凡汗出不治之证有六∶一、汗出而喘甚者，不治。二、汗出而脉脱者，不治。三、汗出
而身痛甚者，不治。四、汗出发润至颠者，不治。五、汗出如油者，不治。六、汗出如珠者
，不治。凡见此类，不得妄为用药。
一、阳证自汗或盗汗者，但察其脉证有火，或夜热烦渴，或便热喜冷之类，皆阳盛阴虚
也，宜当归六黄汤为第一，保阴煎亦妙。其或阴分虽有微火而不甚者，宜一阴煎、或加减一
阴煎之类主之。其有心火不宁，烦躁出汗者，宜朱砂安神丸、天王补心丹、生脉散之类主之
。又有本非阴虚，止因内火熏蒸，血热而多汗者，宜正气汤，或黄芩芍药汤、清化饮之类主
之。
一、阴证自汗或盗汗者，但察其内无火邪，又无火脉，便是气虚阴证，皆不可妄用凉药
以败阳气。若止因气虚而火未衰者，宜三阴煎、参归汤、人参建中汤之类主之。若睡中盗汗
而无火者，宜参苓散、独参汤主之。若阳气俱虚者，宜参附汤、大建中汤之类主之。若气虚
火衰之甚者，宜大补元煎、六味回阳饮之类主之。
一、卫气不固，腠理不密而易汗者，是亦阴证之属，宜黄 六一汤、玉屏风散、 附汤
之类主之。
一、诸病误治，有不当汗而妄汗，或虽当汗而汗之太过者，皆汗多亡阳之证，是亦阴证
之属，当察其虚之微甚。微虚者，宜三阴煎、五阴煎、独参汤之类主之；大虚者，非大补元
煎、六味回阳饮之类不可。
一、湿气乘脾者，亦能作汗。凡证有身重困倦，而脉见缓大，声音如从瓮中出者，多属
湿证。若热湿胜者，但去其火而湿自清，宜用前阳证之法。寒湿胜者，但助其火而湿自退，
宜用前阴证之法。或用玉屏风散、四君子汤、五君子煎之类以健脾土之气，则湿去而汗自收
。
一、收汗止汗之剂，如麻黄根、浮小麦、乌梅、北五味、小黑豆、龙骨、牡蛎之属，皆
可随宜择用。一曰∶黄 得防风而力愈大。一曰∶官桂最能实表。一、凡汗出太多不能收者
，速宜用五倍子为末，以唾津调填脐中，外用帕帛缚定，过宿即止；或用何首乌为末，填脐
缚之，亦止。
一、小儿盗汗，虽是常事，在东垣诸公，皆曰不必治之。盖由血气未足也。然汗之太多
者，终属气分之虚。余于儿辈见汗之甚者，每以人参一钱许，煎汤与服，当夜即止。正恐他
日之强弱未必不由乎此，所以培补之功原不可少。
一、病后多汗，若伤寒，若疟疾。凡系外感寒邪，汗出热退而有汗不即止者，此以表邪
初解，必由腠理卫气开泄，其汗宜然，即数日旬日亦自无妨，俟卫气渐实，汗必自止，无足
虑也。若其他杂证，本非外感之解，而有自汗盗汗者，乃非所宜，不容不治。
凡是汗出不治的证候有六种：第一，出汗且喘息严重的，属于不治之症。第二，出汗且脉搏微弱欲绝（脉脱）的，属于不治之症。第三，出汗且身体疼痛剧烈的，属于不治之症。第四，头发湿润直至头顶的，属于不治之症。第五，汗水像油一样粘稠的，属于不治之症。第六，汗水像珍珠颗粒一样的，属于不治之症。凡是见到这类情况，不可随意用药。
第一类，阳证自汗或盗汗者，只要观察其脉象和症状显示有火邪，或者夜间发热、烦躁口渴，或者大便热、喜欢冷饮等，都属于阳盛阴虚，适宜用当归六黄汤作为首选，保阴煎也很好。如果阴分虽有微火但不严重，适宜用一阴煎，或加减一阴煎等方剂主治。如果有因心火不宁，导致烦躁出汗的，适宜用朱砂安神丸、天王补心丹、生脉散等方剂主治。又有原本并非阴虚，只是由于内火熏蒸，血热而多汗的，适宜用正气汤，或黄芩芍药汤、清化饮等方剂主治。
第二类，阴证自汗或盗汗者，只要观察其体内没有火邪，也没有火脉，便是气虚阴证，都不可妄用凉药来损伤阳气。如果只是因气虚而火未衰的，适宜用三阴煎、参归汤、人参建中汤等方剂主治。如果是睡中盗汗且无火邪的，适宜用参苓散、独参汤主治。如果是阳气俱虚的，适宜用参附汤、大建中汤等方剂主治。如果是气虚火衰非常严重的，适宜用大补元煎、六味回阳饮等方剂主治。
第三类，卫气不固，腠理不紧密而易出汗的，这也属于阴证的范畴，适宜用黄芪六一汤、玉屏风散、附子汤等方剂主治。
第四类，各种疾病误治，有不应当发汗而妄自发汗，或者虽然应当发汗但发汗过度的，都是汗多亡阳的证候，这也属于阴证的范畴，应当观察其虚损的程度。轻微虚损的，适宜用三阴煎、五阴煎、独参汤等方剂主治；严重虚损的，非用大补元煎、六味回阳饮等方剂不可。
第五类，湿气侵犯脾脏，也能导致出汗。凡是证候表现为身体沉重困倦，脉象缓大，声音好像从瓮中发出的，多属于湿证。如果是热湿偏胜的，只要去除火邪而湿气自然清除，适宜用前面阳证的治疗方法。如果是寒湿偏胜的，只要扶助阳气（火）而湿气自然消退，适宜用前面阴证的治疗方法。或者使用玉屏风散、四君子汤、五君子煎等方剂来健脾益气，那么湿气去除而汗液自然收敛。
第六类，收汗止汗的药物，如麻黄根、浮小麦、乌梅、北五味子、小黑豆、龙骨、牡蛎等，都可以酌情选用。有一种说法是：黄芪得防风配合则效力更大。另一种说法是：官桂最能充实肌表。另外，凡是出汗太多无法收敛的，应迅速将五倍子研为粉末，用唾液调和后填入肚脐中，外用帕帛绑紧固定，过一夜即可停止；或者用何首乌研为粉末，填入肚脐并绑紧，也能止汗。
