〔垣〕当归六黄汤治盗汗之圣药也。
当归 生地 熟地 黄柏 黄芩 黄 黄连(各等分)
上为粗末,每服二三钱,水一盏半,煎七分去渣,温服。小儿用半钱。
正气汤治盗汗。
黄柏(炒,一钱) 知母(炒,一钱半) 甘草(炙,五分)
上粗末,作一服,水二大盏,煎一盏去渣,临卧服。
〔丹〕当归龙荟丸 治盗汗。(见治法门。)
〔《本》〕治盗汗,外肾湿。
人参 苦参 龙胆草 麻黄根(各三钱)
上件为末,炼蜜丸如桐子大。每服三十丸,烧麸汤下。
严氏黄 汤治喜怒惊恐,房室虚劳,致阴阳偏虚发厥,自汗或盗汗不止,并宜服之。
黄 (去芦,蜜炙,两半) 白茯苓(去皮) 熟地(酒蒸) 桂枝(不见火) 天门冬(去心)
麻黄根 龙骨(各一两) 五味子 小麦(炒) 防风(去芦) 当归(酒蒸) 甘草(炙。各两半)
上 咀,每服四钱,水一盏,姜五片,煎七分温服,不拘时。发厥自汗,加熟附子。发热自
汗,加石斛。
〔《山》〕盗汗,临夜吃淡煮麦丸子,空心服妙香散。
〔《本》〕戢阳气,止盗汗,进饮食,退经络热,柏子仁丸。
柏子仁 半夏曲(各二两) 牡蛎(坩锅子内火 ,用醋淬七次,焙干) 人参 麻黄根(慢火
炙,拭去汗) 白术 五味子(各一两) 净麸(炒,半两)
上八味为末,枣肉丸桐子大。空心米饮下三五十丸,日二服。得效减一服,将愈即住。作
散调服亦可。
〔丹〕白术汤治盗汗。
用白术四两,分作四处∶
一两(用黄 同炒) 一两(石斛同炒) 一两(牡蛎同炒) 一两(麸皮同炒)
各味炒黄色,余药不用,只用白术研末,每服三钱,用粟米煎汤送下,尽四两为效。
〔世〕治盗汗出,山药一味为末,临卧酒调下三钱效。
〔《本》〕牡蛎散 治盗汗。(方见前自汗门。)
〔世〕黄 散治盗汗。
黄 木通 葛根
上为粗末,水煎服。
〔《衍》〕治盗汗尤切。将椒目微炒,捣细末,用半钱匕。以生猪上唇煎汤一合调,临睡服,
无不效。盖椒目能行水,又治水蛊。
〔世〕五仙丸治盗汗。
天仙子 五灵脂
上为末,水糊丸桐子大。三十丸,白汤临卧服。(本草云∶天仙子一名莨菪子,性甘寒,
有毒,服者审之。)
〔《本》〕治盗汗。
威灵仙 甘草(各半钱) 水煎服。
脏腑盗汗皆属肾。经云∶肾病者,盗汗出,憎风是也。
运气盗汗皆属寒水。经云∶岁水太过,寒气流行,甚则劳汗出,憎风。又云∶太阳所至,为
寝汗 是也。
〔世〕治盗汗。桑叶为末,茶服之,诸药不应者,累验。(出《医说》)
〔孟〕豆豉能治久盗汗患者,以一升微炒令香,清酒二升渍两三日,取汁,任人服之。不瘥,
更作三两剂即止。
〔《衍》〕牡蛎 过,麻黄根等分,同研极细粉,治盗汗及阴汗。
〔世〕盗汗∶阴都、五里、间使。
〔扁〕盗汗∶中极、气海。虚损盗汗劳热∶百劳(三分,泻三吸)、肺俞(四分,补三呼。)。
〔成〕盗汗者,谓睡而汗出者也,不睡则不能汗出,方其睡也,溱溱然出,觉则止而不复出矣。
[李]东垣认为,当归六黄汤是治疗盗汗的圣药。
当归、生地黄、熟地黄、黄柏、黄芩、黄芪、黄连(各等分)。
将上述药材捣成粗末,每次服用二三钱,加水一盏半,煎至七分,去渣,温服。小儿用半钱。
正气汤治疗盗汗。
黄柏(炒,一钱)、知母(炒,一钱半)、甘草(炙,五分)。
将上述药材捣成粗末,作为一服的量,加水两大盏,煎至一盏,去渣,临睡前服用。
