A. Causes of Yang deficiency: Fear of cold is a typical manifestation of Yang deficiency, but the fire we often talk about cannot be said to be unrelated to Yang deficiency, and at the same time, Yang deficiency is not only the patent of the elderly, but also of the young. 2. In order to better determine whether you are Yang deficient, let us first understand the causes of Yang deficiency. There are several causes of Yang deficiency: genetics, long-term residence in cold, humid areas, excessive use of frozen, cold food, such as iced drinks, prolonged late nights, excessive sexual life, etc. Ma Jing, Department of Traditional Chinese Medicine, Xijing Hospital Second, how to determine Yang deficiency Please read this Yang deficiency test form: 1, do you have cold hands and feet? 2.Do you feel cold and wear more clothes than others? 3.Do you feel uncomfortable when you eat cold things? 4.Do you like to eat hot food? 5.Do you urinate a lot? Especially at night? Through these few simple tests, you can judge for yourselves whether it is Yang deficiency. In fact, from this test we can see that the performance of Yang deficiency is a major symptom “fear of cold”. The first two items are the lack of yang energy in the human body, which cannot reach the limbs and body surface; the third and fourth items are the manifestation of the lack of yang energy in the spleen and stomach; and the excessive nocturnal urination is the manifestation of kidney yang deficiency. However, it should be noted that it is not necessarily Yang deficiency when the above symptoms appear, for example, some people, frequent urination, nocturnal urination, but each time the amount is small, which is not really more urine; another part of the people, once before going to bed, in case of tension, to go out, to work, see the toilet repeatedly want not to urinate, there are women for skin beauty, regardless of the need to drink a lot of water, but also urinate more. None of these can be diagnosed as Yang deficiency. Moreover, Yang deficiency also has a special form of expression – upper heat and lower cold. In general, we often encounter some people who urinate a lot especially at night, cold pain in the waist and legs, clear leucorrhea and loose stools; while heat signs such as toothache, bad breath, red and oily face, acne, irritability and insomnia are common on the head and face. According to Chinese medicine, these people are formed due to the weakness of Yang energy in the lower jiao, and the deficiency of Yang floating upward and moving up the head and face. Therefore, as I said earlier, the fire is not unrelated to Yang deficiency. Third, Yang deficiency may cause health problems Yang deficiency people are prone to gain weight, edema, easy hair loss or premature graying of hair, chronic diarrhea, formation of blood vessels, and pain in different parts of the body, especially pain in the joints of the limbs. It can also lead to dysmenorrhea, delayed menstruation or infertility in women. Yang deficiency can also cause low sexual function and low blood pressure, tinnitus, facial pigmentation and other health problems. When it comes to Yang deficiency, the first herbal remedy that comes to mind is ginseng. Ginseng, known as the first of the “Three Treasures of Guandong”, has the effect of prolonging life and strengthening the body. The ginseng family is huge, with many names, and different ginsengs have different “temperaments” and “specialties”, such as red ginseng, raw hemlock (14). It is called red ginseng because of its red color. In addition to nourishing the vital energy, replenishing the spleen and lung, and calming the mind, it is warm in nature and has the characteristics of great fire, strength and efficacy, and is good at nourishing the vital energy, returning the Yang to save the rebellion, and benefiting the Qi and blood. Red ginseng can be used as a tonic for people who are often afraid of cold, unheated hands and feet, dizziness and tiredness, weakness of limbs, easy fatigue, shortness of breath and shortness of breath, coldness in the stomach, chronic diarrhea, insomnia and dreaminess, impotence and frequent urination, etc. There are many daily uses of red ginseng, including chewing it after slicing it in the mouth for a while, making tea, swallowing it in powdered form, or making a decoction or stew. The simplest way to take red ginseng is to cut it into thin slices, put 2-3 slices (about 3 grams) in your mouth for a while, chew and swallow. Or you can make tea, cut red ginseng into thin slices, take 2-3 slices in a bowl or cup, add boiling water and brew it, then take it after 5 minutes of smothering, and chew and swallow the slices after several times. When grinding, grind the ginseng into fine powder and swallow it every day, the