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Cold Hands

How Chinese medicine differentiates chronically cold hands, the four patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Cold hands with color changes triggered by cold/stress (white, then blue, then red) may indicate Raynaud's — see that page. Numbness, weakness, or one-sided coldness needs medical evaluation before assuming it is a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for cold hands — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
DU-4Tonifies Kidney Yang, warms the Gate of Life Fire.
BL-23Tonifies Kidney Yang.
ST-36Tonifies Qi and Blood, strengthens Spleen and Stomach.
SP-6Nourishes Blood, harmonizes Spleen, Liver, and Kidneys.
REN-6Fortifies original Qi.
REN-4Tonifies Yuan Qi and Blood, warms the core.
SP-10Invigorates blood circulation and dispels stasis.
LR-3Moves Liver Qi and Blood, smooths flow to the hands.
L.I.-4Promotes circulation in the hands and dispels stagnation.
BL-18Directly soothes the Liver organ and unwinds emotional tension.
The Four Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney and Spleen Yang Deficiency View full pattern →

Clinical manifestations: Persistently icy-cold hands, profound fatigue, chronic loose stools or early-morning diarrhea, sore and aching lower back and knees, aversion to cold requiring extra layers.
Tongue: Pale, swollen, and puffy with teeth marks and a white slippery coating. Pulse: Deep, weak, and slow.
Treatment principle: Strengthen the body's fundamental warmth by tonifying Kidney and Spleen Yang.
Note: moxa strongly indicated throughout. Direct name match with this site's own Kidney- and Spleen-Yang deficiency slide.

2. Qi and Blood Deficiency

Clinical manifestations: Persistent fatigue, pale or sallow complexion, shortness of breath on exertion, pale lips and nail beds, poor appetite, hands cold but not deeply frozen as in Yang deficiency.
Tongue: Pale body, may be thin or teeth-marked, thin white coating. Pulse: Fine, weak, or empty.
Treatment principle: Replenish the body's fuel and circulation through tonifying Qi and Blood.
Note: moxa applicable throughout. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

3. Blood Deficiency and Stagnation View full pattern →

Clinical manifestations: Fixed dull or stabbing pain, numbness or tingling in hands, scanty and late menstruation with dark clots, pale or sallow complexion with a dusky tinge, brittle or ridged nails.
Tongue: Pale-purple body, thin, possible stasis spots, distended sublingual veins, thin white coat. Pulse: Fine and choppy, possibly wiry on left Guan.
Treatment principle: Nourish Blood and warm the channels to restore free circulation.
Note: moxa applicable on the tonifying points. Matches this site's Liver-Blood stasis slide — the pale-purple, stasis-spot tongue is the same core discoloration marker named there, with a deficiency component layered underneath.

4. Liver Qi Stagnation View full pattern →

Clinical manifestations: Cold hands that worsen with emotional stress, distension or tightness in chest or rib sides, irritability and mood swings with frequent sighing, sensation of a lump in the throat, hands cold while rest of body feels warm.
Tongue: Normal or slightly dark body, red or slightly purplish sides, thin white coat. Pulse: Wiry, taut like a guitar string, especially at left middle.
Treatment principle: Smooth the flow of Qi by resolving emotional constraint.
Note: no moxa. Direct match on the core distension/irritability/sighing picture.
Related conditions

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