The difference between the symptoms of liver cold and liver heat is: liver cold, cold pain in the abdomen, pain in the pubic region, contraction of the pubic organs, cold pain in the head, cold (fear of cold), cold limbs for cold symptoms; liver heat, dizziness and distension, pain like a knife, red face and eyes, bitter and dry mouth, irritability, ringing in the ears, irritability, burning pain in the ribs and scrotum, vomiting of blood and epistaxis, constipation, and other symptoms of solid heat. 1. Liver cold: refers to cold evil attack, stagnation of liver meridian, cold pain in the abdomen, anterior yin, vertex head, pain in the pubic region, pain in the pubic region, pain in the contraction and traction of the pubic organs, relieved by warmth, aggravated by cold. It is a symptom of solid cold in the area where the liver meridian goes. 2. Liver-heat: refers to fire-heat blazing, internal disturbance of the liver, qi fire upward, with headache, irritability, tinnitus, pain in the ribs and fire-heat symptoms as the main manifestations. It manifests as dizziness and distension of the head, pain like a knife, redness of the face and eyes, bitter and dry mouth, irritability, tinnitus like a tide, or sudden deafness, insomnia, burning pain in the ribs and scrotum, vomiting of blood, epistaxis, short and yellowish urination, constipation and other symptoms of real heat. Liver cold and liver heat are distinguished by typical meridian or systemic cold and heat manifestations, which need to be clearly identified by a professional doctor to establish the principle of treatment with the evidence of treatment prescription to avoid misdiagnosis resulting in adverse effects.