Q As menopause set in, I suddenly started feeling hot all over and sweating a lot. Is this also hyperhidrosis?
A Menopausal heat and sweating are caused by a decline in estrogen making the temperature-regulating center of the hypothalamus oversensitive. It is a type of secondary hyperhidrosis, and Korean medicine treatment is effective when approached through the pattern of yin deficiency with effulgent fire (eumheo-hwawang).
Detailed Answer
When estrogen drops sharply during menopause, the temperature-regulating center of the hypothalamus malfunctions, causing repeated sudden hot flushes and sweating. This is a form of secondary hyperhidrosis, appearing throughout the body and often more severe at night. It is characteristically accompanied by palpitations, sleep disturbance, and mood changes.
Korean Medicine Clinic Perspective
Dongjedang diagnoses menopausal hyperhidrosis as yin deficiency with effulgent fire (eumheo-hwawang). Formulas in the Dangui-yukhwang-tang and Saengmaek-san families, which replenish yin blood and cool deficiency heat, are representative; they calm the hot flushes and night sweats while also improving sleep quality and aiming to relieve menopausal symptoms overall. This is a good option for those who do not want hormone therapy or wish to use it alongside such treatment.
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