The Historical Development of Theories on Night Sweat Pathophysiology

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  • MIURA Oto
    Department of Traditional Japanese Medicine, Toho University Omori Medical Center
  • MATSUOKA Takanori
    Department of Traditional Japanese Medicine, Toho University Omori Medical Center
  • KONO Yoshinari
    Department of Traditional Japanese Medicine, Toho University Omori Medical Center
  • ITAKURA Hidetoshi
    Department of Traditional Japanese Medicine, Toho University Omori Medical Center
  • TANAKA Koichiro
    Department of Traditional Japanese Medicine, Toho University Omori Medical Center
  • UEMATSU Mikumo
    Department of Traditional Japanese Medicine, Toho University Omori Medical Center
  • NARA Kazuhiko
    Department of Traditional Japanese Medicine, Toho University Omori Medical Center
  • SERIZAWA Keiko
    Department of Traditional Japanese Medicine, Toho University Omori Medical Center
  • NAKAYAMA Asuka
    Department of Traditional Japanese Medicine, Toho University Omori Medical Center
  • HASHIGUCHI Makoto
    Ryokuin Clinic
  • FUKUSHIMA Atsushi
    Fukushima Dental Clinic
  • KOSUGE Takaaki
    Yokohama Suzaku Kampo Clinic
  • SAITO Teruo
    Department of Traditional Japanese Medicine, Toho University Omori Medical Center

Bibliographic Information

Other Title
  • 盗汗病態理論の史的変遷
  • トウカン ビョウタイ リロン ノ シテキ ヘンセン

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Description

Until the Sui Dynasty in China, night sweat and spontaneous perspiration had been thought to be caused by same pathophysiology, that is, lowered superficial resistance by deficiency of Qi. In the Tang Dynasty, these were considered to have different pathophysiologies and a new principle indicated that pathogenic heat caused night sweat. In the Song and Jing Dynasties, deficiency of blood and pathogenic heat by deficiency of Yin was also considered to cause night sweat. In the Jing Dynasty, exogenous pathogens, such as Cold were considered to cause night sweat, which indicated the principle that not only the deficiency syndrome but also the excess syndrome caused night sweat. In the beginning of the Yuan and Ming Dynasties, it was concluded that the deficiency of Yin caused night sweat and the deficiency of Yang caused spontaneous perspiration. In the middle of the Ming Dynasty, another new theory indicated that deficiency of Yang also possibly caused night sweat; therefore we should diagnose abnormal sweat depending on the pathophysiology in each case. In the Qing Dynasty, new theories were established stating that not only exogenous pathogens but also Damp-heat, undigested food and stagnation of blood, all of which are included in excess syndrome, cause night sweat, and that based on which part of the body sweats occurred we might understand pathophysiology of night sweat. The night sweat by Warm-heat, which is different from the one by Wind-cold, was considered to be caused with deficiency of Yin. Thus we conclude that the theories of night sweat developed over time, based on Chinese medical classics.

Journal

  • Kampo Medicine

    Kampo Medicine 63 (1), 1-14, 2012

    The Japan Society for Oriental Medicine

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