"Cold limbs, fear of cold and love of warmth", most people will think that it belongs to cold syndrome and should be treated with warm medicine. However, there are still symptoms of excessive heat, which are treated with drugs that clear heat and cool blood.

Weeks, cold hands and feet for more than 2 years at night, obviously warm in winter, less menstrual flow, clear on the 2nd, dark blood clots, cold on the lower abdomen, acne all over the face, heavy jaw, premenstrual aggravation, constipation on the 28th, 2nd 1 line. Pulse sinking and slip number. Phlegm heat is depressed inside. A: Fire is suffocating.

Prescription: Ginger Powder.

The second diagnosis: after menstruation, the cold hands and feet are relieved, the stool is normal, and the acne remains the same. Smooth pulse, dark tongue with little moss. Damp-heat of liver meridian. It is advisable to soothe the liver and clear away damp-heat.

Prescription: Sinisan Pulsatilla Decoction.

Three diagnosis: cold hands and feet improved, menstrual flow increased, menstruation for 4 days, acne has no new life except mandible, and now it is dry and thirsty. Smooth pulse, dark red tongue with little moss. Syndrome: Damp-heat accumulation. It is advisable to clear away heat and relieve depression, promote diuresis and detoxify.

Prescription: Yinqiao Powder and Jiang Sheng Powder.

At first glance, the above symptoms look like yang deficiency and cold coagulation, and its pulse should be heavy and weak. However, if it is diagnosed that the pulse is heavy and slippery, it will sink into the main body, and the qi and blood will stagnate inside, but it will not reach the outside to make the blood vessels swell, so the pulse is heavy.

Counting the main heat, the heat is depressed inside, refusing to be quiet and inspiring blood vessels, so counting the pulse; When the heat pathogen is discouraged, qi and blood move to fight against the heat pathogen, and qi and blood are stimulated, so the pulse is slippery. Therefore, the number of heavy and slippery pulse is the sign that heat is abundant in the body and blood is rushing out of the body.

Since the internal heat is abundant, why is it manifested as yin cold? Because of the feeling of external evil, the yang is confined inside and cannot reach the outside.

Therefore, the treatment should dispel pathogenic factors and regulate qi. The prescription uses Jiang Sheng powder plus heat-clearing and blood-cooling products to treat acne.