《阴阳应象大论》曰∶阳之汗,以天地之雨名之。
《宣明五气篇》曰∶心为汗。
《阴阳别论》曰∶阳加于阴谓之汗。
《评热病论》曰∶阴虚者,阳必凑之,故少气时热而汗出也。
《决气篇》曰∶津脱者,腠理开,汗大泄。
《骨空论》曰∶风从外入,令人振寒,汗出头痛,身重恶寒。大风汗出,灸噫嘻
,噫嘻在背下侠脊傍三寸所。
《金匮真言论》曰∶夏暑汗不出者,秋成风疟。
《热论》曰∶暑当与汗皆出,勿止。
《生气通天论》曰∶因于暑,汗,烦则喘喝,静则多言,体若燔炭,汗出而散。汗出偏
沮,使人偏枯。汗出见湿,乃生痤痱。劳汗当风,寒薄为 ,郁乃痤。魄汗未尽,形弱
而气烁,穴俞以闭,发为风疟。阳者,卫外而为固也。
《评热病论》曰∶人所以汗出者,皆生于谷,谷生于精,今邪气交争于骨肉而得汗者,
是邪却而精胜也。复热者,邪气也。汗者,精气也。今汗出而辄复热者,是邪胜也。汗出而
脉尚躁盛者死。
《热病篇》曰∶热病已得汗出,而脉尚躁,喘且复热。喘甚者,死。热病已得汗而脉尚
躁盛,此阴极之脉也,死;其得汗而脉静者,生。热病者脉尚盛躁而不得汗者,此阳极之脉
也,死;脉盛躁得汗静者,生。热病而汗且出,及脉顺可汗者,取之鱼际、太渊、大都、太
白,泻之则热去,补之则汗出,汗出太甚,取内踝上横脉以止之。
《寒热病篇》曰∶臂太阴可汗出,足阳明可汗出。故取阴而汗出甚者,止之于阳;取阳
而汗出甚者,止之于阴。
《逆顺篇》曰∶无刺 之热,无刺漉漉之汗。
《五禁篇》曰∶五禁、五夺、五逆者,皆不可刺。曰∶大汗出之后,是三夺也。
《平人气象论》曰∶尺涩脉滑,谓之多汗。
《邪气脏腑病形篇》曰∶肺脉缓甚为多汗,微缓为痿 、偏风,头以下汗出不可止。
《本藏篇》曰∶卫气者,所以温分肉,充皮毛,肥腠理,司阖关者也。
《经脉别论》曰∶饮食饱甚,汗出于胃。惊而夺精,汗出于心。持重远行,汗出于肾。
疾走恐惧,汗出于肝。摇体劳倦,汗出于脾。
《本病论》曰∶醉饱行房,汗出于脾。
《水热穴论》曰∶勇而劳甚则肾汗出。所谓玄府者,汗空也。
《举痛论》曰∶炅则腠理开,营卫通,汗大泄,故气泄矣。劳则喘息汗出,外内皆越,
故气耗矣。
《五变篇》曰∶肉不坚,腠理疏,则善,离则腠理发泄,绝汗乃出,故旦占夕死,夕
占旦死。
《阴阳应象大论》说:阳气的汗,用天地的雨来命名。
《宣明五气篇》说:心主管汗。
《阴阳别论》说:阳气作用于阴液就称为汗。
《评热病论》说:阴液虚弱的,阳气必定凑合上去,所以会出现气短、时常发热并出汗的症状。
《决气篇》说:津液脱失时,腠理(皮肤毛孔)张开,大汗淋漓。
《骨空论》说:风邪从外部侵入,使人战栗发冷,出汗头痛,身体沉重且恶寒。大风引起的多汗,可灸噫嘻穴,噫嘻穴位于背部脊柱旁开三寸处。
《金匮真言论》说:夏季暑热时不出汗的,秋季会形成风疟。
《热论》说:暑邪应当随着汗一起排出,不要强行止汗。
《生气通天论》说:感受暑邪,出汗,烦躁时气喘呼叫,安静时多言乱语,身体像燃烧的炭火一样烫,出汗后症状消散。半身出汗而半身无汗(偏沮),会导致半身不遂(偏枯)。出汗后遇到湿气,就会生痤疮和痱子。劳作出汗时受风吹,寒气迫近肌肤则为疿㾦(一种皮肤病),郁结则变成痤疮。魄汗未尽,形体虚弱而元气消烁,穴位俞窍闭塞,引发风疟。阳气的作用是护卫体表并保持固密。
《评热病论》说:人之所以出汗,都源于水谷精微,水谷精微又化生于精气。现在邪气与正气在骨肉间交争而得出汗,这是邪气退却而精气胜利的表现。如果出汗后又发热,那是邪气仍在。汗是精气所化。现在出汗后立即又发热的,是邪气胜过了正气。出汗后脉搏仍然躁动旺盛的,预后不良致死。
《热病篇》说:热病已经出汗,但脉搏仍然躁动,气喘并且再次发热。气喘严重的,预后不良致死。热病已经出汗但脉搏仍然躁动旺盛,这是阴极之脉,预后不良致死;如果出汗后脉搏平静的,预后良好能生。热病患者脉搏仍然盛大躁动却不得汗出的,这是阳极之脉,预后不良致死;脉搏盛大躁动而出汗后变平静的,预后良好能生。热病正在出汗,以及脉象顺证可以发汗的,取鱼际、太渊、大都、太白穴,泻法可使热去,补法可促使出汗,如果出汗过多,取内踝上的横脉(通常指太溪或相关络脉)以制止它。
《寒热病篇》说:手太阴肺经可令其出汗,足阳明胃经可令其出汗。所以取阴经穴位而出汗过多的,在阳经穴位上停止(止汗);取阳经穴位而出汗过多的,在阴经穴位上停止(止汗)。
《逆顺篇》说:不要针刺那些有疿㾦的热病,不要针刺那些大汗淋漓不止的病。
《五禁篇》说:五禁、五夺、五逆的情况,都不可针刺。说:大汗出之后,属于五夺之一。
《平人气象论》说:尺部脉涩而滑,称为多汗。
《邪气脏腑病形篇》说:肺脉缓急过度为多汗,微缓为痿躄、偏风,头部以下出汗无法停止。
《本藏篇》说:卫气的作用,是温煦肌肉,充实皮毛,肥厚腠理,主管开阖关窍。
《经脉别论》说:饮食过饱,汗出于胃。受惊而耗伤精气,汗出于心。负重远行,汗出于肾。疾走恐惧,汗出于肝。肢体摇动劳累,汗出于脾。
《本病论》说:醉酒后饱食行房事,汗出于脾。
《水热穴论》说:勇力过度且劳累严重则肾汗出。所谓玄府,就是汗孔。
《举痛论》说:受热则腠理开张,营卫通畅,大汗淋漓,所以气随汗泄。劳作则喘息出汗,内外之气皆外越,所以气被耗损。
《五变篇》说:肌肉不坚实,腠理疏松,则容易生病,腠理发泄,绝汗乃出,所以早晨占卜晚上死,晚上占卜早晨死。
