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/

Releasing the Maiden and Entering Perimenopause

Perimenopause is defined as the transitional years between reproduction and menopause, where periods occur, but ovarian function declines and estrogen levels begin to drop. Many women begin experiencing this change in their 30s or 40s, starting about 8-10 years before menopause.

Menopause is defined as beginning after one year without menstruation. While menopause is synonymous with its infamous symptoms of hot flashes, irregular periods, mood swings, hair loss, weight gain, vaginal dryness, and decreased libido, these symptoms actually point to a deeper issue and can be alleviated with various lifestyle changes. TCM teaches that the body’s hormonal cycle is closely linked to the energy of the Liver and Kidneys. The Liver is responsible for smooth menstruation, and the Kidneys store Jing, or vital essence, which naturally depletes with age. To treat perimenopause, TCM aims to tonify the Kidneys and regulate the Liver.

Acupuncture, herbs, proper nutrition, yin protective movement, stress reduction, and focus on quality sleep are all the best tools to utilize to make sure your transition to menopause is as smooth and pleasant as possible.

Acupuncture for Perimenopause

Acupuncture can help the following symptoms:

Hot flashes- Hot flashes occur when cooling, yin energy declines, leaving an excess of hot yang energy. Acupuncture can cool rising yang by promoting blood vessel dilation, regulating your temperature.

Mood changes- Common mood changes include irritability, anxiety, depression, and rage, all caused by fluctuating hormones. Estrogen affects the production of dopamine and serotonin, the happiness hormones, and the drop in estrogen during perimenopause lowers these neurotransmitter levels. The most effective treatment for mood disturbances is balancing the liver.

Memory, mental focus, and brain fog- Estrogen promotes neuronal growth in the brain, and when it declines, the brain feels the loss. The brain is supported by the Jing of the Kidneys, and each organ system plays a role in supporting brain function. If one of them is out of balance, the brain suffers. Acupuncture can help balance these systems.

Fatigue- Acupuncturists will focus on the digestive system and the Kidneys to treat fatigue. When the digestive system is weak, the body dips into stored Jing in the Kidneys. Jing naturally declines as we age and can not be replenished, so all reserves must be preserved. A healthy digestive system improves energy, prevents premature aging, and regulates sleep disturbances.

Changes in menstruation- Menstruation changes are often the first marker of perimenopause. Skipped periods, lighter or heavier flows, and shorter cycles are all common changes to regular menstruation one may experience. Acupuncture can help make these transitional periods more bearable by increasing blood circulation to the ovaries and uterus, and regulating the hypothalamic-pituitary-ovarian axis, which is the system that governs the menstruation cycle. The Liver system is once again treated, since it regulates and stores blood.


Lifestyle Changes

Make sure to prioritize quality sleep. Learn and train your body clock and try to stick to going to bed and waking up at the same time each day, ensuring consistent quality sleep. Creating a calming wind down routine will help your body and mind relax before bed, allowing you to fall asleep easily. Avoid screens in bed, heavy meals right before bed, and heavy exercise close to bed time. At the end of a long day, prioritize relaxation, inner calm, and peaceful rest.

Nutrition is going to look different for each woman’s specific needs, but make sure to eat a balanced diet of healthy fats, whole foods, and herbs, and avoid foods like processed sugar, alcohol, and caffeine.

Allow breaks while at work, whether it be a short walk to get your blood flowing, a cup of tea, or a chance to eat a nutritious meal. Taking the occasional vacation to completely de-stress from the hustle and bustle of the work day will bring cortisol levels down, allowing for full relaxation. Working long hours consistently will contribute to burn out and exacerbate negative and unpleasant perimenopause symptoms.

Get proper exercise to support blood flow, brian function, and full body balance. Yoga, pilates, walking, and other exercises that strengthen bone density and build muscle are all great options or staying strong, but not depleting jing. Hit exercises, strength training, and any other intense workout should be avoided because these types of exercise drain jing. The focus should be on maintaining strength, not increasing.

Drink enough water. Proper hydration will increase blood flow, support healthy joints, aid brain function, and support proper function of all body systems. Dehydration can cause headaches, body aches, constipation, dry skin and hair, and is just generally draining. Also, drinking alcohol inhibits a good nights sleep, raises cortisol, and taxes the liver and kidneys, affecting all systems that need to be in balance to support your body through perimenopause.

