ABDOMINAL COLD

Herb Formulas
Points
Clinical Manifestations
  • Fever and chills
  • Headache
  • Chest and gastric fullness and oppression
  • Pain in the epigastrium and abdomen
  • Nausea and vomiting
  • Borborygmus
  • Diarrhea
  • Loss of taste
  • Aversion to Cold
  • Abdominal Cold
  • Cough
  • Indigestion
  • No perspiration
  • Chest discomfort
  • Sore throat
  • Disorientation
  • Madness
  • General lassitude
  • Anorexia
  • Delirious speech
  • Maybe loss of voice
  • Intermittent chills and fever
  • Afternoon fever and tight
  • Sudden turmoil disorder
  • Malarial disorders
  • Loose stools
  • T: Normal
  • C: Greasy and white
  • P: Moderate and soggy or floating and forceful
Treatment Principle
  • Release the Exterior
  • Transform Dampness
  • Regulate Qi
  • Harmonize the Middle Jiao
Herb Formulas
Points
Clinical Manifestations
  • Fever
  • Chills
  • Headache
  • Joint pains
  • Severe diarrhea
  • Epigastric distention
  • Perspiration
  • Cold body and extremities
  • Weakness of the extremities
  • Upper abdominal palpitations
  • Cold feet
  • Dysuria
  • T: Pale or pink
  • C: White
  • P: Slow and tight or Soft
Treatment Principle
  • Release the Exterior
  • Warm the Interior
  • Tonify Qi
  • Relieves distention
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Severe aversion to Cold
  • Body curled up
  • Icy cold extremities
  • Vomiting
  • Diarrhea
  • Absence of thirst
  • Abdominal pain
  • Lack of energy
  • A constant desire to sleep
  • Shivering
  • Foaming at the mouth
  • Lips and nails purplish
  • T: Pale
  • C: White
  • P: Deep and thready or Impalpable
Treatment Principle
  • Rescue Yang (emergency)
  • Strengthen Qi
  • Generate the pulse
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Faint, weak respiration
  • Drenched with perspiration
  • Dizziness
  • Above symptoms worse on exertion or when tired
  • Four limbs cold
  • Intolerance of Cold
  • Cold abdominal pain
  • An extremely pale face
  • Cyanosis of mouth and lips
  • Upset stomach
  • Loose stools
  • T: Pale
  • P: Minute (on the point of collapse)
Treatment Principle
  • Return Yang
  • Consolidate Exhaustion
Herb Formulas
Points
Clinical Manifestations
  • Abdominal Cold
  • Vomits clear fluid
  • Vertex headache
  • Body cold
  • Diarrhea
  • Complete exhaustion of Yang
  • T: Pale
  • C: White
  • P: Weak.
Treatment Principle
  • Warm Yang especially in the Liver and Stomach
  • Descend turbidity
Herb Formulas
Points
Clinical Manifestations
  • Constipation
  • Difficulty in passing stools
  • Dull pains and cold sensations in abdomen
  • Preference for warmth; dislike of Cold
  • Cold hands and feet
  • Abundant clear urine
  • T: Pale
  • C: Thick, white and moist
  • P: Deep and slow
Treatment Principle
  • Warm the Cold
  • Relieve constipation
Herb Formulas
Points
Clinical Manifestations
  • A feeling of Cold in the stomach and abdomen
  • Maybe pain in the stomach and abdomen
  • Sallow complexion
  • Aversion to Cold with a preference for warmth
  • Anorexia (maybe with vomiting)
  • Four limbs feel tired and heavy
  • Cold extremities
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting of clear watery fluid
  • Loose stools or watery stools containing undigested food
  • Maybe occasional constipation
  • Shortness of breath
  • Pain in the epigastrium with cold sensations (pain is relieved by warmth)
  • Cold limbs
  • Feeling chilled
  • Mental fatigue
  • Tired extremities
  • Copious, clear urine
  • Maybe scanty urine with edema (Spleen Deficiency Edema)
  • Maybe clear, watery vaginal discharge
  • T: Pale or Pale and swollen
  • C: Thin and white
  • P: Deep and weak or Deep, slow and thready
Treatment Principle
  • Warm the Center
  • Dispel Cold
Herb Formulas
Points
Clinical Manifestations
  • Mild constant epigastric pain; relieved by warmth and pressure
                                                         or
  • Chronic , intermittent, spasmodic, dull abdominal pain, relieved by warmth and pressure
  • Aversion to Cold
  • Anorexia
  • Easily satiated
  • Abdominal pain and fullness after meals
  • Nausea / vomiting
  • Loose, unformed stools
  • Excessive salivation
  • Cold limbs
  • Lassitude
  • Fatigue
  • Depression
  • Shortness of breath
  • Weakness
  • Sallow or pale, dull complexion
  • Maybe edema
  • Maybe scanty urination
  • Maybe clear, watery, copious vaginal discharge
  • T: Pale, maybe swollen
  • C: White and greasy
