Chills and Spontaneous Sweating: A TCM Case of Internal Imbalance

⚠️ For educational purposes only. Individual case — results may vary. Individual responses to treatment may vary. Not medical advice. Consult a qualified healthcare professional before making health decisions.

Article 7: The Man in a Winter Coat in Summer — Chills and Spontaneous Sweating

Introduction: An Unusual Summer Scene

It was the height of summer heat when a patient walked into the clinic. The doctor and waiting patients all froze — this man in his fifties was wearing a thick, padded cotton jacket and trousers.

Presentation: The Body's Thermostat Had Failed

The patient's condition: extreme sensitivity to wind and cold even in the height of summer; incessant cold sweating soaking his clothing; a vicious cycle — the more he sweated, the colder he felt; inability to remove the coat (the moment he did, cold sweat broke out all over, cold penetrating to the bone); weak constitution — poor appetite, fatigue, shortness of breath.

TCM Analysis: Disharmony of Ying and Wei

In TCM, the body has two protective systems: Wei Qi (Defensive Energy) — circulating at the surface, governing defense against pathogens and regulating pore opening and closing; and Ying Qi (Nutritive Energy) — circulating within the blood vessels, nourishing all organs. When Wei Qi is deficient, the pores cannot be held closed — like a broken faucet that cannot be turned off. When Ying Qi is insufficient to warm and nourish, and Wei Qi cannot defend against cold, the result is internal and external cold simultaneously.

Treatment and Results: Guizhi Tang

Diagnosis: deficient Zheng Qi, disharmony of Ying and Wei. Prescription: Guizhi Tang.

According to this case record, after 5 doses: chills reduced; the patient was able to ride a bicycle; switched from padded coat to a lighter jacket; sweating decreased. After approximately half a month: wearing a single layer, no longer sensitive to wind, no spontaneous sweating.

Key insight — Bidirectional regulation: Guizhi Tang is not simply a diaphoretic or sweat-stopping formula. It restores the body's own self-regulation: allowing it to sweat when it should and stop when it should.

⚠️ 本文为真实个案教育分享，个案结果不代表普遍疗效，不构成医疗建议或诊疗方案。如有健康问题，请咋询合格医疗专业人员。

第7篇：畏寒自汗案

引言：不寻常的夏日景象

盛夏，某病人来到诊所。当他走进诊室时，医生和候诊的患者都愉住了——这位50多岁的中年男子，竟然穿着厚厚的检衣检裤！

病情描述：身体的空调失灵了

该患者的困扰：极度畏风寒；自汗不止；越汗越冷的恶性循环；不敢脱衣；体质虚弱——平素纳食少，乏力气短。

病机解读：营卫失调

中医认为，人体有两道重要的防护系统：卫气（外防线）运行于肌表之间，负责抑御外邪、调节汗孔开合；营气（内防线）运行于血脉之中，负责营养全身。当卫气虚弱无力固摄汗孔，就像坏掉的水龙头关不住，结果自汗时时。当营气不足以温养、卫气无力御寒，就形成内外皆寒的局面。

治疗与疗效：桂枝汤调和营卫

医生诊断为正气虚弱，营卫失调，开出了经典名方——桂枝汤。

据本案记录，服药五剂后：畏寒减轻，已能骑自行车，脱去检衣改穿夹衣，汗出减少。约半个月后：已着单衣裤，不畏风，不自汗。

关键启示——双向调节：桂枝汤不是简单的止汗药或发汗药，而是调和营卫的方剂，恢复身体的自我调节能力。