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PAthomechanism (night sweats)

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1) Any ideas on the pathomechanism for spleen qi xu w/ damp

obstruction causing night sweats.

2) OR does anyone know a (Chinese) source (besides Fluid

pathology or the practical dictionary) that mentions this relationship.

 

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Jason,

 

Haven't read Steve's book for a number of years. However, I would say

it's damp heat which causes night sweats, not just spleen vacuity plus

dampness. That damp heat can cause night sweats is a well known

clinical fact. The pathomechanisms involved in why the sweating occurs

at night in this case go like this: Dampness obstructs the free flow

of qi. The flow of qi slows down at night when the body is at rest.

Therefore, dampness more easily obstructs this flow. If yang qi

becomes depressed by damp obstruction, it gives rise to depressive

heat. This heat then forces fluids to be emitted from the pores of the

skin. In many patients with this kind of night sweats, the internal

engenderment of damp evils is due to spleen qi vacuity weakness

failing to move and transform water fluids. These collect and become

damp evils. Because the defensive qi is engendered by the spleen and

exits from the middle burner and because the defensive qi travels

internally during the night, in addition to heat forcing fluids

outward, qi vacuity may fail to adequately secure and astringe the

external defensive (wai wei).

 

Bob

 

, " " <@o...> wrote:

> 1) Any ideas on the pathomechanism for spleen qi xu w/ damp

obstruction

> causing night sweats.

>

> 2) OR does anyone know a (Chinese) source (besides Fluid pathology

or

> the practical dictionary) that mentions this relationship.

>

>

>

> -

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