  • P: Deep, thready and forceless
Treatment Principle
  • Warm Yang
  • Strengthen the Spleen
  • Warm the Center
  • Dispel Cold
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  •   Abdominal pain that is worse with Cold
  •   Dizziness
  •   Scanty urination
  •   Edema of the lower limbs
  •   Watery cough
  •   Heaviness and aching of the head and limbs
  •   Palpitations
  •   P: Deep and weal or Imperceptible
  • Extreme cases:
       Abdominal ascites
Treatment Principle
  • Warm the Yang
  • Promote urination
Herb Formulas
Points
Clinical Manifestations
  • Cold-type abdominal pain
  • Icy cold hands and feet that are bluish or purplish and difficult to warm up
  • P: Thready or Imperceptible
Treatment Principle
  • Warm the channels
  • Disperse Cold
  • Nourish the channels
  • Unblock the vessels
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal pain alleviated by warmth and pressure
  • Irregular and/or painful menstruation
  • Infertility or pain during the second or third trimester od pregnancy
Treatment Principle
  • Warm the uterus
  • Nourish the Blood
  • Calm the fetus
Herb Formulas
Points
Clinical Manifestations
  • Fixed lower abdominal pain and Coldness in a postpartum woman
  • Incomplete expulsion of the placenta
  • Continual discharge of purple clotted lochia
  • T: Pale, purple
Treatment Principle
  • Warm the uterus
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Intermittent abdominal and gastric fullness and distention after eating
  • Vomiting of partially undigested food about 12 hours after eating which relieves the discomfort
  • The vomitus is relatively inoffensivewith clearly identifiable food and possibly watery mucus-like material
  • Waxy, pale complexion
  • Anorexia
  • Weight loss
  • Emaciation
  • Loose stools or
  • Diarrhea
  • Fatigue
  • Weakness
  • Listlessness
  • Increased desire to sleep
  • Cold abdomen
  • Cold extremities
  • Intolerance of Cold
  • T: Pale and swollen
  • C: White
  • P: Thready, deep and weak
Treatment Principle
  • Warm and strengthen the Spleen and Stomach
  • Harmonize the Stomach
  • Descend Qi
Herb Formulas
  • Ding Kou Li Zhong Wan modified
  • With Qi Stagnation: Ding Xiang Tou Ge San
  • With Kidney Yang Deficiency: Fu Zi Li Zhong Wan  modified
  • For severe, resistant or unresponsive cases with Phlegm Accumulation: Xuan Fu Dai Zhe Tang
  • Chinese Patent Medicines:
    For Spleen Yang Deficiency with Cold: Fu Zi Li Zhong Wan
    For Spleen Yang Deficiency: Li Zhong Wan
    For Spleen Qi Deficiency: Xiang Sha Liu Jun Zi Wan
    For Kidney Yang Deficiency: Jin Gui Shen Qi Wan combined with one of the above formulas
Points
Clinical Manifestations
  • Cold body
  • Limbs icy
  • Complexion white and shiny
  • Low back, knees and abdomen feel cold and painful
  • Lower abdomen feels cold and painful
  • Loose stools containing undigested food
  • “Cock-crow” diarrhea (occurs at about 5 am)
  • Edema of face and limbs
  • Dysuria
  • T: Pale, moist and swollen
  • C: Thin and white or White and greasy
  • P: Deep, thready, weak and maybe slow
  • Extreme cases:
    Abdominal ascites
Treatment Principle
  • Warm and Reinforce the Spleen and Kidney
Herb Formulas
Points
Clinical Manifestations
  • Sudden onset of Cold-type abdominal pain
  • The pain typically focuses around or lateral to the umbilical region or lower abdomen
  • Epigastrium cold with pain
  • Cramping
  • The pain is alleviated by warmth and aggravated by pressure
  • Chilliness
  • Aversion to Cold
  • Cold extremities
  • Lack of thirst
  • Clear urine
  • Normal or soft stools
  • Mild cases:
      Constant pain
  • Severe cases:
      Sudden bouts of sharp pain
      Pain is aggravated by Cold and
      relieved by warmth and hot   drinks
      Cold hands and feet  
  • T: Normal
  • C: White and sticky
  • P: Deep, wiry and slow
  • Cold Penetrates the Stomach and Intestines:
      Pain is sudden and sharp
      Pain relieved by warmth
      Nausea
      Vomiting
      Diarrhea, loose stools
      May be constipation
      T: Pink
      C: White
      P: Deep and tight
  • Retention of Fluid in the Stomach due to Cold:
      Pain is dull
      Pain relieved by warmth
      Succussion sound in epigastrium   on palpation
      Vomiting of clear, watery fluid
      T: Pink
      C: White and sticky
      P: Thready or Thready and slow
  • Stomach Deficiency with Stagnation of Cold:
      Pain is dull
      Pain is relieved by warmth and pressure
