An analysis of Guizhi and Fuzi decoction in the treatment of hyperhidrosis
Hyperhidrosis refers to the abnormal excessive sweating of the whole body or local skin,which is a common and frequent disease in today's society.This paper discusses Guizhi and Fuzi decoction(桂枝加附子汤)in the treatment of hyperhidrosis.The contents include the diagnosis and treatment of hyperhidrosis,scription records of Guizhi and Fuzi decoction in the treatment of hyperhidrosis,the interpretation of the prescription,and the application of clinical cases.TCM believes that hyperhidrosis is due to Yin(阴)and Yang(阳)imbalance,Qing(营)and Wei(卫)disharmony,and insecurity of the interstices,which leads to sweat leakage disorders,including spontaneous sweating and night sweats.Hyperhidrosis pathogenesis is Yin and Yang imbalance of Zangfu vislera(脏腑),Ying and Wei disharmony,which can be included in deficiency and excess.TCM focuses on examining the causes,syndrome differentiation and treatment in the treatment of hyperhidrosis.Western medicine scholars believe that hyperhidrosis is due to the disorder of central nervous system regulation,which makes the sympathetic nervous system issue too much and too strong stimulation,and causes hyperhidrosis due to excessive secretion of sweat by sweat glands through the medium of acetylcholine.Western medicine has a variety of treatment methods,but the effect is not ideal and the side effects cannot be ignored.There is no shortage of TCM prescription records on Guizhi and Fuzi decoction in the treatment of hyperhidrosis.Guizhi and Fuzi decoction adds Fuzi(Radix Aconiti Lateralis Preparata)on the basis of Guizhi decoction(桂枝汤),in which the amount of Zhigancao(prepared licorice)is added to 3 Liang,so that Zhigancao,Guizhi(cassia twig)and Shaoyao(Radix Paeoniae Alba)are matched in equal proportion.with the effects of regulating Ying and Wei,supporting Yang and consolidating the surface,and restoring Yang and collecting liquid.In treating the disease,it should not be limited to sweating syndrome,arthralgia,pain,etc.,but should follow the essence of TCM of"treating the disease for its root cause,and treating different diseases with the same treatment".Although the disease is different,the syndrome differentiation should be investigated as follows:if the disease mechanism is consistent with the weakness of Yangqi(阳气),lack of Yin,and the surface syndrome has not been removed,this prescription can be boldly used.
HyperhidrosisGuizhi and Fuzi decoctionTreating the disease for its root causeTreating different diseases with the same treatment