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Feeling of Heat in Face with Cold Feet

How Chinese medicine differentiates this classic upper-heat, lower-cold split into the three patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Heat Intolerance and Cold Extremities pages. 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. This is one diagnostic sign among many — always weigh it alongside the tongue, pulse, symptoms, and history.
General Acupuncture Points

Acupuncture points traditionally used for a feeling of heat in the face with cold feet — 6 key points, used across the patterns below rather than tied to just one.

PointKey action
REN-4Nourishes Blood and Yin. Strengthens the Kidneys. Benefits Original Qi.
BL-23Tonifies the Kidneys and nourishes the Kidney-Essence. Consolidates Kidney-Qi.
DU-4Tonifies Kidney-Yang and warms the Gate of Life (Ming Men). Expels Cold.
KI-1Nourishes Yin and clears Empty-Heat. Regulates the Lower Burner. Calms the Mind.
LR-2Drains Liver-Fire and subdues Liver-Yang. Cools Blood and stops bleeding.
GB-20Subdues Liver-Yang. Clears Heat. Nourishes Marrow and clears the Brain.
The Three Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Disharmony Between Heart and Kidneys, Caused by Kidney Yang Deficiency View full pattern →

Clinical manifestations: Cold, aching low back and knees, fatigue and lack of energy, frequent, clear urination, loose stools or diarrhoea, insomnia with palpitations, flushing sensation in the face.
Tongue: Pale, puffy, with teeth marks and a moist white coat, the tip may be slightly redder. Pulse: Deep, slow, and weak, especially at the Chi (proximal) positions.
Treatment principle: Restores warmth to the lower body while anchoring floating upper Heat, to rebalance the Heart and Kidneys.
Note: moxa strongly indicated on the Yang-tonifying points (not KI-1). This site's only combined Heart-and-Kidney slide, Kidneys-and-Heart-not-harmonized, is Yin-deficiency-and-Empty-Heat-framed rather than Yang-deficiency-with-floating-Heat-framed — a mechanistically different picture, so linked instead to the closest-fitting Kidney-Yang-deficiency slide, flagged: the floating-heat-to-the-face component isn't captured by that slide's own text.

2. Chong Mai (Penetrating Vessel) Qi Rebellion

Clinical manifestations: Sensation of Qi rushing upward from the lower abdomen, lower abdominal fullness or tightness, feeling of a lump or obstruction in the throat, anxiety or internal restlessness, nausea or urge to vomit.
Tongue: Often normal-coloured with a thin white coat, may be slightly pale if Blood deficiency is present. Pulse: Firm (Lao) in all positions, or hard and full at the middle (Guan) position.
Treatment principle: Descends rebellious Qi and restores normal downward flow to settle the Stomach and the Penetrating Vessel.
Note: this site's pattern decks are organized by the twelve regular organs and don't include a Curious (Extraordinary) Vessel pattern such as Chong Mai Qi Rebellion — no pattern link is given here.

3. Liver Fire Blazing View full pattern →

Clinical manifestations: Flushed, hot face, cold feet, throbbing headache at the temples or crown, bitter taste in the mouth, intense irritability and quick temper, red, painful or burning eyes.
Tongue: Red body with redder sides, dry yellow coating, possibly red prickles. Pulse: Wiry, rapid, and forceful, especially at the left middle (Guan) position.
Treatment principle: Drains excess Liver-Fire while protecting lower body warmth, to restore balanced temperature regulation.
Note: no moxa. Direct exact-name match with this site's own Liver-Fire-blazing slide.
Related conditions

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