[《本草》]记载:治疗盗汗,以及外肾潮湿。
人参、苦参、龙胆草、麻黄根(各三钱)。
将上述药材研为细末,用炼蜜制成如梧桐子大小的丸剂。每次服用三十丸,用烧过的麸皮汤送服。
严氏黄芪汤治疗因喜怒惊恐、房事虚劳,导致阴阳偏虚而发厥,出现自汗或盗汗不止的情况,均适宜服用此方。
黄芪(去芦头,蜜炙,一两半)、白茯苓(去皮)、熟地黄(酒蒸)、桂枝(不经过火烤)、天门冬(去心)、麻黄根、龙骨(各一两)、五味子、小麦(炒)、防风(去芦头)、当归(酒蒸)、甘草(炙,各一两半)。
将上述药材切碎,每次服用四钱,加水一盏,生姜五片,煎至七分,温服,不拘时间。若出现发厥、自汗,加熟附子;若发热、自汗,加石斛。
[《山》]记载:治疗盗汗,可在临睡前吃淡煮的小麦丸子,空腹服用妙香散,效果奇妙。
[《本》]记载:收敛阳气,止盗汗,增进饮食,退经络之热,使用柏子仁丸。
柏子仁、半夏曲(各二两)、牡蛎(在坩埚内用火煅烧,用醋淬七次,焙干)、人参、麻黄根(慢火炙,拭去汗液)、白术、五味子(各一两)、净麸皮(炒,半两)。
将上述八味药材研为细末,用枣肉制成如梧桐子大小的丸剂。空腹时米饮送服三五十丸,每日两次。见效后减为一服,病愈即停药。也可以做成散剂调服。
[朱]丹溪记载:白术汤治疗盗汗。
取白术四两,分为四处处理:
一两(与黄芪同炒)、一两(与石斛同炒)、一两(与牡蛎同炒)、一两(与麸皮同炒)。
每种药材炒至黄色后,弃去其他药物,只保留白术研为细末,每次服用三钱,用粟米煎成的汤送下,服完四两即为有效。
[世传]记载:治疗盗汗出,单用山药一味研为细末,临睡前用酒调服三钱,有效。
[世传]记载:黄芪散治疗盗汗。
黄芪、木通、葛根。
将上述药材捣成粗末,水煎服。
[《衍义》]记载:治疗盗汗尤为确切。将椒目微炒,捣成细末,取半钱匕的量。用生猪上唇煎汤一合调和,临睡前服用,无不生效。因为椒目能行水,又治水蛊。
[世传]记载:五仙丸治疗盗汗。
天仙子、五灵脂。
将上述药材研为细末,用水糊制成如梧桐子大小的丸剂。每次三十丸,白开水临睡前服用。(《本草》记载:天仙子又名莨菪子,性甘寒,有毒,服用者需谨慎。)
脏腑中的盗汗皆归属于肾。经书云:肾病者,会出现盗汗、恶风的症状。
运气学说中的盗汗皆归属于寒水。经书云:岁运水气太过,寒气流行,严重时会出现劳作出汗、恶风。又说:太阳之气所至,表现为睡中出汗(寝汗)。
[世传]记载:治疗盗汗。桑叶研为细末,茶送服,对于其他药物无效者,多次验证有效。(出自《医说》)
[孟]氏记载:豆豉能治疗久患盗汗的患者,取一升豆豉微炒至香,用清酒二升浸泡两三天,取汁液,让人随意服用。若不痊愈,再制作三两剂即可停止。
[《衍义》]记载:牡蛎煅过,与麻黄根等分,共同研磨成极细粉,治疗盗汗及阴汗。
[扁鹊/针灸家]记载:盗汗穴位:中极、气海。虚损导致的盗汗劳热穴位:百劳穴(三分,泻法三吸)、肺俞穴(四分,补法三呼)。
[Li] Dongyuan considered Danggui Liuhuang Tang (Cinnamon Twig and Rehmannia Decoction) to be the sacred medicine for treating night sweats.
Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix Recens), Shu Di Huang (Rehmanniae Radix Preparata), Huang Bo (Phellodendri Cortex), Huang Qin (Scutellariae Radix), Huang Qi (Astragali Radix), Huang Lian (Coptidis Rhizoma) (equal parts).
Grind the above herbs into coarse powder. For each dose, take 2-3 qian, add one and a half zhan of water, decoct until seven-tenths remains, remove the dregs, and take warm. Children should take half a qian.
Zhengqi Tang treats night sweats.
Huang Bo (Stir-fried, 1 qian), Zhi Mu (Stir-fried, 1.5 qian), Gan Cao (Honey-fried, 0.5 qian).
Grind the above herbs into coarse powder as one dose. Add two large zhan of water, decoct until one zhan remains, remove the dregs, and take before going to bed.
[Zhu] Danxi recorded: Danggui Longhui Wan (Cinnamon Twig and Scutellaria Pill) treats night sweats. (See Chapter on Treatment Methods.)
[Bencao Materia Medica] records: Treats night sweats and dampness in the external kidneys.
Ren Shen (Ginseng Radix), Ku Shen (Sophorae Flavescentis Radix), Long Dan Cao (Gentianae Radix), Mahuang Gen (Ephedrae Radix et Rhizoma) (each 3 qian).
Grind the above herbs into fine powder. Make pills using refined honey, sized like paulownia seeds. Take 30 pills each time, washed down with broth made from burnt bran.
Yan Shi Huangqi Tang treats cases caused by joy, anger, fear, or fright, and deficiency-emaciation from sexual activity, leading to Yin-Yang imbalance and syncope, resulting in spontaneous sweating or incessant night sweats. This formula is suitable for all such conditions.
Huang Qi (De-stalked, honey-fried, 1.5 liang), Bai Fu Ling (Poria with bark removed), Shu Di (Steamed with wine), Gui Zhi (Cinnamomi Ramulus, not exposed to fire), Tian Men Dong (Asparagi Radix, heart removed), Mahuang Gen, Long Gu (Fossilized Bones, each 1 liang), Wu Wei Zi (Schisandrae Fructus), Xiao Mai (Tritici Fructus, stir-fried), Fang Feng (Saposhnikoviae Radix, de-stalked), Dang Gui (Steamed with wine), Gan Cao (Honey-fried, each 1.5 liang).
Chop the above herbs. For each dose, take 4 qian, add one zhan of water and five slices of ginger, decoct until seven-tenths remains, and take warm at any time. If syncope and spontaneous sweating occur, add Shu Fu Zi (Prepared Aconiti Lateralis Radix). If fever and spontaneous sweating occur, add Shi Hu (Dendrobii Caulis).
[Shan] records: To treat night sweats, eat lightly boiled wheat pills before sleep, and take Miao Xiang San (Wonderful Fragrance Powder) on an empty stomach; this is excellent.
[Bencao Materia Medica] records: Astringes Yang Qi, stops night sweats, promotes appetite, and clears heat from the meridians. Use Baizi Ren Wan (Biota Seed Pill).
Baizi Ren (Biota Semen), Banxia Qu (Pinelliae Fermentum, each 2 liang), Mu Li (Ostreae Concha, calcined in a crucible, quenched seven times with vinegar, dried), Ren Shen, Mahuang Gen (Slow-fire roasted, sweat wiped off), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Wu Wei Zi (each 1 liang), Jing Fu (Clean Bran, stir-fried, 0.5 liang).