Herbs

The best herbs for Perimenopause are:

● Red Clover- Red Clover is used to support immune function and ease hot flashes.

● Black Cohosh- Also known as Snakeroot, Bugbane, Fairy Candles, or Rattletop, Black Cohosh is native to the United States and is used to support the female reproductive system, treat hot flashes, mood swings, sleep disturbances, and inflammatory response.

● Chaste Tree Berry- This berry is known as a natural fertility enhancer, balancing estrogen levels and supporting reproductive health. Other medicinal uses include relief from menstrual cramps and mood swings, improved sleep quality, hormone balancing, relief from night sweats, and reduced swelling.

● Dong Quai- Also known as the female Ginseng, this plant is used in TCM to treat menstrual cramps and alleviate discomfort from hot flashes and night sweats. Due to its estrogen-like properties, it is helpful for women experiencing estrogen based conditions, like menopause.

● Shatavari- Belonging to the asparagus family, this herb is adaptogenic, helping the body adapt to stress, is anti-inflammatory, relieves anxiety and depression, is an antioxidant, boosts immunity, improves digestive health, regulates the menstrual cycle, increases blood flow to the vaginal area and increases vaginal lubrication, reduces menstrual cramps, increases libido, balances hormones, aids the production of happy hormones, reduces mood swings, and relieves symptoms of irritability, vaginal dryness, hot flashes, and night sweats.

● Wild Yam- Also known as American Yam, this plant is traditionally used to treat mood swings, hot flashes, and insomnia due to its estrogen-like properties.

● Mimosa- With a long history of use in TCM, this tree is used to support healthy stress response, sleep cycle, and emotional well being, making it popular for women experiencing perimenopause and menopause.

● St. John’s Wort- This yellow flowering plant has a long history of health benefits, including supporting emotional well being, antioxidant properties, and promoting feelings of calm during the menopausal transition.

● Ginseng- Ginseng is used to reduce the frequency and severity of hot flashes and night sweats, supports cognitive function and mood, and supports overall quality of health for peri and menopausal women.

While herbs are a beneficial support while going through perimenopause and menopause, always consult a professional before taking, as many herbs have contraindications that should be considered.

Perimenopause is a transitional time that should be seen as an opportunity to proactively observe and treat any imbalances you may be experiencing to encourage a healthy menopause. If you take the time during these transitional years to learn the root of symptoms like hot flashes, night sweats, mood swings, and other common menopause symptoms, you can then treat your body accordingly. Maybe your liver needs extra support, or you need more sleep at night to lower cortisol levels. Any preemptive tweak you can make to your routine can help ease the discomfort of menopause. Menopause does not have to be unpleasant or uncomfortable. The time for your body to be in demand and reproduce is over, it is now time to turn inward, focus on restoration, and prioritize supporting your body through change.

Resources

● https://www.blossomclinic.net/2019/02/22/perimenopause/

● https://www.yasminhodgeacupuncture.co.uk/post/understanding-the-menopause-the-second-spring

●https://www.nccaom.org/wpcontent/uploads/pdf/Managing%20Menopause%20Symptoms%20With%20Traditional%20Chinese%20Medicine.pdf

● https://encircleacupuncture.com/perimenopause-5-ways-acupuncture-can-help/

● https://www.gaiaherbs.com/blogs/seeds-of-knowledge/herbs-for-menopause?srsltid=AfmBOoof7BBBWp_jau4hWeOj2Y1fRqeREYBz4fILc9iFSqlEVUai8wZ2

● https://holistic-corner.com/shop/spices/organic-chaste-tree-berries-85g/?srsltid=AfmBOopUbDBdKk4L6fJ2ezVlj-puvZn2TAiFG1Z9CPWIIU-LK0FTeTKA

● https://vediherbals.com/blogs/blog/deep-dive-into-the-uses-of-shatavari?srsltid=AfmBOooOgReJ2HGkhQgkQJGZGZPWylhAl8QXmeM92Qlmr-3MjaaeUIT_

● https://www.hollandandbarrett.com/the-health-hub/conditions/womens-health/menopause/go-wild/