The oretical interpretation of "night sweats are not solely attributable to <italic style="font-style: italic">yin</italic> deficiency"

HE Dandan; ZOU Dawei

doi:10.16025/j.1674-1307.2025.06.028

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The oretical interpretation of "night sweats are not solely attributable to yin deficiency"

更新时间：2025-08-04

- The oretical interpretation of "night sweats are not solely attributable to yin deficiency"
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 6, Pages: 799-801(2025)
- 作者机构：
  
  首都医科大学中医药学院，北京 100069
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.06.028
  CLC：
- Received：31 July 2024，
  
  Published：25 June 2025
- 稿件说明：
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何丹丹，邹大威.“盗汗非独阴虚”理论阐释［J］.北京中医药，2025，44（6）：799-801.

HE Dandan,ZOU Dawei.The oretical interpretation of "night sweats are not solely attributable to yin deficiency"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):799-801.
何丹丹，邹大威.“盗汗非独阴虚”理论阐释［J］.北京中医药，2025，44（6）：799-801. DOI： 10.16025/j.1674-1307.2025.06.028.

HE Dandan,ZOU Dawei.The oretical interpretation of "night sweats are not solely attributable to yin deficiency"[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):799-801. DOI： 10.16025/j.1674-1307.2025.06.028.

摘要

盗汗多秉阴虚之论，为阴不制阳、虚热内生，入夜卫阳入里、表无护卫，内生虚热扰动，迫津外泄所致。但验之临床，尚有不可从阴虚论述者，历代亦不乏医家提出不同见解。基于夜间“阳入于阴，卫行于阴”的时间特点和“阳加于阴谓之汗”的汗出机制，梳理盗汗的病机，提出盗汗虽多以阴虚立论，实则病机复杂，尚有阳虚不固、阳热亢盛、阴盛格阳、瘀血内阻、湿热久蕴等其他病机，但总不离阴阳寒热失调，为盗汗的辨证论治提供新思路。

Abstract

Night sweats are mostly attributed to

yin

deficiency， where

yin

fails to restrain

yang

， leading to internal generation of deficiency heat. At night， defensive

yang

enters the interior while the exterior is left unprotected. The internally generated deficiency heat disturbsfluids， causing their leakage and resulting in night sweats. However， clinical observation shows that not all cases can be explained by

yin

deficiency alone， and many doctors throughout history have proposed different perspectives. Based on the nocturnal characteristics of "

yang

entering

yin

" and "defensive

circulating within

yin

"， as well as the sweating mechanism of "

yang

acting upon

yin

causes sweat"， this article reviews the pathogenesis of night sweats. Although

yin

deficiency is the main theoretical basis， the pathogenesis is complex and also includes

yang

deficiency with failure to secure， exuberant

yang

heat，

yin

excess restraining

yang

， internal blood stasis obstruction， and prolonged accumulation of dampness-heat. Ultimately， all pathogenesis is rooted in the imbalance of

yin

yang

and cold-heat， providing new ideas for syndrome differentiation and treatment of night sweats.

关键词

Keywords

references

马厚芳 , 许筱颖 . “因时制宜”理论探析 [J ] . 北京中医药 , 2023 , 42 ( 2 ): 196 - 200 .

王冠英 , 任小娟 , 王冠峰 . 基于《黄帝内经》谈寤寐生理机制 [J ] . 新疆中医药 , 2020 , 38 ( 5 ): 4 - 7 .

袁国兴 , 张明辉 , 朱健 , 等 . 从营卫理论探讨恶性肿瘤相关多汗症 [J ] . 北京中医药 , 2023 , 42 ( 2 ): 201 - 203 .

于晓飞 , 王醊恩 , 董正平 , 等 . 《黄帝内经》中“汗”的内涵简析 [J ] . 中国中医基础医学杂志 , 2017 , 23 ( 9 ): 1190 - 1193 .

冯今虹 , 程宏斌 , 唐可 , 等 . “阴虚则盗汗”新论 [J ] . 中国中医基础医学杂志 , 2020 , 26 ( 1 ): 108 - 109 .

赵慧燕 , 李薇 , 高奎亮 , 等 . 李吉彦教授对阳虚盗汗的独特见解 [J ] . 中国中医药现代远程教育 , 2019 , 17 ( 12 ): 31 - 34 .

张春芹 , 刘福明 . 李七一教授从“阳明热盛”论治汗证经验 [J ] . 亚太传统医药 , 2022 , 18 ( 4 ): 125 - 128 .

李明凤 , 冯唐彬 , 刘爱平 , 等 . 李明方运用小柴胡汤治疗汗证验案举隅 [J ] . 中医临床研究 , 2014 , 6 ( 19 ): 91 - 92 .

韦慈宇 , 哈永琴 . 温阳法治疗盗汗验案分析 [J ] . 光明中医 , 2019 , 34 ( 6 ): 857 - 859 .

王永炎 , 严世芸 . 实用中医内科学 [M ] . 上海 : 上海科学技术出版社 , 2010 : 500 .

王顺 , 龚帆影 , 刘福明 . 李七一教授从湿热内蕴论治汗证经验 [J ] . 内蒙古中医药 , 2023 , 42 ( 4 ): 75 - 77 .

徐喆 . 自汗盗汗无异论 [J ] . 中医杂志 , 2015 , 56 ( 23 ): 2069 - 2070 .

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⁰

The oretical interpretation of "night sweats are not solely attributable to yin deficiency"

DOI：10.16025/j.1674-1307.2025.06.028

摘要

Abstract

关键词

Keywords

references