      Vomiting clear, watery fluid
      T: Pale
      C: Thin and white
      P: Deep and slow or Deep and       thready
Treatment Principle
  • Warm the Interior
  • Dispel the Cold
  • Support the Yang
    Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Sudden onset of Cold-type abdominal pain
  • The pain typically focuses around or lateral to the umbilical region or lower abdomen
  • Epigastrium cold with pain
  • Cramping
  • The pain is alleviated by warmth and aggravated by pressure
  • Chilliness
  • Aversion to Cold
  • Cold extremities
  • Lack of thirst
  • Clear urine
  • Normal or soft stools
  • Mild cases:
      Constant pain
  • Severe cases:
      Sudden bouts of sharp   pain
      Pain is aggravated by Cold   and relieved by warmth
      and hot drinks
      Cold hands and feet  
  • T: Normal
  • C: White and sticky
  • P: Deep, wiry and slow
  • Cold Penetrates the Stomach and Intestines:
      Pain is sudden and sharp
      Pain relieved by warmth
      Nausea
      Vomiting
      Diarrhea, loose stools
      May be constipation
      T: Pink
      C: White
      P: Deep and tight
  • Retention of Fluid in the Stomach due to Cold:
      Pain is dull
      Pain relieved by warmth
      Succussion sound in the   epigastrium on palpation
      Vomiting of clear, watery
      fluid
      T: Pink
      C: White and sticky
      P: Thready or Thready and
          slow
  • Stomach Deficiency with Stagnation of Cold:
      Pain is dull
      Pain is relieved by warmth
      and pressure
      Vomiting clear, watery fluid
      T: Pale
      C: Thin and white
      P: Deep and slow or Deep
          and thready
Treatment Principle
  • Warm the Interior
  • Dispel the Cold
  • Support the Yang
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Eyes open
  • Both fists clenched
  • Cold extremities
  • Retention of urine
  • Constipation or diarrhea
  • Fullness, pain, and a cold sensation in the chest and abdomen
  • Abdominal pain with chest distention
  • Vomiting
  • An urge to vomit and defecate without doing either
  • Excessive mucus and saliva
  • Stiffness and spasm of limbs
  • Pale face with bluish or purple lips
  • Breath cold
  • Limbs cold, pale and still
  • Lying peacefully
  • Coma
  • Maybe hemiplegia
  • Maybe aphasia
  • Maybe facial paralysis
  • T: Pale or Pink
  • C: White and slippery or greasy
  • P: Deep, slippery and even or Deep, Excess and slow or Wiry, tight and Excess
Treatment Principle
  • Open the Heart Orifice with Pungent Warming Herbs
  • Eliminate Phlegm
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Shortness of breath
  • Faint, weak respiration
  • Drenched with perspiration
  • Dizziness
  • Above symptoms worse on exertion or when tired
  • Four limbs cold
  • Intolerance of Cold
  • Cold abdominal pain
  • An extremely pale face
  • Cyanosis of mouth and lips
  • Upset stomach
  • Loose stools
  • T: Pale
  • P: Minute (on the point of collapse)
Treatment Principle
  • Return Yang
  • Consolidate Exhaustion
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Dysuria
  • Shortness of breath
  • Dyspnea
  • Dizziness
  • Muscular twitching
  • Whole body edema
  • Cold body
  • Icy limbs
  • Cold abdomen with watery stools (Kidney and Spleen Yang Deficiency
  • Edema of limbs
  • Cough
  • Pale complexion
  • Lips and nails cyanosed
  • Soreness and aching of the shoulders and back
  • Abdominal pain
  • Diarrhea
  • T: Pale or Purple (Lavender)
  • C: White and greasy
  • P: Deep or Deep and minute
Treatment Principle
  • Support Yang
  • Expel Cold
  • Promote Diuresis
Herb Formulas
Points
Clinical Manifestations
  • Palpitations
  • Dysuria
  • Shortness of breath
  • Dyspnea
  • Dizziness
  • Muscular twitching
  • Whole body edema
  • Cold body
  • Icy limbs
  • Cold abdomen with watery stools
  • Edema of limbs
  • Cough
  • Pale complexion
  • Lips and nails cyanosed
  • Soreness and aching of the shoulders and back
  • Abdominal pain
  • Diarrhea
  • T: Pale or Purple (Lavender)
  • C: White and greasy
  • P: Deep or Deep and minute
Treatment Principle
  • Support Yang
  • Expel Cold
  • Promote Diuresis
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal coldness and pain
  • Lower abdominal spasms
  • Swelling and pain in scrotum as if testicles were being pulled downward
                                                        or
  • Contractions and cold sensations of scrotum which are alleviated by warmth
