提桂香教授巧治难治性手汗症病案三则

Professor Ti Guixiang′s skillful treatment for 3 cases of refractory palmar hyperhidrosis

汗是人体活动、气血运行、新陈代谢的产物。手汗症是中医临床常见病证,多见于年轻女性,西医治疗效果欠佳,中医诊疗经验报道不多。提桂香教授认为手汗症属于汗证的一种,处方用药时,除常规思路,如补气、滋阴、清湿热等之外,应遵古而不泥古,思路灵活,整体把握,如年轻女性,需考虑患者是否易紧张、焦虑、失眠等,则兼顾或着重治以疏肝镇静安神为法;如患者汗出局限,单独手汗明显,身体其他部位汗出无异常,可治以发汗法,使周身出汗如常,则手汗可解,文中附难治性手汗证病案三则。

Sweat is the product of human activity,blood circulation and metabolism.Palmar hyperhidrosis is a common clinical disease in traditional Chinese medicine,which is often seen in young women.The treatment effect of Western medicine is not good enough,and the experience of diagnosis and treatment in traditional Chinese medicine is rarely reported.Professor Ti Guixiang believes that palmar hyperhidrosis is a kind of perspiration syndrome.In addition to the conventional thinking,such as invigorating qi,nourishing yin,clearing away damp heat,etc.,the prescription should follow the ancient rather than the ancient,with flexible thinking and overall grasp.For example,if young women need to consider whether the patients are easy to be nervous,anxious,insomnia,etc.,the method of soothing the liver and calming the nerves should be taken into consideration or emphasized.If the sweating of the patient is limited,the sweating of the hand alone is obvious,and there is no abnormal sweating of other parts of the body,the sweating method can be used to make the sweating of the whole body as usual,then the sweating of the hand can be solved.There are 3 cases of refractory hand sweating syndrome attached.