This pattern, particularly seen in the context of postpartum conditions or in individuals with constitutional Blood Deficiency, is characterized by a Deficiency of Blood and Essence leading to Interior Coldness.

After childbirth, women are especially susceptible due to the significant loss of Blood and Essence during delivery. When an external Cold pathogen exploits this weakened state and invades the body, it tends to settle in the Blood level, causing obstructions in both Qi and Blood dynamics.

The resulting pain typically responds positively to pressure and warmth, indicating the underlying Deficiency and Cold nature of the disorder. The pulse in such cases is often submerged and wiry due to the Interior Cold-induced pain and forceless owing to the Blood Deficiency. This pattern can also manifest as cold abdominal hernial pain and spasmodic flank pain in individuals predisposed to blood deficiency.