Pattern Full/Empty

Wind-Cold invading with Yang Deficiency

Fēng Hán Jiān Yáng Xū 风寒兼阳虚

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Diagnostic Signs

Diagnostic Considerations

Key characteristic symptoms of this pattern are the exhaustion, slight fever and severe chills, and a deep pulse

Causes & Pathology

Common Causes

Pathological Mechanism

This pattern is characterized by the invasion of external Wind-Cold in a person who already has an underlying Yang Deficiency. Yang in TCM is the body's warming and active principle. When Yang is Deficient, the body struggles to maintain warmth and adequate metabolic activity.

Patients with this pattern experience extreme cold sensations. The presence of fever, despite being mild, indicates an external invasion of Wind-Cold, as people with Yang Deficiency typically struggle to generate heat.

The severe chills are attributed to both the internal cold from Yang Deficiency and the external cold, which is not relieved by adding layers of clothing – a hallmark of externally contracted conditions.

In TCM, an exterior condition is usually indicated by a floating pulse. However, in this pattern, the pulse is deep, reflecting the internal deficiency. Additionally, symptoms like exhaustion and a desire to sleep underscore the depleted state of internal yang energy.

Treatment Approach

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Related TCM Concepts

Wind Cold evil Yang Deficiency / Empty