Logout 📊 Admin
🏠 Home

Skin Feels Cold to the Touch

How Chinese medicine differentiates skin that feels cold to the touch into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Cold Hands and Cold Feet 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. Skin that is cold, pale or blue, and painful — especially in one limb — needs urgent medical evaluation to rule out a circulation emergency before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for skin that feels cold to the touch — 12 key points, used across the patterns below rather than tied to just one.

PointKey action
DU-4Tonifies Kidney-Yang and warms the Gate of Life. Tonifies the Original Qi.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
REN-4Nourishes Blood and Yin. Strengthens the Kidneys.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
ST-36Benefits Stomach and Spleen. Tonifies Qi and Blood.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
DU-20Raises Yang. Benefits the Brain and the sense organs.
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
G.B.-20Expels exterior and interior Wind. Subdues Liver-Yang.
LU-7Promotes the descending and diffusing of Lung-Qi. Releases the Exterior and expels exterior Wind.
L.I.-4Expels exterior Wind and releases the Exterior. Regulates Defensive Qi.
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi.
P-6Opens the chest and moves Qi and Blood. Harmonizes the Stomach.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Kidney Yang Deficiency View full pattern →

Clinical manifestations: Deep coldness in the lower back and legs, sore aching lower back and knees, frequent urination especially at night, low energy and fatigue, pale or dark complexion.
Tongue: Pale, puffy, tender body with teeth marks and a wet white coating. Pulse: Deep, slow, weak, especially feeble at the rear (Chi) positions.
Treatment principle: Tonify Kidney-Yang, warm Yang, transform Qi, warm the Gate of Life Fire.
Note: moxa strongly indicated throughout. Direct exact-name match with this site's own Kidney-Yang-deficiency slide.

2. Blood Deficiency

Clinical manifestations: Pale sallow complexion, pale lips and nail beds, dizziness or light-headedness, numbness or tingling in the hands and feet, scanty menstrual flow with pale blood.
Tongue: Pale, thin body with thin white coating. Pulse: Fine, weak or forceless, possibly choppy.
Treatment principle: Warm the channels and disperse Cold, nourish Blood and unblock the vessels.
Note: moxa applicable given the Cold framing. This site has no organ-nonspecific Blood-deficiency slide on any deck — no pattern link is given here; points still link fine individually.

3. Qi Deficiency

Clinical manifestations: Persistent fatigue worsening with activity, shortness of breath on mild exertion, spontaneous sweating without physical effort, reluctance to speak or speaking in a low voice, skin feels cold especially in the hands and feet.
Tongue: Pale, puffy, and tender with teeth marks on the edges, thin white coating. Pulse: Empty or weak, soft and forceless, disappearing under deeper pressure.
Treatment principle: Tonify the Middle and augment Qi, raise sunken Yang, lift sunken Qi.
Note: moxa strongly indicated on ST-36/REN-6. This site has no organ-nonspecific Qi-deficiency slide on any deck — no pattern link is given here; points still link fine individually.

4. Damp-Cold Phlegm View full pattern →

Clinical manifestations: Cold, clammy skin and limbs, heavy waterlogged sensation in the body, copious white watery phlegm, chest and upper abdomen feel stuffed and full, poor appetite and loose stools.
Tongue: Pale and swollen with teeth marks, thick white greasy wet coating. Pulse: Slippery, slow, possibly deep or soggy.
Treatment principle: Warm Yang and transform fluid retention, strengthen the Spleen and resolve Dampness.
Note: moxa applicable on ST-36. Matched to this site's own Cold-Phlegm-in-the-Lungs slide — the closest match, given the chest-and-fluid framing here even though this presentation is skin-wide rather than purely respiratory.

5. Wind-Cold View full pattern →

Clinical manifestations: Sudden onset after cold exposure, strong aversion to cold with mild fever, no sweating, headache and body aches, clear runny nose and sneezing.
Tongue: Normal or slightly pale body with a thin white moist coat. Pulse: Floating and tight.
Treatment principle: Induce sweating and release the Exterior, disperse Wind-Cold.
Note: moxa applicable given the Cold signs. Matched to this site's own Invasion-of-Lungs-by-Wind-Cold slide.

6. Terminal Yin Stage

Clinical manifestations: Ice-cold hands and feet, burning pain or heat in the chest, intense thirst with large fluid intake, hunger without desire to eat, irritability and restlessness.
Tongue: Red body with a white slippery coat, often redder at the tip. Pulse: Wiry and fine or faint, left Guan position feeling tense.
Treatment principle: Warm the organs, harmonize Cold and Heat, soothe the Liver and regulate the Middle.
Note: no moxa. This is the classical Terminal-Yin (Jue Yin) stage from the Shang Han Lun's six-stage framework, a distinct concept with no corresponding slide on any deck here — no pattern link is given here; points still link fine individually.
Related conditions

Spot an error, or have more to add? Send it to admin on WhatsApp and it'll be corrected/added here.