1.首都医科大学附属北京中医医院皮肤科,北京 100010
2.首都医科大学附属北京中医医院风湿科,北京 100010
王紫轩,女,27岁,博士研究生。研究方向:中西医结合防治皮肤病。
张广中,E-mail: zhangguangzhong@bjzhongyi.com
收稿:2025-02-11,
纸质出版:2025-12-25
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王紫轩,王晓旭,张广中.黄芪芍药桂枝苦酒汤合方治疗黄汗1例[J].北京中医药,2025,44(12):1608-1610.
WANG Zixuan,WANG Xiaoxu,ZHANG Guangzhong.A case report of Huangqi Shaoyao Guizhi Kujiu Decoction in the treatment of yellow sweat[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(12):1608-1610.
王紫轩,王晓旭,张广中.黄芪芍药桂枝苦酒汤合方治疗黄汗1例[J].北京中医药,2025,44(12):1608-1610. DOI: 10.16025/j.1674-1307.2025.12.021.
WANG Zixuan,WANG Xiaoxu,ZHANG Guangzhong.A case report of Huangqi Shaoyao Guizhi Kujiu Decoction in the treatment of yellow sweat[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(12):1608-1610. DOI: 10.16025/j.1674-1307.2025.12.021.
黄汗属中医汗病,临床较为少见,西医学将其归为色汗症,其具体病因及发病机制尚未明确,目前缺乏特效疗法。本文报道一例黄汗患者,因受凉后出现汗出色黄,染衣不退,伴有明显异味,以《金匮要略》黄芪芍药桂枝苦酒汤为基础进行合方加减治疗。经两月治疗后,患者汗色渐淡直至消失,伴随症状明显改善,随访期间未见复发。本案为黄汗的临床辨治提供参考。
Yellow sweat belongs to sweat disorders in traditional Chinese medicine (TCM) and is relatively rare in clinical practice. In modern medicine, it is classified as chromhidrosis. However, its exact etiology and pathogenesis remain unclear, and no specific effective therapy is available. This paper reports a case of yellow sweat in which the patient developed yellow-colored sweat that stained clothing and did not fade, accompanied by a pronounced odor after exposure to cold. Treatment was based on
Huangqi Shaoyao Guizhi Kujiu Decoction
from
Essentials from the Golden Cabinet
, with modifications according to the patient's condition. After two months of treatment, the sweat gradually faded and eventually disappeared, accompanied by marked improvement in associated symptoms. No recurrence was observed during follow-up. This case provides a reference for the clinical management of yellow sweat.
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