Dr. Xie, children are prone to sweating, is it abnormal?

1 Why do children sweat more easily? Chinese medicine believes that sweat is a kind of body fluid discharged from the skin, which can moisturize the skin, harmonize the camp and guard, and maintain the balance of yin and yang in the body. Children sweat more easily than adults in daily life, because they are short of qi, thin in texture and full of vitality.

In other words, children's metabolism is vigorous, lively and active, especially infants and young children. The distribution of skin water content and microvessels is more than that of adults, so more water evaporates from the skin. Moreover, children's ability to adjust hot and cold is worse than that of adults, so it is normal for children to sweat more easily than adults.

2 Physiological sweating and pathological sweating So as a parent, how should we distinguish physiological sweating from pathological sweating?

If the child perspires because of hot weather, thick clothes, or overfeeding, or strenuous exercise, or after eating high-calorie food, and there are no other symptoms, it is generally physiological sweating.

Babies sweat easily when they fall asleep. If they sweat just after falling asleep in the middle of the night, the sweat will gradually fade after deep sleep. This is also physiological sweating, so parents need not worry too much.

Pathological sweating, also known as "sweating syndrome", refers to a disease in which children sweat too much or even sweat profusely in normal environment and quiet state. Most of them occur in children under 5 years old.

Children's sweating syndrome is often divided into spontaneous sweating and night sweats: ① Night sweats: sweating when sleeping and stopping sweating after waking up;

② Spontaneous sweating: Sweat when it is quiet and does not wear too much clothes, and the indoor temperature is not high, day and night.

From the perspective of modern medicine, pathological sweating can be seen in the following diseases: ① infectious diseases, such as typhoid fever, pneumonia, tuberculosis, malaria and so on.

Nutritional diseases and metabolic diseases, such as active rickets, are the most common causes of infantile hyperhidrosis, and there is a history of insufficient cod liver oil supplement or rare sunshine. There are also ⅱ ~ ⅲ malnutrition, diabetes, hypoglycemia and so on.

③ Connective tissue diseases, such as rheumatic fever, rheumatoid disease and systemic disseminated lupus erythematosus.

(4) circulatory insufficiency, such as shock or acute heart failure, can cause systemic dampness and cold.

⑤ Endocrine diseases, such as hyperthyroidism and adrenocortical hyperfunction.

6 mental factors, such as children's nervousness, excitement, fear or fright.

⑦ Drug action, such as sweating after using antipyretic and analgesic drugs, ibuprofen and other drugs.

Among the above diseases, the sweating of rickets mostly occurs in the first half of the night after falling asleep, characterized by sweating on the head and often accompanied by "pillow baldness"; The sweating of tuberculosis is manifested as sweating all night, accompanied by symptoms such as low fever, fatigue, loss of appetite and flushing on the cheeks.

3 How should children's sweating syndrome be treated If it is abnormal sweating caused by the primary disease, of course, the primary disease should be treated first. For example, children with rickets should get more sunshine and supplement vitamin D; Children with tuberculosis infection should be treated with anti-tuberculosis therapy; Patients with hyperthyroidism should be treated with drugs under the guidance of specialists.

If the basic diseases are ruled out, or after these basic diseases have been controlled through treatment, the child still has abnormal sweating. Of course, the combination of internal and external treatment of traditional Chinese medicine should be considered.

Traditional Chinese medicine believes that sweating syndrome is mostly deficiency syndrome. Spontaneous sweating is mainly due to qi deficiency and yang deficiency; Night sweats are mainly due to blood deficiency and yin deficiency, therefore, tonifying deficiency is its root. However, in clinic, a considerable number of children's hyperhidrosis is manifested as damp-heat fumigation, and diarrhea should be the main symptom at this time. Syndrome differentiation can be divided into the following categories.

(1) syndrome differentiation and treatment 1. Unstable lung health: spontaneous sweating, especially in the head and neck, chest and back, especially during exercise, is easy to get tired, pale and easy to catch a cold. The prescription is Yupingfeng and Muli Powder.

2. Disorder of camp and guard: spontaneous sweating is the main cause, sweating all over the body, caressing is not warm, being afraid of cold and evil wind, and weak stomach. To reconcile the camp and the guard, Huangqi Guizhi Wuwu Decoction was selected.

3. Deficiency of both qi and yin: night sweats are the main symptoms, and the body is emaciated, upset and sleepy. Treat with qi and yin. Jiawei Shengmai Powder.

4. Damp-heat steaming: hyperhidrosis, especially forehead and chest, sweating, hot skin, yellow sweat, bad breath and dryness. Treating with clearing heat and purging spleen, choose Xiehuang Powder.

(2) External treatment can be combined with external treatment of drugs in addition to oral administration of traditional Chinese medicine decoction. For example, Hunan traditional Chinese medicine attached a self-stopping sweat navel paste, which can help treat sweating syndrome; Massage for children also has a certain effect on sweating syndrome. Foot bath method: Gallnut, ebony, mugwort and boiling water foot bath can also be tried.

4 how to care for children with hyperhidrosis? 1. For children with hyperhidrosis, parents should pay attention to increasing or decreasing clothes in time, and help the baby dry the body in time after the clothes are wet to prevent the baby from catching cold. Don't let the air conditioner or fan blow directly at the baby. But also pay attention to replenish water to your baby in time.

2. If it is a baby with early symptoms of rickets, parents should pay attention to: cod liver oil should be supplemented in sufficient amount, and the baby should be taken to outdoor activities when the sun comes out. If the above symptoms are not obviously improved, parents should take their baby to the hospital for trace element detection, vitamin D content detection and other related examinations, and carry out related treatment according to the doctor's advice.

If it is a baby suspected of tuberculosis, it is necessary to pay attention to the hospital's lung X-ray examination or tuberculin test for timely diagnosis and treatment. If you consider other diseases, you should also take your child to the hospital to improve the relevant examinations.