The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Cold limbs can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like cold limbs here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here cold limbs is often associated with scanty periods, feeling of cold and sore back in the pattern “Cold in the Uterus”. As you will see below, we have in record five patterns that can cause cold limbs.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of cold limbs we’ve identified five herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat cold limbs.
The five "patterns of disharmony" that can cause cold limbs
In Chinese Medicine cold limbs is a symptom for 5 patterns that we have on record. Below is a small explanation for each of them with links for more details.
Cinnamon Twigs (Gui Zhi) is the king ingredient for Wen Jing Tang, a formula used for Cold in the Uterus
Cold in the Uterus
Pulse type(s): Deep (Chen), Soggy (Ru)
Tongue coating: Thin white coating
Tongue color: Pale
There are two types of cold patterns: Full Cold or Empty Cold. Full cold refers to actual Cold Evil invading the Uterus and Dampness Stagnation often come along with this Full pattern. Empty cold is the result of Yang Deficiency, especially the Spleen and Kidney Yang.
In addition to cold limbs, other symptoms associated with Cold in the Uterus include scanty periods, feeling of cold and sore back.
From a Western Medicine standpoint Cold in the Uterus is associated with health issues such as Menstrual Cramps or Late Menstruation.
Cold in the Uterus is often treated with Wen Jing Tang, a herbal formula made of 12 herbs (including Cinnamon Twigs - Gui Zhi - as a key herb). Wen Jing Tang belongs to the category of "formulas that invigorate blood and dispel blood stagnation", which might be why it is often recommended for this pattern. Its main action as a formula is: "Warms the Uterus and vessels".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney Yang Deficiency
Pulse type(s): Deep (Chen), Slow (Chi)
Tongue coating: Thin white coating
Tongue color: Pale
Tongue shape: Swollen
Kidney Yang Deficiency causes Internal Cold and weakness.
In addition to cold limbs, other symptoms associated with Kidney Yang Deficiency include dizziness, loose stools and scanty periods.
From a Western Medicine standpoint Kidney Yang Deficiency is associated with health issues such as Late Menstruation, Menopausal Syndrome or Irregular Menstruation.
Kidney Yang Deficiency is often treated with Ba Wei Di Huang Wan, a herbal formula made of 8 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Ba Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies Yang".
The Kidneys is a so-called "Zang" Organ. Learn more about the Kidneys in Chinese Medicine
Kidney Yin Deficiency
Pulse type(s): Rapid (Shu), Empty (Xu), Floating (Fu)
Tongue coating: Complete absence of coating
Tongue color: Red
Tongue shape: Cracked
Kidney Yin Deficiency causes false Heat symptoms, such as night sweats, thirst and five palm heat. These signs are from a depletion of Body Fluids and Essence. It can be caused by prolonged overwork, excessive sexual activity, chronic long term illnesses, consumption of Body Fluids by Heat, prolonged blood loss, overdosage of Kidney Yang tonics herbs, smoking and Kidney depleting foods such as coffee, alcohol, sugar, and fruit juices.
In addition to cold limbs, other symptoms associated with Kidney Yin Deficiency include dizziness, scanty periods and sore back.
From a Western Medicine standpoint Kidney Yin Deficiency is associated with health issues such as Menopausal Syndrome, Prolonged Periods or Irregular Menstruation.
Kidney Yin Deficiency is often treated with Liu Wei Di Huang Wan, a herbal formula made of 6 herbs (including Prepared Rehmannia - Shu Di huang - as a key herb). Liu Wei Di Huang Wan belongs to the category of "formulas that nourish yin and tonify", which might be why it is often recommended for this pattern. Its main action as a formula is: "Nutritive tonic for the Liver and Kidney Yin Essence (nourishes the parasympathetic nervous system)".
Phellodendron Bark (Huang Bo) is the king ingredient for Er Miao San, a formula used for Damp-Heat
Damp-Heat
Pulse type(s): Rapid (Shu), Slippery (Hua)
Tongue coating: Sticky coating, Yellow coating
Tongue color: Red
In addition to cold limbs, other symptoms associated with Damp-Heat include dizziness, loose stools and poor appetite.
From a Western Medicine standpoint Damp-Heat is associated with health issues such as Menstrual Cramps, Intermenstrual Bleeding or Abnormal Vaginal Discharge.
Damp-Heat is often treated with Er Miao San, a herbal formula made of 2 herbs (including Phellodendron Bark - Huang Bo - as a key herb). Er Miao San belongs to the category of "formulas that expel dampness", which might be why it is often recommended for this pattern. Its main action as a formula is: "Expels Dampness from the Lower Burner".
The Spleen is a so-called "Zang" Organ. Learn more about the Spleen in Chinese Medicine
Spleen Deficiency
Pulse type(s): Weak (Ruo)
Tongue coating: Thick white coating
Tongue color: Pale
In addition to cold limbs, other symptoms associated with Spleen Deficiency include loose stools, poor appetite and sore back.
From a Western Medicine standpoint Spleen Deficiency is associated with health issues such as Abnormal Vaginal Discharge.
