Hot head and cold feet may be a normal physiological response, or it may be caused by pathological factors such as poor blood circulation in the lower limbs. 1. Physiological phenomenon: mostly seen in cold winter, due to wearing cotton clothes, shoes are not warm enough, can lead to capillary contraction around the feet, and due to the rich distribution of blood vessels in the head, blood circulation is sufficient, may lead to the physiological response of the top of the head hot feet cold, usually after warming up the symptom can be relieved. 2. Pathological factors: If the lower extremity arteriosclerosis caused by stenosis or occlusion of blood vessels, such as diabetic peripheral vascular disease, or lower extremity venous thrombosis, can lead to poor peripheral circulation, the performance of cold feet. If the top of the head is hot and the feet are cold, if it persists or there are other symptoms, it is recommended that the patient go to the hospital for examination to clarify the cause of the disease and then give targeted treatment.