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Hyperhidrosis (Excessive Sweating)

How Chinese medicine differentiates excessive sweating, the six patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Sudden profuse sweating with chest pain, fever, or fainting needs urgent medical evaluation before acupuncture is considered.
General Acupuncture Points

Acupuncture points traditionally used for excessive sweating — 12 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-4Expels exterior Wind, releases the Exterior, regulates Defensive Qi and sweating. Tonifies Qi and consolidates the Exterior.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
BL-13Tonifies Lung-Qi. Regulates Nutritive and Defensive Qi.
KI-3Tonifies the Kidneys (Yin and Yang). Strengthens Essence.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
BL-12Expels external Wind. Regulates Nutritive and Defensive Qi and consolidates the space between skin and muscles. Stimulates the diffusing and descending of Lung-Qi.
L.I.-11Clears Heat and cools Blood. Resolves Dampness.
ST-44Clears Heat. Regulates the Intestines and resolves Damp-Heat.
Du-14Clears Heat. Releases the Exterior and expels exterior Wind.
SP-9Regulates the Spleen. Resolves Dampness.
Ren-4Nourishes Blood and Yin. Strengthens the Kidneys.
Du-4Tonifies Kidney-Yang and warms the Gate of Life. Expels Cold.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Protective Qi Deficiency View full pattern →

Clinical manifestations: Spontaneous sweating worsening with mild exertion; an aversion to wind; frequent colds with slow recovery; fatigue and a weak voice; a pale, puffy complexion.
Tongue: Pale, puffy, thin white coating. Pulse: Floating, Empty, Soggy.
Treatment principle: Tonify Qi, secure the Exterior and arrest sweating.
Note: moxa applicable. Matches Lung-Qi deficiency — spontaneous sweating, a weak voice and a propensity to catch colds are shared, since the Lungs govern Protective (Wei) Qi.

2. Empty-Heat from Yin Deficiency

Clinical manifestations: Night sweats soaking the sheets; heat in the palms, soles and chest; a dry throat worse in the evenings; flushed cheekbones; restlessness and insomnia; thirst for small sips.
Tongue: Red, thin, dry, cracks, minimal coating. Pulse: Fine, Rapid, weak on deep pressure.
Treatment principle: Nourish Yin, drain fire and secure the Exterior.
Note: no moxa. No deck on this site combines a generic Empty-Heat-from-Yin-deficiency pattern without naming a specific organ, so no pattern link is given here.

3. Ying-Wei Disharmony

Clinical manifestations: Spontaneous sweating worsened by light activity; an aversion to drafts; generalized body aches; intermittent fever or alternating chills and fever; a cold, clammy sweat.
Tongue: Pale-red or slightly pale, thin white moist coating. Pulse: Floating, Moderate or Floating, weak.
Treatment principle: Harmonize Nutritive and Defensive Qi, release the Exterior and expel Wind-Cold.
Release Exterior
Harmonize, support
Note: moxa applicable on the Harmonize point only. No deck on this site has a Ying-Wei-Disharmony category, so no pattern link is given here.

4. Bright Yang Stomach Heat

Clinical manifestations: Profuse sweating that does not relieve the fever; a high, continuous fever; intense thirst craving cold drinks; a flushed red face; irritability and restlessness.
Tongue: Red with a yellow dry coating. Pulse: Overflowing, Surging, Rapid.
Treatment principle: Clear Heat from the Qi level, drain Stomach-Fire and generate fluids.
Note: no moxa. This site's closest candidate, \"Stomach-Heat (or Phlegm-Heat),\" is epigastric-pain-framed with no fever/sweating content, so no pattern link is given here.

5. Damp-Heat

Clinical manifestations: A sticky, yellow-staining sweat; a heavy body and head sensation; a bitter taste; a poor appetite; chest fullness.
Tongue: Red with a greasy yellow coating, difficult to scrape, possibly swollen with teeth marks. Pulse: Soggy, Rapid or Slippery, Rapid.
Treatment principle: Clear Damp-Heat and promote Qi movement in the Three Burners.
Note: no moxa. This pattern names no specific organ, and no deck on this site has a generic Damp-Heat-and-sweating category, so no pattern link is given here.

6. Yang Deficiency

Clinical manifestations: A cold, clammy sweat at rest; deep chilling and exhaustion; cold hands and feet; a desire for warmth and warm drinks; a pale face and loose stools; frequent clear urination.
Tongue: Pale, swollen, moist, teeth marks, white slippery coating. Pulse: Deep, Slow, weak.
Treatment principle: Rescue devastated Yang from collapse and tonify Qi to arrest sweating.
Note: moxa applicable, and this is a more urgent presentation than routine chronic Yang deficiency. This site's \"Kidney-Yang deficiency\" slide is framed around chronic constitutional cold rather than this pattern's collapse/rescue framing, so no pattern link is given here.
Related conditions

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