Pattern Full

Cold invading the Large Intestine

Hán Fàn Dà Cháng 寒犯大肠
Affects: Large Intestine

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Diagnostic Signs

Tongue

Thick white coating

Pulse

Deep (Chen), Tight (Jin)

Diagnostic Considerations

Key characteristic symptoms of this pattern are the sudden abdominal pain, diarrhoea and feeling of cold.

Causes & Pathology

Common Causes

Pathological Mechanism

Like the Stomach and the Uterus, the large Intestine is one of the three Organs that the external Cold can invade directly. It is a Full Cold pattern and the Cold Evil penetrates the Defensive Qi and resides in the Large Intestine. The Cold then impairs the Qi circulation of the Lower Burner, hence the symptoms of sudden abdominal pain and cold sensation in the abdomen. The Cold also disturbs the Large Intestine's function of absorbing Body Fluids and it causes diarrhoea with pain.

The thick tongue coating indicates a Pernicious Influence sudden invasion. The Deep pulse reflects this Pernicious Influence is in the Interior and the Tight pulse suggests there are actual Full Cold.

Treatment Approach

Treatment Principle

Expel Cold from the Large Intestine, warm the Lower Burner.

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Pattern Relationships

Can Develop Into

Related TCM Concepts

Cold Large Intestine