Large Intestine Cold

At a glance

Key attributes

Chinese name: 大肠寒结      Pinyin name: Dà Cháng Hán Jié

Pattern nature: Empty

Causes

Precursor patterns: Spleen Yang Deficiency

Common causes: 1. Diet, 2. Cold weather

Diagnosis

Common symptoms: Borborygmi Cold limbs Loose stools Abdominal pain Clear urination

Pulse type(s): Deep (Chen), Weak (Ruo)

Tongue description: Pale color tongue

Treatment

Treatment principle: Tonify and warm the Large Intestine and the Spleen.

Common formulas: Liang Fu Wan Tao Hua Tang

Pathology

This is an Empty Cold pattern which is caused by prolong Deficiency of Spleen Yang. The Yang fails to warm the Large Intestine, hence the symptoms of dull abdominal pain and cold limbs. The function of absorbing Body Fluids is also impaired and thus the patients develop loose stools like duck droppings. 

It is different from the pattern of Cold invading the Large Intestine as the Cold here is Full. The Empty pattern often exists in chronic cases, while the Full one happens more in acute cases. 

Causes

Precursor patterns: Large Intestine Cold can derive from Spleen Yang Deficiency

Diet: Over consumption of cold or raw foods can cause this pattern.

Cold weather : Abdomen's prolonged overexposed to cold environment can cause this pattern.

Diagnosing Large Intestine Cold

Pulse type(s): Deep (Chen) or weak (Ruo)

Tongue description: Pale color tongue

Main symptoms: Borborygmi Cold limbs Loose stools Abdominal pain Clear urination

Diagnosis commentary: Key characteristic symptoms of this pattern are the loose stools, dull abdominal pain and cold limbs.

Treating Large Intestine Cold

Treatment principle

Tonify and warm the Large Intestine and the Spleen.

Herbal formulas used to treat Large Intestine Cold

Liang Fu Wan

Source date: 1842 AD

Number of ingredients: 2 herbs

Key actions: Warms the Middle Burner. Dispels Cold. Promotes the movement of Qi. Alleviates Pain.

Formula summary

Liang Fu Wan is a 2-ingredient Chinese Medicine formula. Invented in 1842 AD, it belongs to the category of formulas that promote Qi movement.

Besides Large Intestine Cold, Liang Fu Wan is also used to treat Cold invading the Stomach or Cold invading the Large Intestine.

Read more about Liang Fu Wan

Tao Hua Tang

Source date: 220 AD

Number of ingredients: 3 herbs

Key actions: Warms the Middle. Dispels Cold. Binds up the bowels and stops dysenteric disorders.

Formula summary

Tao Hua Tang is a 3-ingredient Chinese Medicine formula. Invented in 220 AD, it belongs to the category of formulas that bind up Intestines and secure abandoned conditions.

Besides Large Intestine Cold, Tao Hua Tang is also used to treat Cold invading the Large Intestine or Kidney and Spleen Yang Deficiency with Empty Cold.

Read more about Tao Hua Tang

Diet recommendations

Try avoiding cold and raw foods and cold environment. Protect the abdomen from coldness. 

Consequence patterns

Spleen Yang Deficiency

Large Intestine Cold is a Deficiency pattern. It is often the result of Spleen Yang Deficiency, which in the other hand, can give rise to Large Intestine Cold or worsen it.