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How to treat mixed cold and heat?
2026-04-04 06:55:32
Methods for regulating mixed cold and heat: balancing yin and yang, harmonizing the constitution
Mixed cold and heat is a common complex constitution in traditional Chinese medicine, which manifests as the coexistence of cold and heat symptoms in the body, such as being afraid of cold but prone to getting angry, dry mouth but afraid of cold, etc. Conditioning requiresTreatment based on syndrome differentiationAs the core, Yin and Yang are reconciled through medicine, diet, lifestyle and other aspects. The main content is divided into three parts:Syndrome differentiation(Clearly the cold and heat are more severe),Conditioning method(combination of drugs and non-drugs),Daily maintenance(To avoid aggravating symptoms). The focus is on targeted conditioning and avoid blindly clearing heat or warming.
1. Syndrome differentiation: clarify the priority of cold and heat

Mixed cold and heat can be divided intoHot at the top and cold at the bottom(such as aphtha accompanied by diarrhea),Cold on the outside and hot on the inside(such as aversion to cold but constipation) and other types. It is necessary to judge the proportion of cold and heat through tongue, pulse and symptoms. For example, a red tongue with white coating and a rapid and rapid pulse may be due to cold fire and should beWarmth dissipates surface coldnesssimultaneousClear internal heat. Classic Chinese medicine prescriptions such asUmemaru(Zhang Zhongjing's prescription in "Treatise on Febrile Diseases") can reconcile cold and heat, and is suitable for ascariasis syndrome or modern stomach heat and intestinal cold syndrome. Non-drug conditioning, such as moxibustion at Yongquan point to induce fire downwards, is suitable for those with upper-heat and lower-lower cold.
2. Combination of drug and non-drug conditioning
Medication needs to be prescribed by a doctor. Commonly used prescriptions includeBanxia Xiexin Decoction(calming cold and heat),Jiaotaiwan(Coptis with cinnamon). Chinese patent medicines such asFuzi Lizhong Pills(Warming and dispersing cold) PairingCoptis supernatant tablets(Heat-clearing) Caution is required in compatibility. Non-pharmacological methods includediet conditioning: Avoid eating raw, cold and spicy foods at the same time. Recommend mild ingredients such as yam and lotus seeds;MoxibustionGuanyuan Point (Warm Lower Jiao) CooperationGua ShaDazhui point (clears upper heat).
3. Daily care and taboos
In terms of living habits, avoid staying up late to consume yin and being too greedy for coldness. Emotional management is particularly important, as liver stagnation can easily transform fire into aggravating the imbalance of cold and heat. Can be practicedBaduanjinThe action of "holding the three energizers of heavenly principles with both hands" is used to dredge qi and blood. In terms of dietary taboos, those with mixed cold and heat should be careful with tonic products. For example, ginseng can easily increase heat, and crab can easily increase cold. Some manufacturers' products such asTongrentangofJiaotaiwan,Yunnan BaiyaoofFuzi Lizhong PillsNeed to be used under the guidance of a physician.
Summary: Systematic conditioning and long-term persistence
Mixed conditioning needs of cold and heatholistic viewwithpersonalizationIn combination, both short-term symptom relief and long-term physical improvement are given equal emphasis. Drug selection requires strict syndrome differentiation, and daily care focuses on balance. It is recommended that regular follow-up visits be made to adjust the plan and avoid self-medication. Through comprehensive conditioning, the balance of yin and yang is gradually restored and the body's self-healing ability is improved.
| Commonly used Chinese patent medicines | Efficacy | Manufacturer |
|---|---|---|
| Umemaru | Reconciles cold and heat, relieves pain and relieves pain | Beijing Tongrentang |
| Jiaotaiwan | Transports the heart and kidneys, clears away heat and warms the body | Tianjin Darentang |
| Fuzi Lizhong Pills | Warm the body and strengthen the spleen | Yunnan Baiyao |
Quote sources:
1. "Treatise on Febrile Diseases" by Zhang Zhongjing (Eastern Han Dynasty), theory of syndrome and treatment of mixed cold and heat.
2. "Traditional Chinese Medicine Internal Medicine" textbook, syndrome differentiation of mixed cold and heat.
3. Product instructions on the official websites of Beijing Tongrentang and Yunnan Baiyao.
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