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食物调整治疗手汗症

ietary Therapy for the Treatment of Primary Palmar Hyperhidrosis

中文摘要英文摘要

本文通过两个病例报告探讨了食物调整对原发性手汗症(PPH)症状的影响。研究发现,通过限定患者仅摄入牛肉,避免摄入猪肉、鸭肉和鱼肉等肉类,可以对PPH症状产生积极的影响。患者1在食物调整4周后报告手汗减少、症状减轻;但在停止食物调整后症状又有所加重。这种ABA的实验设计(A阶段代表未坚持食物调整方案,B阶段代表坚持食物调整方案)为食物调整的疗效提供了直接证据。患者2在食物调整后报告背部出汗减少,尽管他之前已经接受了手术治疗。这表明食物调整可能对PPH症状具有潜在的积极影响,并且可能对手术治疗后的代偿减弱有一定效果。中医理论认为手汗与脾胃湿热内郁有关,而牛肉的凉性可能有助于调节体内平衡,清除虚热。尽管食物调整显示出一定的疗效,但这些观察结果需要通过更大规模的临床研究来验证,并应进一步探讨食物调整对PPH症状的生化影响机制。将食物调整纳入PPH的综合治疗计划中,与药物治疗和外科手术相结合,可以为患者提供更为全面和个性化的治疗方案。

his paper explores the effects of dietary adjustment on the symptoms of primary palmar hyperhidrosis (PPH) through two case reports. The study found that restricting patients to a diet consisting solely of beef, while avoiding other types of meat such as pork, duck, and fish, can have a positive impact on PPH symptoms. Patient 1 reported a reduction in hand sweating and alleviation of symptoms after four weeks of dietary adjustment; however, the symptoms worsened after discontinuing the dietary regimen. This ABA experimental design (with phase A representing the absence of dietary adjustment and phase B representing adherence to the dietary adjustment) provides direct evidence for the efficacy of dietary therapy. Patient 2 reported a reduction in back sweating after the dietary adjustment, despite having previously undergone surgical treatment. This suggests that dietary adjustment may have a potential positive effect on PPH symptoms and could also mitigate compensatory sweating following surgery.?According to traditional Chinese medicine (TCM) theory, hand sweating is associated with internal damp heat in the spleen and stomach, and the cooling properties of beef may help regulate internal balance and clear residual heat. Although dietary therapy has shown some efficacy, these observations require validation through larger-scale clinical studies. Further exploration is also needed to uncover the biochemical mechanisms underlying the effects of dietary therapy on PPH symptoms. Integrating dietary therapy into a comprehensive treatment plan for PPH, alongside pharmacological and surgical treatments, may provide patients with more holistic and personalized therapeutic options.

刘炜珊、胡乐晨、程乐华

中医学临床医学

食物调整治疗手汗症个案研究

ietary TherapyPrimary Palmar HyperhidrosisCase Study

刘炜珊,胡乐晨,程乐华.食物调整治疗手汗症[EB/OL].(2025-01-21)[2025-08-18].https://chinaxiv.org/abs/202501.00216.点此复制

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