Cold limbs

Cold is a Yin pathogenic factor. It has a contracting nature and can easily injure the Yang. When internal cold accumulates in the intestines, the Yang fails to spread warmth and Qi and is unable to transform and transport food, resulting in Qi stagnation. All of these cause constipation, abdominal pain, distension and fullness, reduced appetite, cold limbs and tiredness. 

The cold manifests as very weak and cold limbs, a pale or light purple tongue with a moist coating, and a weak and rootless pulse. 

Low vitality, cold limbs and a cold sensation of the back, edema, poor concentration, forgetfulness, irregular menstruation and dysmenorrhea. 

Diarrhea, poor appetite and feeling full easily, cold limbs, heaviness of the body, tired and reluctant to move. 

When Spleen-Yang is too weak, it may generate internal cold and make the Qi and blood circulation slow down thus cramping pain in the abdomen and cold limbs may present. 

Chest Bi syndrome Severe chest pain, breathlessness, cold sweats, extremely cold limbs and very deep and weak pulse. 

When the Heart-Yang is deficient, it fails to spread the warmth in the body, promote the Qi movement in the chest or circulate the blood, and therefore cold extremities, stuffiness in the chest and severe chest pain, cold limbs and a very deep and weak pulse present. 

This formula was devised by Dr Zhang Zhong Jing. It treats Heart-Yang deficiency and cold in the Upper-Jiao. The manifestations are palpitations, restlessness, anxiety, shortness of breath, cold limbs, a pale complexion, a pale tongue and a weak, restless pulse. 

This formula is used at the critical time of Yang collapse. Patients can gradually lose consciousness, have cold sweats, extremely cold limbs and a very deep and weak pulse. In this formula, two strong herbs are chosen. 

Edema, cough with thin, watery phlegm, hydrothorax, ascites, diarrhea, difficult urination or retention of urine, painful, swollen, heavy and cold limbs, fear of cold. 

These herbs are all warm in nature and may be used in formulas to treat cold-phlegm, which manifests as thin sputum, a cool sensation in the throat when the phlegm is expectorated, cold limbs and a fear of cold. 

Loss of consciousness, locked jaw, rigid limbs, clenched fists, no urination or bowel movement, cold limbs, pale complexion. 

If locked-up syndrome is caused by cold, the Yang and Qi are blocked, and there are cold signs, such as cold limbs, pale complexion, a thick white tongue coating and a deep and wiry pulse. 

For more serious qi and blood vacuity with cold limbs, add Si Wu Tang plus Cortex Cinnamomi (Ron Gui) and Radix Astragali Membranacei (Huang Qi). This results in Shi Quan Da Bu Tang (Ten Complete Great Supplementing Decoction). 

Do not use unmodified to treat profuse, oily sweating with cold limbs and a weak pulse due to yang collapse. Formula explanation ... 

For cold limbs and a deep, weak pulse due to severe vacuity cold of the spleen and kidneys, subtract Licorice and add either dry Rhizoma Zingiberis (Gan Jiang) or Radix Praeparatus Aconiti Carmichaeli (Fu Zi) to warm the spleen and kidneys. 

He ran, and rais d him bleeding from the ground. Chafes his cold limbs, and wipes the fatal wound Then herbs of noblest juice in vain applies ... 

A 65-year-old woman with coronary heart disease and unstable angina pectoris was treated with an intravenous infusion of Ku die zi injection 40 ml in 5% dextrose. On the third day of the treatment, she suddenly developed shivering, cold limbs, and palpitation. The infusion was stopped immediately, and she gradually recovered after a combination treatment of dexamethasone, promethazine, and bro-misoval and procaine injection. 

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