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How to distinguish damp heat from damp cold?
One is the pulse

The other is the tongue

You can look at the color of your tongue coating

If it is white, then it can be considered cold and wet.

If it is yellow, it should be damp and hot.

If the tongue coating is difficult to distinguish, look at the quality of the tongue

Red tongue is hot.

Light or fat tongue is cold, spleen and stomach are deficient.

Faint and persistent stomachache, cold pain and discomfort, pressing warm ointment, empty abdominal pain, slow eating, pain attack or aggravation after fatigue or eating cold or catching cold, vomiting clear water, eating less, mental fatigue, tepid hands and feet, thin stool, pale tongue with white fur and weak pulse.

Deficiency and cold of spleen and stomach

Syndrome of deficiency of spleen yang and excess of yin cold. Also known as spleen-yang deficiency and cold syndrome. Most of them develop from spleen-qi deficiency, or overeating leads to cold, or kidney-yang deficiency leads to fire without soil. Clinical manifestations: abdominal distension, anorexia, abdominal fullness, abdominal pain, warm and pressing, watery mouth, thin and thin stool, tepid limbs, or heavy limbs, or edema all over the body, unfavorable urination, or leukorrhagia, low abdomen, and sour waist and abdomen. The tongue is pale and fat, the coating is white and slippery, and the pulse is dull and weak. Spleen-stomach deficiency and cold syndrome is characterized by spleen deficiency and cold symptoms. Deficiency of spleen-yang, loss of transport and health, less abdominal distension; Yang deficiency and yin excess, cold comes from it, cold congeals and qi stagnates, so abdominal pain likes warming and pressing; Yin-cold qi is abundant in the interior, and the water does not turn wet. When you see clear water in your mouth, you will have loose stools, or even the whole valley will not turn, and you will have trouble urinating and edema. Women's vaginal discharge is thin, and their waist and abdomen are sour, which is a cold and wet bet. Treatment should be warming the middle energizer and strengthening the spleen, and Lizhong decoction should be used.

Gastrointestinal damp-heat: sudden onset, frequent nausea, vomiting and acid swallowing, sudden abdominal pain, urgent diarrhea, unpleasant behavior, yellow, brown and smelly feces, thirst, upset, short and red urine, yellow and greasy tongue coating, and confused or slippery pulse.