suggestions for interesting hyperhidrosis case?

[Guest guest]

Dear all,

I would love to hear your ideas for treating a case of congenital

hyperhidrosis of the hands and feet. Patient is female age 40 of excellent

general health. Everybody in her family (men & women) has had this problem

since childhood through all of adult life. In most cases it gradually

improves/disappears in their 60s. She is otherwise of excellent health.

After a rather detailed consult, the only thing of note is that she finds

herself overthinking sometimes. Otherwise sleep, diet, lifestyle, stress,

general health history is all quite normal and healthy. Tongue - slight thin

body, slight wide with pointy tip, slight dusky color, thin white coat.

Pulse -- generally moderate, sometimes can be bowstring.

 

The sweat just pours and pours out of her hands and feet, like a running

faucet. Usually she wakes up relatively dry, and as soon as she gets her day

going, the sweat starts pouring. And when she lays down at night to go to

sleep, it will dries up then. Next morning the cycle begins anew. The sweat

is usually worse when she's either too hot or too cold. But she has never

known a single day in her whole life when she did not have pouring sweat.

Unless she is completely still and not moving and not stimulated by

anything. She cannot go to the store or pick up the phone or do any activity

without inducing the pouring sweat in the hands & feet. While she admits to

sometimes overthinking, she notices very little correlation between emotions

and sweat level. She can be quite relaxed, but just to do simple household

tasks is all the stimulation it takes to start the sweat pouring out.

 

For the first 4 wks, we did weekly acupuncture treatments. Each time it

would stop sweating while she's on the table. But as soon as she gets her

day going again, whether she is stressed or not, the faucet would open up

again. So the treatment results would only last a few hours.

 

Points - YinTang, Left HT6, Right KD7, Right LU9, Left KD3, left SP6, bilat

ST36, LV3. Sometimes I use Ren6. No moxa allow in my clinic, so i would do

TDP lamp over her abdomen in an effort to " consolidate " her qi & blood to

prevent leakage.

 

Herbs - Huang Qi, Bai Zhu, Wu Zhu Yu, Wu Wei Zi, Long Gu, Mu Li, Suan Zao

Ren, Lian Zi. (KPC powder granules. raw herbs was not an option due to

practicality.) The herbs produced good results for the first 2 wks (40%

decrease for about 2 wks). She took a break while travelling and then when

she started back up on the herbs they nolonger producing much results. Maybe

only 10-15% improvement?

 

This is my first encounter with congenital hyperhidrosis case, and not an

obvious (to me) underlying pattern of disharmony. So I would greatly

appreciate any ideas or feedback for how to move forward with this case?

 

Should acupuncture be more frequent than once a week? (i have a hard time

selling her on increased frequency when the results only last a few

hours...) are there experience stop-sweating points you especially recommend

that are more powerful?

 

Thanks in advance!!

~edith

 

 

--

Edith Chan, L.Ac.

Doctoral Fellow

Ph: 415.298.5324

www.EdithChanAcupuncture.com

 

 

 

[Guest guest]

Eric,

I've seen and treated these cases successfully, but your case here

may be a special case.

An entire family had profuse sweating palms and soles even though

they were healthy, but the treatments were rendered differently depend

upon pulses or symptoms.

Here are some suggestions, but before we go on I reasoned why they

have this kind of problem. First, it could be inherited. Second, it

could be the regional area of living condition. Third, it could be

emotional problems. Last, it could be malfunction of some organs or

neurosis.

In Chinese, all I could think of a few reasons :

First, The heart ( controls the blood and body fluids ), The Spleen

( holds ... ), the intestines ( purifies... ), Kidneys ( purifies and

holds... ), the bladders ( hold ... ).

As I treated a patient with strong forceful pulses ( excess ), I

chose only one point, one side on intestines ( LI4 or SI3 ).

With emotional problem, P6 is chosen.

With weak, deep, or thready pulse, K3 is chosen.

With moderate and unknown reason, Sp6 is chosen. For Sp6 is

comparable to Gui Pi Tang ( holding and keeping the body fluids or

blood in their original places ).

For Herbal : Gui Pi tang is key , no variable added. If needed ,

increase dosage.

Jin Gui SHen Qi Wan for Kid ( deep, thready pulse ).

For excess, Bai Hu Tang ( one dosage only ).

Emotional problem ( Tian Wang Bu Xin Dan ).

 

Most cases, the hyperhidrosis stopped instantly after the insert of a

needle. If not, you may manipulate it for 20 sec - 1 minute. Until

then, the dripping does not stop, you know you have chosen a wrong

point................. Herbal formulas are for supportive.

 

Good luck ,

Nam Nguyen

[Guest guest]

Hi, Edith, I just chimed in to ask a few more details about your case

if you don't mind. I think you are on the right track by using

astringent medicinals but I need more data before I can come up with my

opinions.

 

--is there any head sweat? sweats in five palms?

-- are there symptoms of ear ringing, cold patterns? How is her urine

and defecation? What is the dignosis of tcm?

 

Regards,

SUNG

 

 

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