Alternating Sweats/Chills

Taran: July 25, 2019, 8:09pm
How would y’all categorize alternating night sweats and chills?
Hot/Cold inclines me to think Ki/SI, but wondering about the damp exterior piece as potential St+.
Thoughts?

KristinWisgirda: July 25, 2019, 9:59pm
Is the only sign of damp exterior nightsweats? I wonder about the quality of the skin and flesh.
With the nightsweats, I wonder about the pathomechanism. Is there heat pushing the sweat out or are they cold
sweats? Sweats can a leakage as well.
Are the chills just after sweating?
Figuring out how hot, how cold, how damp, how dry depends so much on the details.

Taran: July 26, 2019, 3:01am
She has dry cracked heel near Ki 3, but otherwise skin is not overly dry. While not overweight (Pilates instructor)
nor particularly thin, flesh has a slightly doughy quality.
She had what she thought was a kidney stone. R LBP around Ki and a sense of Bladder fullness/pressure. Treated
with SI+. Pained and pressure eased on the table. Sense of pressure came back in the morning. Passed what
appeared to be a “small piece of soft tissue” during first urination of the day.
There was some palpable heat emanating from the bladder on Monday. We did a non-Sa’am treatment. She is a
long time patient, and we had decided to do a course of electro-acupuncture a couple of months back for a
recurring hip issue. Did a spinal bracketing treatment of L2 – L5.
Felt a great sense of relief during and after treatment for her bladder. She hadn’t realized how uncomfortable it was
until it wasn’t. That night had sweating then chills. Found this evening that it happens around 430a and has
continued, but gets less intense each night.
She often runs hot, and tends to have a distended belly (partially due to posture) and tends towards bloating. So
definitely some internal damp indications.26/01/2024, 11:39Alternating Sweats/Chills – Sa’am Clinical Questions – Qiological Community
https://forum.qiological.com/t/alternating-sweats-chills/414/print2/2

michaelmax: July 27, 2019, 8:11pm
Taran:
She often runs hot, and tends to have a distended belly (partially due to posture) and tends towards bloating. So
definitely some internal damp indications.
Pilates instructor with poor posture? That is a curiosity.
The doughy flesh leads me towards there being some dampness.
I’m with @KristinWisgirda, what might be the mechanism behind the sweating. Also, when I think of alternating
heat and cold, I’m thinking shaoyang syndrome. That’s my herbal training, and leads me toward considering is she
more excess in the GB or TB and then treat the counterbalance of whichever is high.
Also, from another perspective… she runs hot. So do the chills only show up after she sweats? Or can she have
chills without sweating. If it is the sweating that causes chills, then perhaps +UB to cool her down to prevent the
sweating. And thus reduce the chills