The *Yin Yang Ying Xiang Da Lun* (Great Treatise on Yin and Yang Corresponding to Phenomena) states: The sweat of Yang Qi is named after the rain of Heaven and Earth.
The *Xuan Ming Wu Qi Pian* (Chapter on Declaring the Five Qi) states: The Heart governs sweat.
The *Yin Yang Bie Lun* (Treatise on the Differentiation of Yin and Yang) states: When Yang acts upon Yin, it is called sweat.
The *Ping Re Bing Lun* (Treatise on Evaluating Heat Diseases) states: When Yin fluid is deficient, Yang must converge upon it; therefore, there is shortness of breath, intermittent fever, and sweating.
The *Jue Qi Pian* (Chapter on Distinguishing Qi) states: When Jin Ye (Body Fluids) are depleted, the Cou Li (skin pores and interstices) open, leading to profuse sweating.
The *Gu Kong Lun* (Treatise on Bone Cavities) states: Wind entering from the exterior causes chills, sweating, headache, heaviness of the body, and aversion to cold. For excessive sweating caused by strong wind, moxa should be applied to Yixi (BL42), which is located three cun lateral to the lower back along the spine.
The *Jin Gui Zhen Yan Lun* (Treatise on True Words in the Golden Cabinet) states: If one does not sweat during summer heat, Feng Nüe (Wind Malaria) will develop in autumn.
The *Re Lun* (Treatise on Heat) states: Sha (Summer Heat) should be expelled together with sweat; do not forcibly stop it.
The *Sheng Qi Tong Tian Lun* (Treatise on Vital Qi Connecting with Heaven) states: Contracting Sha leads to sweating; if irritable, there is panting and shouting; if quiet, there is excessive talking. The body feels like burning charcoal, but symptoms dissipate after sweating. Half-body sweating and half-body dryness (Pian Ju) leads to hemiplegia (Pian Ku). Sweating followed by exposure to dampness generates Acne and Prickly Heat. Sweat from labor exposed to wind, where cold compresses the skin, results in Fei Tie (a type of skin lesion); if constrained, it becomes acne. If Po Han (Sweat associated with the Lung/Hun) is not fully exhausted, the form becomes weak and Qi scorched, acupoints and shu gates close, leading to Feng Nüe. Yang serves to guard the exterior and maintain consolidation.
