with sweating, double Renshen and Huangqi in the base formula.
If the right Chi pulse is surging, rapid, forceless, with spontaneous or night sweating, it indicates Ministerial Fire carrying Heart Fire to attack Lung Metal; use Danggui Liuhuang Tang (Six-Huang Decoction with Angelica).
Discussion: Spontaneous and night sweats due to dual deficiency of Yin and Yang, occurring during sleep or wakefulness. Remove Shengma (Cimicifugae Rhizoma) from Yiqi Tang (Boost Qi Decoction), add Baifuling (Poria), Jiushaoyao (Wine-fried Paeoniae Radix), Chao Suanzaoren (Fried Ziziphi Spinosae Semen), and Muli (Ostreae Concha), 1 qian each. Add Mi Huangbai (Honey-fried Phellodendri Cortex) and Mi Zhimu (Honey-fried Anemarrhenae Rhizoma), one Wumei (Mume Fructus), one Jujube, and a pinch of Xiaomai (Triticum aestivum). Decoct in water and take.
A patient sweated throughout the four seasons, feared wind, required cotton clothes even in summer, suffered asthma in winter with disconnected breath, and occasionally had cloudy urine. Bazhu Tang (Eight-Ingredient Decoction) was ineffective. Buyi Yiqi Tang (Supplement Middle and Boost Qi Decoction) provided slight relief. I prescribed Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Guizhi (Cinnamomi Ramulus), Bohe (Menthae Haplocalycis Herba), Gancao (Licorice Root), and Qianghuo (Notopterygii Rhizoma et Radix); cured in one dose.
Formula for chronic unceasing spontaneous and night sweats: Gather mulberry leaves with morning dew, dry and powder them. Take 3 qian on an empty stomach with rice water.