Grind the above eight herbs into powder. Form pills using jujube flesh, sized like paulownia seeds. Take 30-50 pills on an empty stomach with rice drink, twice daily. Reduce to one dose when effective, and stop when cured. It can also be taken as a powder mixed with water.
[Zhu] Danxi recorded: Baizhu Tang treats night sweats.
Take 4 liang of Bai Zhu, divided into four portions:
One portion (stir-fried with Huang Qi), one portion (stir-fried with Shi Hu), one portion (stir-fried with Mu Li), one portion (stir-fried with bran).
After stir-frying each ingredient until yellow, discard the other ingredients and only use the Bai Zhu, grinding it into powder. Take 3 qian each time, washed down with soup made from millet. Consuming the full 4 liang constitutes efficacy.
[Worldly Transmission] records: To treat night sweats, grind a single herb, Shan Yao (Dioscoreae Rhizoma), into powder. Take 3 qian mixed with wine before bed; this is effective.
[Bencao Materia Medica] records: Mulisan (Oyster Shell Powder) treats night sweats. (Formula seen previously in the Spontaneous Sweating section.)
[Worldly Transmission] records: Huangqi San (Astragalus Powder) treats night sweats.
Huang Qi, Mutong (Akebiae Caulis), Gegen (Puerariae Radix).
Grind into coarse powder, decoct in water, and take.
[Yanyi] records: Particularly effective for night sweats. Lightly stir-fry Jiaomu (Zanthoxyli Semen), grind into fine powder. Take half a qian-bi (spoonful). Mix with one he of broth made from boiling the upper lip of a live pig, and take before sleep. There is no case where it fails. This is because Jiaomu promotes water metabolism and treats abdominal distension due to water retention.
[Worldly Transmission] records: Wuxian Wan (Five Immortals Pill) treats night sweats.
Tianxianzi (Hyoscyami Semen), Wulingzhi (Trogopterori Faeces).
Grind into powder, form pills with water paste, sized like paulownia seeds. Take 30 pills with plain water before bed. (Bencao states: Tianxianzi is also known as Langdangzi, nature is sweet and cold, toxic; users must exercise caution.)
[Bencao Materia Medica] records: Treats night sweats.
Weilingxian (Clematidis Radix et Rhizoma), Gan Cao (each 0.5 qian). Decoct in water and take.
Night sweats originating from the Zang-Fu organs all belong to the Kidney. The Classics state: In Kidney disease, there are night sweats and aversion to wind.
Night sweats related to Six Qi transformations all belong to Cold Water. The Classics state: When the annual water qi is excessive, cold qi prevails, and severely, labor-induced sweating and aversion to wind occur. It also states: When Taiyang qi arrives, it manifests as sleeping sweat (Qinhan).
[Worldly Transmission] records: To treat night sweats, grind Sang Ye (Mori Folium) into powder and take with tea. This has been repeatedly verified to be effective for cases unresponsive to other medicines. (From Yishuo)
[Meng] stated: Dou Chi (Fermented Soybean) can treat chronic night sweats. Take one sheng, lightly stir-fry until fragrant, soak in two sheng of clear wine for two to three days, extract the juice, and let the person drink freely. If not cured, prepare three more doses to stop it.
[Yanyi] records: Calcined Mu Li (Ostreae Concha) and equal parts Mahuang Gen, ground together into an extremely fine powder, treat night sweats and yin sweat.
[Worldly Transmission] records: Acupoints for night sweats: Yindu (KI13), Wuli (ST26), Jiashi (PC5).
[Bian Que/Acupuncturist] records: Acupoints for night sweats: Zhongji (CV3), Qihai (CV6). For deficiency-induced night sweats with labor-heat: Bailao (EX-UE11, 3 cun, reducing method three inhales), Feishu (BL13, 4 cun, tonifying method three exhales).
[Cheng Wuji] stated: Night sweats refer to sweating during sleep. One cannot sweat if not asleep. While sleeping, sweat flows profusely; upon waking, it stops and does not reappear.