Traditional Chinese medicine believes that hyperhidrosis of hands and feet is caused by dysfunction of spleen and stomach, which can be divided into two types: deficiency and excess. People with spleen and stomach weakness are also accompanied by symptoms such as dry mouth, upset, red tongue and little fur, which belong to deficiency-heat syndrome of insufficient body fluid. You can choose Zengye Decoction (20g for Radix Rehmanniae, Radix Scrophulariae and Radix Ophiopogonis) and 15g for Semen Ziziphi Spinosae, Concha Ostreae, Dendrobium and Flos Albiziae. Patients with spleen and stomach deficiency and cold are mostly caused by excessive drinking and overeating, accompanied by symptoms such as bad breath, bitter taste, poor stool, yellow and turbid urine and thick and greasy tongue coating. Sanren decoction (almond, cardamom, magnolia officinalis, Pinellia ternata, bamboo leaves, Tonghua each 12g, Coicis Semen and talc each 30g) can be selected for treatment, and Scutellaria baicalensis Georgi and radish each 15g can be added. Chinese medicine also believes that perineal hyperhidrosis is closely related to the kidney and can be divided into two types: deficiency and excess. Patients with deficiency syndrome sweating in their dreams and sweating after waking up can be treated with Baizhi Dihuang Pill. Those with wet crotch and increased exercise time all day can be treated with Jinkui Shenqi Pill.
When treating localized hyperhidrosis, we should pay attention to keep a good mood, quit smoking and alcohol, and eat less spicy and sticky food. In addition, soaking in 5% alum solution every day and soaking in pine leaves and eucalyptus leaves have certain curative effects.
Palmar hyperhidrosis
I. Overview
Palmar hyperhidrosis is a very common functional local abnormal hyperhidrosis with unknown causes. Because of the particularity of race, young people who grew up in subtropical areas are particularly prone to this problem. The secretion of sweat glands is controlled by sympathetic nerves, and palmar hyperhidrosis is caused by excessive tension of sympathetic nerves for unknown reasons, such as nervousness, excitement, nervousness or abnormal increase of palmar perspiration caused by high temperature in summer. In Taiwan Province Province, the incidence of 10 to 30-year-old youth is about 0.3%, that is, 1 person in about 300 young people suffers from obvious palmar hyperhidrosis, regardless of gender, and their family history is as high as 13% (with family inheritance). Most people have sweaty hands since childhood, and it is more serious in adolescence. All patients with palmar hyperhidrosis are healthy and normal except palmar hyperhidrosis. Most patients also have hyperhidrosis on the soles of feet or armpits, and a few patients also have body odor.
Second, symptoms
Hyperhidrosis is not a disease, but an overactive sympathetic nerve. However, it often causes troubles in study, work or social interaction because of this symptom, so seek medical treatment. The palms of people who sweat easily are wet most of the time, and long-term wet hands are often easy to peel off, which is even more unsightly. School-age teenagers often get their test papers wet because of excessive sweat on their hands, which often affects the unfinished test papers. Teenagers are afraid to hold hands with others, and even shaking hands is a problem. In severe cases, the palms may even have symptoms of eczema and dermatitis. As adults, it also brings inconvenience to their work and social activities. Hyperhidrosis patients often sweat on their hands and feet, but the sweat of patients usually has no odor, which is different from that of patients with body odor. People with body odor (underarm hyperhidrosis and body odor) are related to their genetic constitution, mainly because the sebaceous glands under the armpit are developed, the probability of occurrence is higher than that of palmar hyperhidrosis, and the troubles caused are more common. For example, clothes always have yellow stains that can't be washed out, so I dare not wear sleeveless tops. Most importantly, when they are close to others, they will have more inexplicable psychological burdens and fears.
Third, treatment.
The treatment of palmar hyperhidrosis can be divided into internal medicine and surgery. Drugs used in internal medicine to inhibit sympathetic nervous system often have side effects such as thirst or gastrointestinal dysfunction, which makes people afraid to take them for a long time. However, due to time constraints, frequent application of local drugs is not a very convenient method. Because all medical methods have their limitations, surgical treatment has become the general trend. The sympathetic nerve that controls the sweat glands of the hand is located in the second and third sections of the thoracic spine, that is, on both sides of the dorsal spine, that is, around the nipple line. As long as these two sympathetic nerves are cut off, you can achieve the goal of not sweating your hands. The traditional surgical method is to cut through the center of the back, cut off the bone at the intersection of the ribs and the spine, and cut off the second and third sympathetic ganglia on both sides. Because the operation takes about 2-3 hours, there is a wound about 5-7 cm after operation, which is painful and takes a long time to recover. It takes about 3-5 days to be hospitalized. In addition, it may also cause pneumothorax (air leakage in the lungs makes the lungs unable to breathe, which is a life-threatening sequela), which has been mostly replaced by video endoscopic sympathectomy. This operation has a small wound and does not need suture. The operation process takes less than half an hour. After the recovery of anesthesia, you can go home and rest on the same day, and the success rate of surgery can be as high as 98%.
References:
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"sweaty feet"
In winter, sweaty feet radiate heat 25 times faster than dry feet, which is easy to get frostbite. When this happens, the human body will automatically close the circulatory system of superficial skin, resulting in insufficient blood supply to the feet. Insufficient blood supply means that the skin tissue around the foot is necrotic, leading to foot cracking. To this end, people should protect their feet as follows:
1. If your feet are sweaty, dry them and put on dry socks and shoes.
People with sweaty feet should change socks at least once a day, and don't sleep in socks at the same time.
3. "Sweaty feet" should wear acrylic socks instead of pure cotton, which can absorb sweat.
4. Don't wear too tight shoes and socks, so as not to interfere with the blood circulation of feet.
If possible, you can also apply some antiperspirant oil on your feet.
Treating sweaty feet with alum.
My feet are sweaty, which is worse in winter. If I don't get it, my feet will freeze. Later, I added 10- 15g alum to the boiling water. After alum is dissolved in water, the feet are scalded 15-20 minutes at a suitable water temperature, once every night, and a course of treatment lasts for 5- 16 days. Soon, my sweaty feet will be fine.
Method for treating sweaty feet
My wife's feet are sweaty, and she introduced a prescription, which is very effective after using it. The prescription is: take 2-4 tablets of 0.5 mg urotropine (western medicine), press it into fine powder, wash your feet and dry them, then rub the powder into the toes of your feet once a day for 4-8 days, which can keep your feet dry for 50 days.
Treatment of sweaty feet with "mirabilite powder"
The composition of the prescription is: 25g of alum, 25g of mirabilite and 30g of spotted root (available in Chinese medicine shops). Methods: Alum was smashed, mixed with mirabilite and dental plaque, decocted twice in water and put into a basin for later use. When washing feet, soak your feet in liquid medicine for at least 30 minutes three times a day. You'd better wash your feet before going to bed. Each dose can be used for two days, and the liquid medicine is warm when washing, and 6 days is a course of treatment.