TCM pattern · Qi deficiency
Exterior Deficiency with Spontaneous Sweating
卫气不固 Wei Qi Bu Gu Lung system
The body's outer guard, the defensive qi, has thinned. You sweat in the daytime for no reason, dislike wind and drafts, catch every cold going, and feel tired and pale. The screen between you and the weather has holes in it.
The defensive qi is a screen around the body that keeps the weather out and the fluids in. When it wears thin, sweat leaks out and wind gets in, which is why the same pattern gives both sweating and colds.
How to recognize Exterior Deficiency with Spontaneous Sweating
The signs that point most strongly to this pattern:
- Sweating in the daytime for no reason, worse with mild effort
- Dislike of wind and drafts
- Catching every cold, one after another
- Tiredness, a pale face
- Hay fever or a runny nose that flares with wind
Also common
- Shortness of breath on effort
- A weak voice
- Feeling cold after sweating
- Chronic hives that come with wind
- Tongue
- Pale with a thin white coat.
- Pulse
- Floating and weak.
Formulas for Exterior Deficiency with Spontaneous Sweating
Herbs that matter most for Exterior Deficiency with Spontaneous Sweating
- Huang Qi Root of Membranous Milkvetch Astragalus firms the surface and stops the sweat.
- Bai Zhu Rhizome of Largehead Atractylodes Atractylodes feeds the defensive qi from the Spleen.
- Fang Feng Divaricate Saposhnikovia Root Siler patrols the surface against wind.
- Fu Xiao Mai Floating Wheat Light wheat holds the sweat in.
- Mu Li Oyster Shell Oyster shell stops sweating.
- Wu Wei Zi Chinese Magnoliavine Fruit Schisandra holds in both sweat and Lung qi.
How Exterior Deficiency with Spontaneous Sweating differs from its look-alikes
- Lung Qi Deficiency The same root with the breath and voice signs leading. This pattern is the surface version: sweating and colds.
- Kidney Yin Deficiency with Empty Heat Yin deficiency sweats at night with heat and a red tongue. Exterior deficiency sweats in the day, cool, with a pale tongue.
What drains into Exterior Deficiency with Spontaneous Sweating
- Lung and Spleen qi deficiency
- Repeated colds that each took a little more
- Long illness or overwork
- Too much sweating from heat, exercise, or saunas
Food and habits that help Exterior Deficiency with Spontaneous Sweating
- Keep the neck covered in wind; the back of the neck is the gate.
- No saunas or hard sweating until the screen is rebuilt.
- Warm cooked food to feed the Spleen that feeds the guard.
- Start the formula before cold season, not during a cold.
What should change as Exterior Deficiency with Spontaneous Sweating improves
- Daytime sweating eases within two to three weeks.
- Colds come less often over a season.
- The dislike of drafts fades as the surface firms.
Conditions where Exterior Deficiency with Spontaneous Sweating shows up
Sources
- Maciocia, The Foundations of Chinese Medicine, 3rd edition Defensive qi deficiency.
- Bensky, Scheid, Ellis and Barolet, Chinese Herbal Medicine: Formulas and Strategies, 2nd edition Yu Ping Feng San.
Important Note
A pattern is a picture, not a diagnosis. Most people carry two patterns at once, and the signs here are the classic ones, not a checklist. Use this page to recognize yourself, read a formula label with understanding, and ask a qualified practitioner a sharper question.