Cold Hands and Feet: A Chinese Medicine Guide to Better Circulation

While having cold hands and feet is a normal physical response to a cold environment, TCM teaches that persistently cold hands and feet are symptoms that may point to deeper health issues resulting from Qi, Yang, and Yin deficiencies. Too much cooling Yin and not enough warming Yang results in cold extremities. Restoring Yin Yang balance through proper diet, exercise, and TCM practices like acupuncture and medicinal herbs will help circulate blood through the body properly, warming chronically cold hands and feet.

Causes

Qi Deficiency:
The health and quality of Qi, which is the energy of all life, is very important in TCM. If there is Qi stagnation, or insufficient Qi, symptoms like cold extremities may manifest. Without the body’s normal energy flow, its ability to generate warmth diminishes, leading to lack of warmth in the hands and feet. Qi stagnation can be caused by stress, poor eating habits, and a sedentary lifestyle.

Blood Stagnation:
If you experience blood stagnation, it can lead to poor circulation, causing cold hands, chest pain, and feelings of oppression. In TCM, blood stasis is the concept that blood flow in the body is not as smooth as it should be, leading to various health issues like cold hands, pain, bruises, and a purple complexion. Good health relies on the smooth, robust flow of blood, so when it is stuck, it leads to discomfort. In order to correct the Qi deficit, it is necessary to incorporate mindfulness, appropriate rest and nourishing diets.

Yang Deficiency:
A Yang deficiency presents as fatigue, chills, and a pale face, resulting from a deficiency in the body’s warming energy. Yang is responsible for transforming and transporting Qi throughout the body. It is the warming principle that counterbalances Yin;s cooling and contracting nature. This harmony is essential for optimal bodily function. Chronic illness, ageing, overexertion, overeating of cold and raw foods, chronic stress, and prolonged exposure to a cold environment causes a Yang efficiency, with cold hands and feet being a noticeable symptom of the body’s inability to circulate warmth. Common symptoms of a Yang deficiency include chronic fatigue, sensitivity to cold, nasal congestion, continuous sneezing, abdominal pain, menstrual cramps and blood clots, and digestive issues.

Excessive Yin:
Yin and Yang need to be in harmony for the body to function at its best. While Yang is responsible for dispersing Qi and warmth throughout the body and limbs, Yin conveys that energy to the organs, and is cooling. If Yin and Yang are in disharmony, they can not connect, causing an inability to circulate energy through the body. This disconnect is called jue, and may result from meridian obstruction or insufficient Yang energy caused by Qi stagnation, blood stasis, and indigestion. An excess of Yin in the body results in cold hands and feet, because there is not enough Yang energy to keep the extremities warm, and the feet are farthest from the heart.

Remedies

Food: To treat a Yang deficiency, avoid consumption of cold or raw foods like salads, raw fruit, or milk. Do eat warm foods like cayenne, walnuts, pistachios, chestnuts, onion, garlic, mutton, leeks, cinnamon, mugwort leaves, jujube tea, and ginger, and medicinal herbs like cinnamon, clove, ginger, nutmeg. To treat blood stagnation, eat foods like apricots, cherries, red grapes, beets, beef, eggs, figs, dates, parsley, dark leafy greens. Include sulphur-rich foods like broccoli, cauliflower, cabbage, kale, and brussel sprouts, leafy greens, lentils, chickpeas, and walnuts for enhanced blood flow.

Foot Soak: Soak your feet in warm water for 15 minutes before bed, or sleep with a hot water bottle at the foot of your bed. Add mugwort leaves, ginger, or prickly ash for extra warmth.

Layering: Being cold can exacerbate Yang and Qi deficiencies, so layering and staying warm can help aid the body’s efforts to circulate blood and warm the extremities.

Exercise: A sedentary lifestyle encourages blood stagnation, so exercises like jogging, tai chi, walking, yoga, swimming, and other aerobic activities that do not cause overexertion are ideal for circulating blood throughout the body. Overexertion causes sweating, resulting in Yang depletion.

Acupuncture: By stimulating specific points along the body’s meridians, Qi and blood stagnation can be relieved. Activation of certain points, especially along the Kidney and Spleen meridians, circulates blood, restores warmth, increases Qi, and restores warmth to the hands and feet.

Cold hands and feet are strong indicators of an imbalance in the body’s Yin Yang relationship. Harmony can be restored through proper diet, exercises that are not excessively draining, foot soaks, warm clothes, and various TCM practices like acupuncture and medicinal herbs.

Supporting the body’s ability to circulate blood is the key to warming chronically cold hands and feet.

Resources

● https://www.commontcm.sg/chronic-illness/tcm-treatment-cold-hands-and-feet

● https://www.yongkangtcm.com/post/chinese-medicine-and-cold-extremities

● https://www.shanghaimedicalclinic.com/cold-hands-and-feet-what-to-do/

● https://sgpaincaretcm.com/understanding-cold-feet-traditional-chinese-medicine-approach/

Why Breakfast?

Breakfast is a key start to every single day...  The word literally means “breaking the fast” after 8-12 hours without food or liquids. Breakfast is a regularly skipped meal with common excuses like, “I am not hungry, I am rushed, or I feel nauseated after breakfast.” While there can be many reasons for not wanting breakfast, it is common that digestion is sluggish, cold, or just not functioning properly. Americans are accustomed to fairly limited ideas of what breakfast consists of, and may be depriving themselves of vital nutrients, proteins, and proper warmth that aids the digestive process.  

TRY THIS: Have warm soup in the morning. A cup of organic broth will do. Soup is simple to make or reheat and stimulates digestion, igniting your "digestive fire" and prepares your digestive tract for later meals. Soup has a lot of proteins, minerals, and nutrients with a high water content that will help rehydrate your body after sleeping. When time is a factor, start waking up 5-10 minutes earlier to prevent eating on the go. Limit distractions while you eat. Start small and keep it simple. 

the B I G G E R WHY?

Digestion is strongest in the morning and weakest in the evening. Traditional Chinese Medicine (TCM) recognizes the rhythm of energy movement between organs and has identified 7-9am as the most active time for digestion (7-9pm being the least active). Modern studies have supported this finding by showing how the habit of eating breakfast contributes to more regulated weight, more stable blood sugar, and better energy levels through the day.  

Breakfast does not have to be massive in size. The stomach is not a very large organ, and the quality of food we eat is far more important than the quantity. Starting the day with a cup of broth-based soup that contains a variety of vegetables, meats, and seasonings will provide many essential nutrients needed for the body to function well. Incorporating seasonal foods (produce that is "in season") will enhance this quality. Adjusting the temperature and density of your breakfast by the seasons is also valuable. Cold winter days invite a mug of steaming hot soup, but mid-summer heat may require fresh, mildly warm, cooling foods or chilled soups.  

Digestion is a warm process that is easily influenced by the thermal properties of food, beverages, and environmental conditions. Healthy eating includes respecting this need for heat in the digestive process. Eating mostly warm, cooked foods supports this need for heat. If we are eating cold, raw foods in the cold winter months we are weakening this digestive fire and creating sluggish, weak, cold digestion.  Many people start the day with a smoothie- which is fine- if adding a warming property to the list of ingredients. Some warming elements to throw into a smoothie (if your body is not always feeling overheated or showing redness in the face) include: ginger, cinnamon, and cayenne. Eating raw (cold) foods can also be aided with the use of warming ingredients such as mustard, black pepper, horseradish, vinegar, and warming ginger or green tea after a meal.  

So... BREAKFAST. Stoke that digestive fire at the start of every day. Think quality over quantity- but always keep that stomach warm so you can get the most from the foods you eat all day.