医仁中医【上热下寒体质】Heat above,Cold below
- Origin TCM Healthcare
- 2024年4月1日
- 讀畢需時 4 分鐘

医仁中医【上热下寒体质】Heat above,Cold below,上热下寒体质表现为上半身有热象,下半身有寒象,即上热下寒。此体质类型的人常见头面部热、口干、口苦、下肢寒冷、腹泻等症状。【上热下寒体质】中医10大体质如何调理呢?马六甲医仁中医诊所。
Origin TCM | Heat Above, Cold Below Constitution (上热下寒体质)
Heat Above, Cold Below Constitution refers to a body type characterized by excessive heat symptoms in the upper body and cold symptoms in the lower body. This internal imbalance of "Yang rising above, Yin sinking below" can lead to discomfort and various health problems if not properly managed.
【常见原因】
1. 饮食不当:长期食用辛辣刺激性食物或寒凉食物。
2. 情志失调:情绪不畅、郁怒伤肝,导致气机郁结。
3. 体质虚弱:先天不足或后天失养,导致脾肾阳虚。
4. 环境因素:长期处于冷热不均的环境中。
5. 久病失调:久病未愈,导致气血失调,阴阳失衡。
🔍 Common Causes
Improper diet – Long-term consumption of spicy or cold/raw foods
Emotional imbalance – Anger, frustration, and liver Qi stagnation
Constitutional weakness – Congenital or acquired spleen and kidney Yang deficiency
Environmental factors – Exposure to inconsistent hot and cold environments
Chronic illness – Long-standing disease disrupting Yin-Yang harmony
【外形特征】
1. 面部潮红:面色发红或有红斑。
2. 下肢寒冷:下肢怕冷,特别是足部寒凉。
3. 体型多偏瘦或中等:上热下寒体质多见于瘦弱或中等体型的人。
🧍♂️ Physical Traits
Redness in the face – Facial flushing or red patches
Cold lower limbs – Especially in the feet, often with discomfort
Lean or average body type – Most individuals appear thin or moderately built
【症状】
1. 上热症状:
- 头面部发热、出汗。
- 口干、口苦、口臭。
- 心烦易怒,失眠多梦。
2. 下寒症状:
- 下肢冰冷,怕冷。
- 腹胀、腹泻、便溏。
- 腰膝酸软、乏力。
❗ Typical Symptoms
Upper Body "Heat" Symptoms:
Facial heat, sweating on head and face
Dry mouth, bitter taste, bad breath
Irritability, restlessness, insomnia with vivid dreams
Lower Body "Cold" Symptoms:
Coldness in the legs and feet
Abdominal bloating, diarrhea, or loose stools
Weakness or soreness in the lower back and knees
上热下寒体质主要影响肝、胃、肾、脾等脏腑。
- 肝火上炎:头痛、目赤、易怒。
- 胃热:口干、口苦、胃脘灼热。
- 肾阳虚:腰膝酸软、下肢怕冷。
- 脾阳虚:腹泻、腹胀、便溏。
🔬 Organs Most Affected
Liver fire: Headache, eye redness, irritability
Stomach heat: Dry mouth, burning in the upper abdomen
Kidney Yang deficiency: Cold legs, lower back soreness
Spleen Yang deficiency: Diarrhea, bloating, poor appetite
- 脉象:脉弦数或弦细。
- 舌象:舌质红,舌苔薄黄或白腻,舌下静脉显露。
📋 Pulse & Tongue Diagnosis
Pulse: Wiry and rapid (弦数) or wiry and thin (弦细)
Tongue: Red tongue body with thin yellow or white greasy coating, visible sublingual veins

容易得的疾病
1. 消化系统疾病,如胃炎、胃溃疡、肠易激综合征。
2. 泌尿系统疾病,如尿频、尿急、前列腺炎。
3. 心血管疾病,如高血压、心悸。
4. 妇科疾病,如痛经、月经不调、宫寒。
5. 呼吸系统疾病,如咽炎、鼻炎。
⚠️ Commonly Associated Conditions
Digestive disorders – Gastritis, stomach ulcers, IBS
Urinary issues – Frequent urination, urgency, prostatitis
Cardiovascular conditions – Hypertension, palpitations
Gynecological disorders – Menstrual cramps, irregular periods, uterine cold
Respiratory diseases – Pharyngitis, chronic rhinitis

日常养生建议
【饮食】
1. 平衡饮食,多吃温性、平性的食物,如红枣、山药、鸡肉等。
2. 避免辛辣刺激,少吃辣椒、姜、蒜等热性食物。
3. 忌寒凉食物,少吃生冷食物,如冰饮、冷食。
【运动】
1. 温和运动,如散步、瑜伽、太极拳等,有助于调和阴阳。
2. 避免剧烈运动,运动量适中,避免大汗淋漓。
3. 加强下肢锻炼,如腿部按摩、热敷,有助于温暖下肢。
【睡眠】
1. 保证充足,每晚至少7-8小时的睡眠。
2. 规律作息,养成早睡早起的习惯,避免熬夜。
3. 温暖睡眠环境,保持卧室温暖,避免下半身受凉。
【生活习惯】
1. 调节情志,保持心情愉快,避免情绪波动大。
2. 注意保暖,特别是下半身的保暖,穿温暖的袜子和鞋子。
3. 劳逸结合,避免过度劳累,注意适时休息。
通过这些方法,可以改善上热下寒体质,调和体内阴阳,提升整体健康水平。
🧘 Daily Wellness Tips
🥗 Diet
Balance warming and cooling – Favor warm and neutral foods like red dates, yam, chicken
Avoid overly spicy foods – Such as chili, ginger, garlic
Stay away from cold/raw foods – Ice-cold drinks, salads, or raw seafood
🏃 Exercise
Gentle exercises – Walking, tai chi, yoga help balance Yin and Yang
Avoid overexertion – Prevent excessive sweating, which depletes Yang
Focus on lower body warming – Leg massages, warm foot soaks, hot compresses
😴 Sleep
Sufficient rest – 7–8 hours of quality sleep every night
Regular routine – Early to bed, early to rise
Warm sleep setting – Keep the bedroom warm, especially the lower half of the body
🌿 Lifestyle Adjustments
Manage emotions – Keep a positive mindset, reduce stress and frustration
Keep warm – Wear socks, keep feet and lower limbs insulated from cold
Balance work and rest – Avoid overworking and allow time for recovery
✅ With proper TCM guidance and lifestyle adjustments, individuals with Heat Above, Cold Below Constitution can restore Yin-Yang harmony, improve organ function, and enhance overall health and vitality.

【医仁中医诊所Origin TCM Healthcare】
地点:No15,jalan ksb 14,taman kota syahbandar,75200,melaka
电话:011-55511624/011-10526401