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Sweating (excessive), see Excessive sweating (hyperhidrosis) (Swedadhikya, Ati Sweda, Sveda, Prasveda)
Hyperhidrosis, also known as excessive sweating, is a medical condition where the body produces more sweat than necessary for temperature regulation. In Ayurveda, this condition is referred to as Atisweda and is primarily associated with an imbalance of the Pitta dosha, which governs body heat and metabolism. It can significantly impact daily life, causing discomfort, embarrassment, and social anxiety.
Common symptoms
Heavy sweating, often visible as beads of perspiration or wet clothing.
Sweating usually from one or two areas, such as palms, feet, underarms, or face, but can also be generalized.
Sweating that interferes with everyday activities.
Sweating that often stops during sleep (in primary hyperhidrosis).
Frequently wet skin that may lead to chafing or frequent skin infections.
Body odor, which occurs when bacteria on the skin mix with sweat.
Soft or peeling skin.
Emotional stress, anxiety, frustration, or insecurity due to sweating.
Cracked or peeling skin on the feet.
Itching and inflammation when sweat irritates the skin.
Possible causes
**Primary Focal Hyperhidrosis (Idiopathic):** Caused by overactive sweat glands due to faulty nerve signals, often affecting specific areas like armpits, hands, feet, and face. It typically has no underlying medical cause and can be hereditary.
**Secondary Generalized Hyperhidrosis:** Caused by an underlying medical condition or as a side effect of medication.
**Manasika Karana:** Psychological issues like anxiety, overthinking, and stress.
Ayurvedic perspective
In Ayurveda, excessive sweating, known as Swedadhikya or Ati Sweda, is not typically considered a standalone disease but rather a prominent feature of more complex conditions. The term 'Swedha' means sweat, and 'adhikya' or 'ati' signifies excess. This condition is primarily attributed to the vitiation of Pitta dosha, which governs heat and transformation in the body. An aggravated Pitta increases internal body heat and moisture, leading to excessive perspiration. The Charaka Samhita further categorizes Ati Sweda under Nanatmaja Pitta Rogas, indicating diseases caused solely by an imbalance in Pitta. Another significant cause is the vitiation of Sweda Vaha Srotas, the channels responsible for transporting sweat to the skin surface. This disturbance can arise from factors such as intense physical activity, prolonged exposure to heat or sunlight, improper dietary habits, or strong emotions. Medo Adhikya, or excessive fat accumulation, and an imbalance of Medo Dhatu (fat tissue) are also considered major contributors, as sweat is regarded as a mala (excreta) of Medo Dhatu. Additional contributing factors include Rasa Dhatu Dushti (impaired lymphatic/fluid metabolism), Agni Mandya (weak digestion leading to toxin accumulation), Ama Build-Up (circulating toxins), and Manasika Karana (psychological issues like anxiety and stress).
Ayurvedic herbs
Ushira (Vetiver)
Chandana (Sandalwood)
Kamala (Lotus)
Mustaka (Nut Grass)
Nagakesara (Mesua ferrea)
Neem
Sariva (Indian Sarsaparilla)
Shatavari
Amla (Indian Gooseberry)
Shilajit
Bringharaj
Arjuna
Vidari
Guduchi
Sage
Geranium
Red Peony
Sarivadyasava (formulation)
Arvindasava (formulation)
Usheerasava (formulation)
Dosha imbalance
Pitta
Medo Dhatu
Vata
Kapha
Lifestyle tips
Practice yoga and meditation to calm the nervous system and control stress-induced sweating.
Incorporate Pranayama (breathing exercises) into your routine.
Maintain good personal hygiene.
Stay adequately hydrated.
Ensure regular sleep patterns.
Wear breathable clothing made from natural fibers like cotton; avoid synthetic fabrics.
Avoid direct sun exposure, humid weather, and known emotional triggers.
Engage in moderate physical exercise, especially for Pitta individuals, and during cooler hours of the day. Stop exercising when you reach half of your actual strength.
Actively manage stress and emotions.
Use herbal antiperspirants or natural dusting powders.
For daily body oiling (Abhyanga), use a Pitta-cooling Ayurvedic oil.
Avoid wearing black clothing, as it absorbs and traps heat. Also, avoid pure white dresses, as they can make sweat patches more visible.
Take cold water baths.
Seek out well-ventilated areas or places near fans.
Undergo regular health check-ups to rule out underlying conditions.
Consider Panchakarma detoxification therapies such as Shirodhara, Takradhara, Virechana (therapeutic purgation), Abhyanga (oil massage), and Udwarthana (herbal powder massage) under expert guidance.