Night sweats according to Chinese Medicine
The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Night sweats can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like night sweats here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here night sweats is often associated with dizziness, insomnia and malar flush in the pattern “Yin Deficiency”. As you will see below, we have in record five patterns that can cause night sweats.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of night sweats we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat night sweats.
The five "patterns of disharmony" that can cause night sweats
In Chinese Medicine night sweats is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.
Prepared Rehmannia (Shu Di huang) is the king ingredient for Liu Wei Di Huang Wan, a formula used for Yin Deficiency
Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu)
Tongue coating: Thin white coating
Tongue color: Red
In the case of Yin Deficiency, the body is short in the cooling, moistening and nurturing aspects. This leads to Heat and Dryness accompanied by weakness and lack of strength and resistance. Yin becomes Deficient by over-working, lack of sleep, over-exercising, overindulgence in sex, long-term chronic diseases, internal injury due to the seven emotions, and the over-eating of dry and hot-natured foods.
In addition to night sweats, other symptoms associated with Yin Deficiency include dizziness, insomnia and malar flush.
Yin Deficiency is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red
Tongue shape: Cracked
Kidney Yin Deficiency causes false Heat symptoms, such as night sweats, thirst and five palm heat. These signs are from a depletion of Body Fluids and Essence. It can be caused by prolonged overwork, excessive sexual activity, chronic long term illnesses, consumption of Body Fluids by Heat, prolonged blood loss, overdosage of Kidney Yang tonics herbs, smoking and Kidney depleting foods such as coffee, alcohol, sugar, and fruit juices.
In addition to night sweats, other symptoms associated with Kidney Yin Deficiency include dizziness, insomnia and tinnitus.
From a Western Medicine standpoint Kidney Yin Deficiency is associated with health issues such as Menopausal Syndrome, Prolonged Periods or Irregular Menstruation.
Kidney Yin Deficiency is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Wiry (Xian), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red points on the sides
This is a type of empty Fire pattern arising out of Liver Blood Deficiency or Kidney Yin Deficiency. It shares similar symptoms as Liver Blood Deficiency, but with extra signs of Dryness and Yin-Deficient Heat. It can be caused by excessive activity, overwork, 'burning the candle at both ends' without sufficient rest, and poor and irregular diet.
In addition to night sweats, other symptoms associated with Liver Yin Deficiency include dizziness, insomnia and malar flush.
Liver Yin Deficiency is often treated with Qi Ju Di Huang Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Qi Ju Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes Kidney and Liver Yin".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney and Lung Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
In addition to night sweats, other symptoms associated with Kidney and Lung Yin Deficiency include dizziness, tinnitus and dry throat.
Kidney and Lung Yin Deficiency is often treated with Ba Xian Chang Shou Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Ba Xian Chang Shou Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Treats Yin Deficiency of the Lungs and Kidneys".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney and Liver Yin Deficiency
Pulse type(s): Empty (Xu), Floating (Fu)
Tongue coating: Partial absence of coating
Tongue color: Red
In addition to night sweats, other symptoms associated with Kidney and Liver Yin Deficiency include dizziness, insomnia and tinnitus.
From a Western Medicine standpoint Kidney and Liver Yin Deficiency is associated with health issues such as Absence Of Menstruation, Menopausal Syndrome or Vaginal Itching.
Kidney and Liver Yin Deficiency is often treated with Zuo Gui Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Zuo Gui Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nourishes the Yin".
Five herbal formulas that might help with night sweats
Liu Wei Di Huang Wan
Source date: 1119 AD
Number of ingredients: 6 herbs
Key actions: Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system).
Why might Liu Wei Di Huang Wan help with night sweats?
Because it is a formula often recommended to treat the pattern 'Yin Deficiency' of which night sweats is a symptom.
Zuo Gui Wan
Source date: 1624 AD
Number of ingredients: 8 herbs
Key actions: Nourishes the Yin. Strengthens the Kidneys. Fills the Essence. Augments the marrow.
Why might Zuo Gui Wan help with night sweats?
Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which night sweats is a symptom.
Qi Ju Di Huang Wan
Source date: 1350 AD
Number of ingredients: 8 herbs
Key actions: Nourishes Kidney and Liver Yin. Improves vision.
Why might Qi Ju Di Huang Wan help with night sweats?
Because it is a formula often recommended to treat the pattern 'Liver Yin Deficiency' of which night sweats is a symptom.
Ba Xian Chang Shou Wan
Source date: 1615 AD
Number of ingredients: 8 herbs
Key actions: Treats Yin Deficiency of the Lungs and Kidneys.
Why might Ba Xian Chang Shou Wan help with night sweats?
Because it is a formula often recommended to treat the pattern 'Kidney and Lung Yin Deficiency' of which night sweats is a symptom.
Zhi Bo Di Huang Wan
Why might Zhi Bo Di Huang Wan help with night sweats?
Because it is a formula often recommended to treat the pattern 'Kidney and Liver Yin Deficiency' of which night sweats is a symptom.
Acupuncture points used for night sweats
The five Chinese Medicinal herbs most likely to help treat night sweats
Why might Prepared Rehmannia (Shu Di Huang) help with night sweats?
Because it is both specifically indicated to treat night sweats and also because it is an ingredient in herbal formulas known to treat night sweats as a symptom (such as Liu Wei Di Huang Wan for instance).
Prepared Rehmannia is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.
Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.
Why might White Peony Root (Bai Shao) help with night sweats?
Because it is both specifically indicated to treat night sweats and also because it is an ingredient in herbal formulas known to treat night sweats as a symptom (such as Tiao Gan Tang for instance).
White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Liver and the Spleen.
Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.
Why might Cornelian Cherry (Shan Zhu Yu) help with night sweats?
Because it is both specifically indicated to treat night sweats and also because it is an ingredient in herbal formulas known to treat night sweats as a symptom (such as Liu Wei Di Huang Wan for instance).
Cornelian Cherries is a Warm herb that tastes Sour. It targets the Kidney and the Liver.
Its main actions are: Preserves and tonifies the Kidney, Liver and Essence. Stops sweating and benefits the Yang and Qi. Assists menstruation and stops bleeding.
Why might Phellodendron Bark (Huang Bo) help with night sweats?
Because it is both specifically indicated to treat night sweats and also because it is an ingredient in herbal formulas known to treat night sweats as a symptom (such as Zhi Bo Di Huang Wan for instance).
Phellodendron Bark is a Cold herb that tastes Bitter. It targets the Bladder, the Kidney and the Large intestine.
Its main actions are: Expels Damp-Heat in the Lower Burner. Clears Kidney Yin Deficient Heat. Applied externally or toxic Fire, especially associated with Dampness.
Why might Anemarrhena Rhizome (Zhi Mu) help with night sweats?
Because it is both specifically indicated to treat night sweats and also because it is an ingredient in herbal formulas known to treat night sweats as a symptom (such as Zhi Bo Di Huang Wan for instance).
Anemarrhena Rhizomes is a Cold herb that tastes Bitter and Sweet. It targets the Kidney, the Lung and the Stomach.
Its main actions are: Clears Heat and Fire from the Qi level. Clears Heat and Fire from the Lung and Stomach. Clears Heat and tonifies the Yin.
Other symptoms often associated with night sweats
Dizziness Insomnia Tinnitus Malar flush Palpitations Dry throat Depression Anxiety Restlessness Fatigue