郑佳新教授辨证治疗湿热蕴蒸型汗证的医案分析

Analysis of the Medical Case of Professor Zheng Jiaxin’s Differential Treatment of Wet and Hot Steam Sweat Syndrome

摘要: 多汗症属于中医“汗证”的范畴，是由于交感神经系统过度兴奋，汗腺分泌功能异常亢进所致的常见疾病，目前传统西医治疗方式以口服抗胆碱能药物、局部外用药或注射肉毒素为主，存在其局限性，西医治疗常伴随高昂价格以及不同程度的毒副作用。郑佳新教授深耕中医理论，经数十年临床实践沉淀，紧扣汗证的不同表现与临床分型，深挖其病因病机的核心特点，摸索出疗效显著的诊疗路径，这些经验对临床医者与学术研究者而言，极具探讨和研究价值。本文从汗证的生理与病理表现入手，梳理其病因病机，结合针对性的专证专方，对核心药物的功效及其药理学机制展开论述，力求深入剖析郑佳新教授的诊疗经验。

Abstract: Hyperhidrosis belongs to the category of “sweat syndrome” in traditional Chinese medicine. It is a common disease caused by excessive excitation of the sympathetic nervous system and abnormal hypersecretion of sweat glands. At present, the traditional Western medicine treatment method is mainly oral anticholinergic drugs, local topical drugs or injection of botulinum toxin, which has its limitations. Western medicine treatment is often accompanied by high prices. And different degrees of toxic side effects. Professor Zheng Jiaxin has deeply cultivated the theory of traditional Chinese medicine. After decades of clinical practice, he closely follows the different manifestations and clinical classifications of sweat syndrome, digs deep into the core characteristics of their aetiology and mechanisms, and explores the path of diagnosis and treatment with remarkable therapeutic effects. These experiences are of great value for clinical doctors and academic researchers. This article starts from the physiological and pathological manifestations of sweat syndrome, sorts out its aetiology and pathogenesis, combines targeted special prescriptions, discusses the efficacy of core drugs and their pharmacological mechanisms, and strives to deeply analyse Professor Zheng Jiaxin’s diagnosis and treatment experience.