What kind of traditional Chinese medicine should be taken when the inside is hot and the outside is cold?
Recently, as the temperature drops sharply, "hot inside and cold outside" has become one of the hot health topics. This kind of constitution is characterized by hot and dry body (such as dry mouth, constipation) and coldness on the body surface (such as cold hands and feet). It coincides with the alternation of autumn and winter, and related discussions have soared on social platforms and health forums. The following is a traditional Chinese medicine conditioning plan and data analysis compiled based on hot topics across the Internet in the past 10 days.
1. Typical symptoms of "heat inside and cold outside" that are hotly discussed on the Internet

| Symptom type | Specific performance | Discuss the popularity index |
|---|---|---|
| Surface symptoms | Cold hands and feet, fear of wind and cold | 82% |
| internal symptoms | Sore throat, sores on mouth and tongue | 76% |
| digestive system | Alternating constipation and diarrhea | 68% |
2. Recommended Chinese medicine prescriptions and effects
| Chinese medicine name | Main ingredients | Applicable symptoms | Frequency of use (last 10 days) |
|---|---|---|---|
| Fangfeng Tongsheng Powder | Windbreak, Ephedra, Gypsum | cold outside and heat inside | 12,000 times |
| Pueraria lobata and Qinlian soup | Pueraria lobata, Scutellaria baicalensis, Coptis chinensis | Diarrhea due to upper heat and lower cold | 8900 times |
| Banxia Xiexin Decoction | Pinellia ternata, Scutellaria baicalensis, dried ginger | Mixed cold and heat stomachache | 7500 times |
3. Food therapy combination plan (popular combination)
According to data from the Traditional Chinese Medicine Forum, the search volume for the following medicinal diet combinations has increased significantly recently:
| Main medicinal materials | Pair with ingredients | Efficacy | Increase in attention |
|---|---|---|---|
| Honeysuckle | ginger red dates | Clear internal heat and dissipate external cold | +45% |
| mint | Brown sugar ginger tea | Relieving cold from the outside and clearing away heat from the inside | +38% |
| chrysanthemum | cinnamon powder | Calming liver yang and warming limbs | +52% |
4. Precautions for use
1.Syndrome differentiation and medication: Weibo Health V@TCM Yangshengtang pointed out that internal heat and external cold need to be distinguished between deficiency and excess. Coptidis chinensis and scutellaria baicalensis are commonly used for syndromes, while Anemarrhena and Digupi are suitable for deficiency syndromes.
2.Time to take medication: Data from Douyin’s popular science videos show that 89% of these prescriptions are recommended to be taken warmly after meals to avoid irritating the stomach.
3.Treatment course control: Zhihu’s highly praised answer emphasized that such prescriptions usually take effect in 3-5 days, and should not be taken continuously for more than 2 weeks.
5. Regional differences in medication use
| area | Prefer medicinal materials | climate relevance |
|---|---|---|
| northern region | Ephedra, Guizhi | Focus on relieving the surface and dispelling cold |
| southern region | Huoxiang, Peilan | Focus on reducing dampness and clearing away heat |
| Sichuan and Chongqing Region | Coptis chinensis, Magnolia officinalis | Focus on clearing heat and drying dampness |
Recently, under the topic "#AutumnWinterHealth" in Xiaohongshu, notes about internal heat and external cold increased by 18,000 in 7 days. Among them, "Traditional Chinese Medicine Foot Soaking Recipe" (containing moxa leaf + honeysuckle combination) has become a new hot topic, with more than 5,000 collections in a single day. It is recommended that patients choose an appropriate plan based on their physical characteristics under the guidance of a physician.
(Note: The statistical period of the above data is November 1-10, 2023, and the sources include the popularity lists of Weibo, Douyin, Zhihu, Xiaohongshu and other platforms)
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