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JKM > Volume 41(1); 2020 > Article
Lee and Kim: Different Pathology between General and palms-and-soles hyperhidrosis in Korean Medicine and Medicine

Abstract

Objectives

We noticed that hyperhidrosis can be differentiated by whether it is topical or systemic in both Korean medicine(KM) and Modern medicine(MM). Comparing between topical and systemic sweating, we will figure out similarity between KM and MM about stimuli on sweat.

Methods

All research is done by finding information on text-book, article, books.

Results

Hyperhidrosis is differentiated by whether it is topical or systemic in both Korean medicine(KM) and Modern medicine(MM). First, systemic sweating(SS) is affected by body temperature. In KM, Heat and Cold(plus yang deficiency) can make human sweat systemically. In MM, heat is also mentioned as stimulus. Second, topical sweating(TS) can occur on emotionally-stressed situation especially on palms-and-soles. In KM, this phenomenon is explained by heart spirit(心神) and disease transmitted by pericardium meridian(手厥陰心包經 是動病). In MM, anatomically hyperhidrosis on palms-and-soles is generated by adrenergic sympathetic nerve which is involved with stress. Third, sweating on palms-and-soles also can be generated by internal organ. In KM, hyperhidrosis on palms-and-soles is explained as illness on stomach meridian(足陽明胃經). The 70% of parasympathetic nerve is vagus nerve which is located at internal organs-usually gastrointestinal tract. In that point, stomach and parasympathetic nerve seem to be involved in hyperhidrosis on palms-and-soles.

Conclusion

Hyperhidrosis is differentiated similarly by whether it is topical or systemic in both Korean medicine and Modern medicine. Conserving each perspective of KM and MM, one perspective can be useful to other by supplementing other’s weak point.

Fig. 1
The possible route of 心汗 and 手足汗. 心, 胃陽明 is probably involved with 手心汗. 胃陽明 can interact with 心 by its position. 手心汗 is directly affected by 心包經 which is assisting 心. 心汗 is generated by 心虛熱.
jkm-41-1-11f1.gif
Table 1
Difference of kind of autonomic nerve and neurotransmitter according to site of sweating.
작용신경 및 신경전달물질 발한부위
교감신경+Acetylcholine 전신
부교감신경+Acetylcholine 손바닥
교감신경+Adrenaline 손바닥
Table 2
Different stimulus on each sweating.
촉발요인 작용신경 및 신경전달물질 발한부위
체온 조절 교감신경+Acetylcholine 전신
부교감신경이상14) 부교감신경+Acetylcholine 손바닥
심인성 교감신경+Adrenaline 손바닥
Table 3
Similarity between Korean Medicine and Modern medicine about sweating site and stimulus.
발한부위 작용신경 및 신경전달물질 촉발요인 韓醫學
전신 교감신경+Acetylcholine 체온 조절 寒, 熱, 陽虛에 의한 自汗
손바닥 부교감신경+Acetylcholine 부교감신경이상 燥濕代射性 手足汗
손바닥 교감신경+Adrenaline 심인성 精神性 手足汗
Table 4
Pros and cons of Modern medicine about 自汗 and 手足汗.
장점 단점
自汗과 手足汗의 기전을 신경해부학적으로 구분 自汗과 手足汗에 대한 치료법 미비
Table 5
Pros and cons of Korean Medicine about 自汗 and 手足汗.
장점 단점
發汗의 촉발요인을 상세히 서술 手足汗에 대한 의가들의 임상기록 부족
自汗과 手足汗의 변증에 따른 치료법
발한유발가능 상황을 조망하여 치료에 응용

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