Note: Difference between Chills and Aversion to cold is this: Chills will not be relieved by warm clothing. Aversion to cold is.

Exterior syndrome (99% of the cases)

Fever and chills caused by wind, though it can be combined with other factors

• Muscle aches, headache
• Wind with cold
• Chills and aches
• Formula:
  • Ma Huang Tang (Pungent and warm)
• Wind with heat
• Fever and sore throat
• Formula:
  • Yin Qiao San (Pungent and cool)
• Wind with damp
• stuffiness, aching in joints
• Formula:
  • Qiang Huo Sheng Shi Tang (Warm and dry)

Yang Collapse (Kidney and Heart most effected)

Clinical Manifestations:

• Feeble or faint pulse
• Very low energy
• Confusion and disorientation
• Cold sweat, cold body, cold extremities
• Low blood pressure
• Patient prefers fetal position
• Diarrhea with undigested food
• Clear copious urine

Treatment principle:

• Restore Yang from Collapse

Formula:

• Shen Fu Tang

Yang deficiency (not as severe as collapse) (Heart, Spleen, Kidney)

Clinical Manifestations:

• Aversion to cold
• Cold hands and feet
• Fatigue, bloating, gas, loose stools (Spleen Yang Xu)
• Palpitations, SOB, fatigue, cyanosis (Heart Yang Xu

Formula:

• Gui Zhi Tang with more Zhi Gan Cao
• Spleen Yang deficiency, add Li Zhong Tang
• Kidney Yang deficiency add Jin Gui Shen Qi Tang AKA Ba Wei Di Huang Wan

True Heat, Pseudo Cold

An Excess condition due to a variety of etiologies which pushes the yin from the interior to the superficial.

Clinical Manifestations:

• Cold symptoms externally
• Aversion to cold
• Cold skin (which warms upon prolonged touch)
• Warm symptoms internally
• Doesn't desire warm clothes
• Bad breath, constipation
• T: Red with yellow coat
• P: Forceful and Rapid

Formula:

• Bai Hu Tang

Phlegm Accumulation

A condition in which a Yin evil blocks the flow of Yang energy, leading to aversion to cold.

Clinical Manifestations:

• Thirst, with no desire to drink
• Aversion to cold
• T: Thick greasy white coat
• P: Slippery

Formula: Er Chen Tang