Spleen Deficiency is often treated with Wan Dai Tang, a herbal formula made of 10 herbs (including Atractylodes Rhizomes - Bai Zhu - as a key herb). Wan Dai Tang belongs to the category of "formulas that secure irregular uterine bleeding and stop vaginal discharge", which might be why it is often recommended for this pattern. Its main action as a formula is: "Tonifies the Middle Burner".
Five herbal formulas that might help with cold limbs
Wen Jing Tang
Source date: 220 AD
Number of ingredients: 12 herbs
Key actions: Warms the Uterus and vessels. Nourishes Blood. Dispels Cold. Dispels Blood Stagnation.
Why might Wen Jing Tang help with cold limbs?
Because it is a formula often recommended to treat the pattern 'Cold in the Uterus' of which cold limbs is a symptom.
According to Chinese Medicine, Cold in the Uterus can contribute to many health issues, including Menstrual Cramps.
Er Xian Tang
Source date: 1950 AD
Number of ingredients: 6 herbs
Key actions: Nourishes Yin and tonifies Yang of the Kidneys. Clears Empty Heat. Regulates the Directing and Penetrating Vessels.
Why might Er Xian Tang help with cold limbs?
Because it is a formula often recommended to treat the pattern 'Kidney Yang Deficiency' of which cold limbs is a symptom.
According to Chinese Medicine, Kidney Yang Deficiency can contribute to many health issues, including Abnormal Vaginal Discharge.
Yi Huang Tang
Source date: 1826 AD
Number of ingredients: 5 herbs
Key actions: Strengthens the Spleen. Dries Dampness. Clears Heat. Stops vaginal discharge.
Why might Yi Huang Tang help with cold limbs?
Because it is a formula often recommended to treat the pattern 'Damp-Heat' of which cold limbs is a symptom.
According to Chinese Medicine, Damp-Heat can contribute to many health issues, including Menstrual Cramps.
Wan Dai Tang
Source date: 1826 AD
Number of ingredients: 10 herbs
Key actions: Tonifies the Middle Burner. Removes Dampness. Stops vaginal discharge. Strengthens the Spleen.
Why might Wan Dai Tang help with cold limbs?
Because it is a formula often recommended to treat the pattern 'Spleen Deficiency' of which cold limbs is a symptom.
According to Chinese Medicine, Spleen Deficiency can contribute to many health issues, including Abnormal Vaginal Discharge.
Ba Wei Di Huang Wan
Source date: 220 AD
Number of ingredients: 8 herbs
Key actions: Tonifies Yang. Warms the Kidneys and lower extremities.
Why might Ba Wei Di Huang Wan help with cold limbs?
Because it is a formula often recommended to treat the pattern 'Kidney Yin Deficiency' of which cold limbs is a symptom.
According to Chinese Medicine, Kidney Yin Deficiency can contribute to many health issues, including Abnormal Vaginal Discharge.
The five Chinese Medicinal herbs most likely to help treat cold limbs
Why might Yam (Shan Yao) help with cold limbs?
Because Yam is an ingredient in several formulas indicated to treat cold limbs as a symptom, like Yi Huang Tang or Wan Dai Tang for instance.
Yam is a Neutral herb that tastes Sweet. It targets the Spleen, the Kidney and the Lung.
Its main actions are: Tonifies the Spleen and Stomach. Tonifies the Lung Qi and nourishes the Lung Yin. Nourishes the Kidneys and consolidates Jing.
Why might Dong Quai (Dang Gui) help with cold limbs?
Because Dong Quai is an ingredient in several formulas indicated to treat cold limbs as a symptom, like Wen Jing Tang or Er Xian Tang for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Spleen, the Heart and the Liver.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Why might Atractylodes Rhizome (Bai Zhu) help with cold limbs?
Because Atractylodes Rhizome is an ingredient in several formulas indicated to treat cold limbs as a symptom, like Wen Qi Hua Shi Tang or Wan Dai Tang for instance.
Atractylodes Rhizomes is a Warm herb that tastes Bitter and Sweet. It targets the Spleen and the Stomach.
Its main actions are: Tonifies the Spleen Qi. Fortifies the Spleen Yang and dispels Damp through urination. Tonifies Qi and stops sweating. Calms restless fetus when due to Deficiency of Spleen Qi.
Why might Liquorice (Gan Cao) help with cold limbs?
Because Liquorice is an ingredient in several formulas indicated to treat cold limbs as a symptom, like Bu Zhong Yi Qi Tang or Gui Pi Tang for instance.
Liquorice is a Neutral herb that tastes Sweet. It targets the Spleen, the Stomach, the Heart and the Lung.
Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.
Why might Prepared Rehmannia (Shu Di Huang) help with cold limbs?
Because Prepared Rehmannia is an ingredient in several formulas indicated to treat cold limbs as a symptom, like Ba Wei Di Huang Wan or Zuo Gui Wan for instance.
Prepared Rehmannia is a Warm herb that tastes Sweet. It targets the Kidney and the Liver.
Its main actions are: Tonifies the Blood. Tonifies the Yin of the Kidneys.
Conditions associated with cold limbs
Abnormal uterine bleeding Menstrual cramps Abnormal vaginal discharge
Other symptoms often associated with cold limbs
Dizziness Loose stools Scanty periods Poor appetite Feeling of cold Sore back Dark clots in menstrual blood Edema Feeling of heat Thin and watery periods