朱瑶 邓丽华 张雪荣 李云海

【摘要】多汗症患者社交和生活都受到巨大影响，李云海教授认为异常汗出的主要原因是虚损不足、营卫不和、外邪侵袭而致腠理不固、汗液外泄。文章总结了李云海教授治疗多汗症的经验和用药特点。黄芪桂枝五物汤出自《金匮要略》，用于治疗证属阴阳俱微，气血不足，营卫失和的疾病，收效甚好。

【关键词】多汗症；黄芪桂枝五物汤；营卫不和；气阴两虚

【中图分类号】R249.2/.7【文献标志码】 A【文章编号】1007-8517（2023）10-0100-03

Professor Li Yunhais Experience in Treating Hyperhidrosis with Huangqi Guizhi Wuwu DecoctionZHU Yao1DENG Lihua2ZHANG Xuerong1，2*LI Yunhai1△

1．Hubei University of Chinese Medicine，Wuhan 430000，China;

2.Hubei Hospital of traditional Chinese Medicine，Wuhan 430000，ChinaAbstract：Hyperhidrosis has a huge impact on the social and life of patients. As a result， the management is not solid and the sweat is leaked，What Professor Li Yunhai believes is that the main reasons for abnormal sweating and plaguing people are lack of wastage， disharmony between camps and guards， and the invasion of exogenous pathogens. This article summarizes Professor Li Yunhais experience and medication characteristics in treating hyperhidrosis. Astragalus Guizhi Wuwu Decoction is from “The Synopsis of the Golden Chamber”， it is used for the treatment of diseases caused by deficiency of yin and yang， insufficient qi and blood， and disharmony between ying and wei，With good results.

Keywords：Hyperhidrosis;Huangqi Guizhi Wuwu Decoction;Disharmony Between Ying and Wei; Deficiency of Both Qi and Yin

汗證是指汗液外泄失常的病证，最早在两千年前秦汉时期的《黄帝内经》中就提出了“心为汗”“阳加于阴谓之汗”等理论，后世的医家逐步认识并完善汗证的病因病机、理法方药。现今认识到多汗症是一种在正常环境下全身或局部皮肤出汗异常增多的疾病，主要发生在分泌型汗腺比较密集的部位，如脸部、腋下、手、脚、腹股沟等。多为自主神经损伤，自主神经功能紊乱，内分泌失调，汗腺神经兴奋，汗腺神经紧张及遗传因素等原因导致［1］。由于出汗过多，患者社交和生活都受到巨大影响，会导致严重的社会及心理负担，从而影响患者的生存质量。目前的治疗方法主要有局部药物治疗、全身药物治疗、离子电渗疗法、肉毒素、微波治疗、激光、CT 引导下经皮穿刺胸交感神经化学阻滞、外科手术等［1］。非手术治疗效果有限，且有瘙痒刺痛、视力模糊、排尿困难等不良反应。西医学治疗多汗症最好的方法是手术，包括交感神经链切断术、吸脂术等，但是会出现代偿性出汗及神经痛等不良反应，因此目前仍存在争议［3］。……