第七类，小儿盗汗，虽然是常事，但在东垣（李杲）诸位医家看来，都认为不必治疗。这是因为小儿气血尚未充足所致。然而出汗太多的，终究属于气分的虚损。我对于子女见到出汗严重的，每次用人参约一钱，煎汤让他们服用，当夜即可停止。正担心他日体质的强弱未必不与此有关，所以培补的功效原本是不可缺少的。
第八类，病后多汗，无论是伤寒还是疟疾。凡是属于外感寒邪，出汗后热退但汗不立即停止的，这是因为表邪刚刚解除，必然因为腠理和卫气开泄，其汗出是正常的，即使持续数日或旬日也无妨，等到卫气逐渐充实，汗必自止，无需担忧。如果是其他杂病，本非外感解除的情况，而有自汗盗汗的，则是不适宜的，不容不治疗。
There are six types of sweating conditions that are considered untreatable: First, sweating accompanied by severe asthma (wheezing/shortness of breath) is untreatable. Second, sweating accompanied by pulse disappearance (pulselessness) is untreatable. Third, sweating accompanied by severe body pain is untreatable. Fourth, sweating so profuse that the hair becomes moist up to the vertex is untreatable. Fifth, sweating resembling oil is untreatable. Sixth, sweating resembling pearls (bead-like droplets) is untreatable. In any case where these signs appear, medication should not be administered recklessly.
First type: Spontaneous sweating or night sweats in Yang syndromes. If the pulse and symptoms indicate the presence of Fire pathogen, or if there is nocturnal fever with irritability and thirst, or hot stools with a preference for cold drinks, these all indicate Excess of Yang and Deficiency of Yin. The first choice is Danggui Liuhuang Tang (Angelica Hexapartite Decoction), and Baoyin Jian (Preserve Yin Decoction) is also excellent. If there is slight Fire in the Yin aspect but not severe, Yiyin Jian (One Yin Decoction) or Jiajian Yiyin Jian (Modified One Yin Decoction) should be used. If the cause is unsettled Heart Fire leading to irritability and sweating, Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill), Tianwang Buxin Dan (Emperor of Heaven Tonifying the Heart Pill), or Shengmai San (Generate Pulse Powder) should be used. For cases not originally due to Yin Deficiency, but rather due to internal Fire steaming causing Blood Heat and excessive sweating, Zhengqi Tang (Righteous Qi Decoction), Huangqin Shaoyao Tang (Scutellaria and Peony Decoction), or Qinghua Yin (Clearing Transformation Decoction) should be used.
