Cold hands and feet are actually very common, but the hands and feet are cold all year round, and often warm or not, which is not normal. Actually, not all cold hands and feet are due to yang deficiency, and it may also be caused by liver depression.
The patient's female, 38 years old, has cold hands and feet all year round, from the elbow joint to the hand, below the knee joint to the cold on the foot surface, especially obvious in winter, the strange thing is that although the body is hot, but the hands and feet are not warm, never sweaty, self-thought it is yang deficiency, so I bought Guifu Dihuang Pill and Aconite Lizhong Pill to eat, but after eating for 1 month, there is no change, but it is on fire, mouth and face are acne, upset and insomnia at night can not sleep, so I asked me from the background what is going on
After a detailed examination, it was found that in addition to cold hands and feet, it was also accompanied by dry mouth and bitter mouth, chest tightness, dry eyes, flank swelling and pain, and bad temper, mood fluctuations are relatively large, often angry because of a little thing, the tongue image shows that the tongue is light, the tongue surface is wet and slippery, the tongue is swollen on both sides, there is no sign of yang deficiency, but the liver depression is obvious
So I told her that this is not yang deficiency at all, but liver depression, he said how can liver depression cause cold hands and feet? Traditional Chinese medicine says that the liver is the qi of the main body, and yang qi also belongs to qi, if the liver qi is stagnant, the qi is blocked in one place, and it cannot run normally, especially the hands and feet, which are originally the end of the blood circulation, and now the liver is depressed, and the yang qi cannot reach smoothly, so there will be cold hands and feet
And this situation is not yang deficiency, so there is no fear of cold and frequent urination, but on the contrary, the liver depression such as dry eyes, big temper, and chest tightness is more obvious, so supplementing yang is not only useless, but also will be on fire as soon as it is supplemented. The most correct treatment idea should be to relieve the liver and relieve depression
Give the addition and subtraction of the four inverse dispersions, Bupleurum soothes the liver and relieves depression, so that the depressed heat is permeable; Peony nourishes the blood and collects the yin, so that the depressed heat is dialysed without hurting the yin; Citrus aurantium implements qi dispersion and strengthens the effect of qi; licorice relieves the urgency and harmonizes the various medicines. After taking 5 doses, the patient reported that the cold hands and feet had improved, but it was still a little cold, so the amount of Bupleurum and Citrus aurantium in the original recipe was increased, and then Magnolia bark and tangerine peel were added, and the feedback was that the hands and feet were no longer cold, and the mood was also eased, and the sleep was also improved
The case I am telling you today is to tell you that not all cold hands and feet are yang deficiency, and liver depression will also cause cold hands and feet, so don't blindly follow the trend of medicine!