  • Penile retraction with a cold scrotum
  • Pain, distention, fullness and cold sensation in lower abdomen
  • Cold limbs
  • Dislike of cold and preference for warmth
  • Menstrual pain and hardness
  • Hypochondriac pain
  • Flank pain
  • A bright white complexion
  • T: Pale
  • C: White, greasy or glossy
  • P: Deep and wiry or Slow or Deep and Excess or Wiry and tight or Deep and tight
Treatment Principle
  • Warm the Liver channel
  • Dispel Cold
  • Stop pain
Herb Formulas
Points
Clinical Manifestations
  • Cold abdomen
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • Fatigue
  • General debility
  • Pale or bright white face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Maybe dribbling urination
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Tinnitus
  • Impotence, spermatorrhea, premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or daybreak diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
  • Scatter Cold
Herb Formulas
Points
Clinical Manifestations
  • Cold abdomen
  • Fatigue
  • Heavy and painful lower back
  • Dream-disturbed sleep
  • General weakness
  • Lack of interest in food or drink
  • Fever
  • Night sweats
  • Seminal emission
  • Forgetfulness
  • Toothache
  • Dizziness
  • Gum swelling
  • General pitted edema which is worse in the lower body
  • Vaginal discharge
  • Discharge of rice-water like urination without dysuria
  • Aversion to Cold
  • Impotence
  • Decreased libido
  • Emaciation
  • Loose teeth
  • Signs of premature aging
  • Easily frightened
  • T: Pale or Pale and thick
  • C: Smooth and white
  • P: Moderate and weak or Deep and weak
Treatment Principle
  • Tonify the Spleen and Kidneys
  • Nourish the Heart
  • Enrich Yin
  • Nourish the Blood and Yang
  • Augment Qi
  • Supplement Jing
Herb Formulas
Points
Clinical Manifestations
  • Lower abdominal Cold, distention and pain
  • Sporadic abdominal pain which is better with warmth pressure
  • Irregular menstruation (usually long and heavy or scant with clots)
  • Delayed menstruation with a small amount of pale Blood
  • Mild, persistent uterine bleeding
  • Lumbar and sacral pain which are worse following menstruation or when tired
  • Profuse, clear, watery leukorrhea
  • Maybe infertility
  • Maybe dark rings around the eyes
  • Palpitations
  • Shortness of breath
  • Faint, weak respiration
  • Drenched with perspiration
  • Dizziness
  • Above symptoms worse on exertion or when tired
  • Four limbs cold
  • Intolerance of Cold
  • Cold abdominal pain
  • An extremely pale face
  • Cyanosis of mouth and lips
  • Reduced appetite
  • Fatigue
  • Upset stomach
  • Loose stools
  • T: Pale and thick with teeth marks
  • C: White and greasy
  • P: Minute (on the point of collapse) or Deep and slow
Treatment Principle
  • Return Yang
  • Scatter Cold
  • Consolidate Exhaustion
Herb Formulas
Points
Clinical Manifestations
  • Cold abdomen and testicles
  • Bloody semen
  • Cold limbs
  • A pale face
  • P: Slow
Treatment Principle
  • Invigorate the Blood
  • Promote the movement of Qi
  • Dispel Blood Stasis
  • Warm and regulate menstruation
  • Unblock the collaterals
  • Unblock painful obstruction
  • Alleviate pain
Herb Formulas
Points
Clinical Manifestations
Treatment Principle
  • Reinforces the Kidney and Liver
  • Supports Yang
  • Eliminates Cold
  • Warms the uterus to help conception
  • Regulates menstruation
  • Nourishes the Blood
  • Activates the Blood
  • Thin and profuse leukorrhea
  • Sallow complexion or
  • Dark and gloomy complexion
  • Pain of lower limbs
  • Lassitude
  • Lack of vitality
  • Weakness
  • Irregular circulation of channels
  • Failure to conceive for a long time
  • Intolerance of Cold
  • Cold limbs
  • Soreness of waist
  • Pain in the lower back
  • Long-term or heavy menstrual bleeding
  • Painful menstruation which gets increasing worse
  • Pelvic pain during intercourse
  • Fullness and stuffiness in the hypochondriac region
  • Dizziness
  • Tinnitus
  • Shortness of breath
  • Difficult speech
  • Delayed menstrual cycle
  • Abdominal pain during menstruation
  • Abdominal Cold pain which can be relieved by warmth
  • Scanty menstruation
  • Dark in color
  • Blood masses or
  • Amenorrhea
  • Distending pain in the lower abdomen prior to or during menstruation which can be relieved by warmth
  • T: Pale
  • C: White or White and greasy fur
  • P: Weak or Deep and tense pulse or Thready and weak or Deep and slow
Herb Formulas
Points