Second type: Spontaneous sweating or night sweats in Yin syndromes. If observation shows no Fire pathogen internally and no Fire pulse, it is a Qi Deficiency Yin syndrome. Cold medicines must not be used recklessly to damage Yang Qi. If it is merely Qi Deficiency without significant decline of Fire, Sanyin Jian (Three Yin Decoction), Shen Gui Tang (Ginseng and Angelica Decoction), or Renshen Jianzhong Tang (Ginsense Replenishing the Middle Decoction) should be used. For night sweats during sleep without Fire, Shenling San (Ginseng and Poria Powder) or Dushen Tang (Single Ginseng Decoction) should be used. If both Qi and Yang are deficient, Shenfu Tang (Ginseng and Aconite Decoction) or Da Jianzhong Tang (Great Replenishing the Middle Decoction) should be used. For severe Qi Deficiency and declining Fire, Dabu Yuan Jian (Great Tonifying the Origin Decoction) or Liuwei Huiyang Yin (Six-Ingredient Restoring Yang Infusion) should be used.
Third type: Unsecured Wei Qi (Defensive Qi) and loose Couli (pores/skin texture) leading to easy sweating belong to the category of Yin syndromes. Huangqi Liuyi Tang (Astragalus Six-One Decoction), Yupingfeng San (Jade Windscreen Powder), or Fuzi Tang (Aconite Decoction) should be used.
Fourth type: Various diseases treated incorrectly, such as inducing sweating when not indicated, or sweating excessively when indicated, result in sweating-induced loss of Yang Qi. This also belongs to Yin syndromes. One must assess the degree of deficiency. For mild deficiency, Sanyin Jian, Wuyin Jian (Five Yin Decoction), or Dushen Tang should be used; for severe deficiency, only Dabu Yuan Jian or Liuwei Huiyang Yin will suffice.
Fifth type: Dampness invading the Spleen can also cause sweating. Symptoms include heavy and fatigued body, slow and large pulse, and a voice sounding as if coming from an urn, which mostly indicates Dampness syndrome. If Heat-Dampness is predominant, removing the Fire will naturally clear the Dampness, using the methods for Yang syndromes mentioned above. If Cold-Dampness is predominant, assisting the Fire (Yang) will naturally recede the Dampness, using the methods for Yin syndromes mentioned above. Alternatively, Yupingfeng San, Sijunzi Tang (Four Gentlemen Decoction), or Wujunzi Jian (Five Gentlemen Decoction) can be used to strengthen Spleen Earth Qi; once Dampness is removed, sweating will cease.
Sixth type: Herbs for stopping sweating, such as Mahuang Gen (Ephedrae Radix), Fuxiaomai (Floating Wheat), Wumei (Mume Fructus), Bei Wuwei Zi (Schisandrae Chinensis Fructus), Xiaoheidou (Black Soybean), Longgu (Os Draconis), and Muli (Concha Ostreae), can be selected as appropriate. It is said that Huangqi (Astragali Radix) increases its efficacy when combined with Fangfeng (Saposhnikoviae Radix). It is also said that Guigui (Cinnamomi Cortex) is best at consolidating the exterior. Additionally, for excessive sweating that cannot be controlled, quickly grind Wubeizi (Galla Chinensis) into powder, mix with saliva, fill into the umbilicus, and bind tightly with a cloth; it will stop overnight. Alternatively, use Hemashouwu (Polygoni Multiflori Radix Praeparata) powder filled into the umbilicus and bound, which also stops sweating.
Seventh type: Night sweats in children are common. Physicians like Dongyuan (Li Gao) stated they need not be treated because the child's Blood and Qi are not yet sufficient. However, excessive sweating ultimately indicates Qi aspect deficiency. When I see children with severe sweating, I administer approximately one qian of Renshen (Ginseng Radix) decocted in water, which stops the sweating that very night. I fear that future physical strength may depend on this, so tonification is indispensable.
Eighth type: Post-illness excessive sweating, whether from Shanghan (Cold Damage) or Nueji (Malaria). For external Cold pathogens, if heat subsides after sweating but sweating does not stop immediately, this is because the exterior pathogen has just resolved, and the Couli and Wei Qi are still open and leaking. This sweating is normal; even if it lasts several days or ten days, it is harmless. Once Wei Qi gradually solidifies, sweating will stop naturally, requiring no worry. For other miscellaneous diseases, where sweating is not due to the resolution of an external pathogen, spontaneous or night sweats are inappropriate and must be treated.