The *Ping Re Bing Lun* (Treatise on Evaluating Heat Diseases) states: The reason humans sweat is that it all originates from Grain (food/nutrients), and Grain originates from Jing (Essence). Now, when pathogens and healthy Qi contend in the muscles and bones resulting in sweat, this indicates that the pathogen is retreating and Essence is victorious. Recurrent fever indicates the presence of pathogenic factors. Sweat represents Essence. Now, if fever recurs immediately after sweating, it means the pathogen has overcome the healthy Qi. If pulse remains rapid and vigorous after sweating, death ensues.
The *Re Bing Pian* (Chapter on Heat Diseases) states: In heat diseases, if sweat has occurred but the pulse remains rapid and vigorous, accompanied by panting and recurrent fever, severe panting indicates death. If sweat occurs but the pulse remains rapid and vigorous, this is a Yin-extreme pulse, indicating death; if sweat occurs and the pulse becomes calm, survival is indicated. In heat disease, if the pulse is still full and rapid but no sweat occurs, this is a Yang-extreme pulse, indicating death; if the pulse is full and rapid but becomes calm after sweating, survival is indicated. In heat disease, if sweat is emerging and the pulse conforms to indications for inducing sweat, reduce Yuji (LU10), Taiyuan (LU9), Dadu (SP2), and Taibai (SP3). Reducing these points clears heat; tonifying them induces sweat. If sweating is excessive, apply pressure to the transverse vessel above the medial malleolus to stop it.
The *Han Re Bing Pian* (Chapter on Cold and Heat Diseases) states: Hand-Taiyin [Lung Meridian] can induce sweat; Foot-Yangming [Stomach Meridian] can induce sweat. Therefore, if reducing Yin meridian points causes excessive sweating, stop it at Yang meridian points; if reducing Yang meridian points causes excessive sweating, stop it at Yin meridian points.
The *Ni Shun Pian* (Chapter on Reverse and Smooth) states: Do not needle heat conditions with Fei Tie lesions; do not needle conditions with dripping profuse sweat.
The *Wu Jin Pian* (Chapter on Five Prohibitions) states: The Five Prohibitions, Five Depletions, and Five Reversals are all contraindications for needling. It states: Profuse sweating constitutes one of the Five Depletions.
The *Ping Ren Qi Xiang Lun* (Treatise on Normal People's Pulse Manifestations) states: A choppy Chi position pulse combined with a slippery pulse indicates excessive sweating.
The *Xie Qi Zang Fu Bing Xing Pian* (Chapter on Pathogenic Factors, Zang-Fu Organs, and Disease Manifestations) states: An excessively slow Lung pulse indicates excessive sweating; a slightly slow pulse indicates Wei Bi (limp paralysis) and Pian Feng (hemiplegia/paralysis), with unstoppable sweating below the head.
The *Ben Cang Pian* (Chapter on Original Storehouses) states: Wei Qi (Defensive Qi) warms the flesh, fills the hair and skin, thickens the Cou Li, and controls the opening and closing of gates.
The *Jing Mai Bie Lun* (Differentiated Treatise on Meridians) states: After excessive eating, sweat comes from the Stomach. After fright depleting Jing, sweat comes from the Heart. Carrying heavy loads and traveling far, sweat comes from the Kidney. Running fast and feeling fear, sweat comes from the Liver. Body movement and fatigue, sweat comes from the Spleen.
The *Ben Bing Lun* (Treatise on Original Diseases) states: Sexual intercourse while drunk and full results in sweat from the Spleen.
The *Shui Re Xue Lun* (Treatise on Water, Heat, and Acupoints) states: Excessive bravery and severe labor cause Kidney sweat. What is called Xuan Fu refers to the sweat pores.
The *Ju Tong Lun* (Treatise on Examining Pain) states: Heat opens the Cou Li, allows Ying and Wei to flow freely, causing profuse sweating, thus Qi leaks out. Labor causes panting and sweating, with internal and external Qi escaping, thus Qi is consumed.
The *Wu Bian Pian* (Chapter on Five Variations) states: If flesh is not firm and Cou Li are loose, one is prone to illness. When Cou Li vent, Jue Han (Desperate Sweat) emerges, so morning prediction implies evening death, and evening prediction implies morning death.