amount of red ginseng in this method is less, depending on individual’s constitution, usually 1-1.5 grams each time. Before stewing red ginseng, wrap it with wet cloth, cut it into thin slices, take 3-5 grams, put it into a porcelain bowl, add half a bowl of water, and stew it for 30 minutes, after serving the soup, the ginseng slices can be stewed twice for drinking. Should pay attention to the ginseng juice stewed, do not rush to open the cover, should wait for its natural cooling, slightly cool when serving. Red ginseng is often accompanied by a certain bitterness when consumed, if you want a better taste, you can cook ginseng and lean pork, chicken and fish together, which can not only nourish and strengthen the body, but also eliminate the bitterness, but the ginseng should be put after, and the time should not be too long, usually not more than 2 hours. However, it is not suitable for people who are “physically weak” and especially for those who have red and swollen gums, dry mouth and throat, nosebleeds and other symptoms of “Yin deficiency and easy fire”. Because of the dryness of our northwest region, it is not advisable for people in the northwest to eat more red ginseng, which is a great tonic. It should also be noted that the warmth of red ginseng often aggravates the Yang heat in the body, so the symptoms similar to “fire” may appear during the consumption, but the above symptoms will disappear if you stop taking it in time. If you are weak and need to take red ginseng for a long time, you can take it for 7 days and stop taking it for 2 days to prevent the side effects. Although red ginseng has such a good effect on Yang, but not, all Yang deficiency can be taken? I would like to tell you that in our daily life, we should not only use ginseng, but also identify the parts of Yang deficiency, different parts of Yang deficiency, such as the most important ones are spleen Yang deficiency, heart Yang deficiency and kidney Yang deficiency, etc. We should also use different methods to supplement Yang. The manifestations of Spleen-Yang deficiency include coldness, cold pain in the abdomen, loose stools, reduced food intake, and weight loss, in addition to the coldness that is necessary for Yang deficiency. In Chinese medicine, we can identify them as heart yang deficiency. For heart yang deficiency we can use the Chinese medicine that warms heart yang, and now the most mentioned is kidney yang deficiency, and we see the most patients who come to the clinic for kidney yang deficiency. The most typical symptoms of kidney yang deficiency are cold extremities, fatigue, lumbar fatigue, leg weakness, and of course, fear of cold and increased nocturnal urination. The most obvious is a dark complexion. There is no energy, no qi, which is called mental fatigue. In addition, there is impotence and constipation in old age. We can use Jin Kui Kidney Qi Pill to take it. It can be seen that the Yang deficiency of different organs, the symptoms that appear are different, and so are the medicines to supplement them, and I will also explain the medicinal food for this point below. After winter, there are some people, not only have a long appetite, but also have a big fire. Eat some greasy or spicy food, acne, mouth ulcers, constipation, muscle aches and pains come one after another. Many “experienced” people will say: “so easy to get on fire, because the body is toxic!” Is it just poison in the body? Of course, the “poison” mentioned here is not what Chinese medicine calls “evil poison”, it is due to “kidney fire does not return to the yuan, the upper floating will become the evidence of false fire”, as the saying goes As the saying goes, “Spring grows, summer grows, autumn harvests, winter hides”, winter is the season of collection of all things, people should also follow the changes of the weather. And now there is a part of the people so that the winter yang is not enough, so blood medicine rush to tonic, eat warm and dry food will eat more. But after tonic, nutrients are not collected in the kidneys, not used by the body, but floating to other organs, such as floating to the stomach and intestines that is the stomach fire, manifested as toothache, constipation, etc.; floating to the heart that is the heart fire, manifested as mouth ulcers, insomnia, etc.; floating to the lungs that is the lung fire, manifested as dry cough, hot flashes, pain throughout the body, etc. V. Misconceptions of Yang supplementation Western ginseng, also known as American ginseng, American ginseng. It was discovered in southern Canada at the beginning of the 18th century and was called American ginseng, mainly produced in Canada, the United States and France, and it came to China from western countries across the sea and was called Western ginseng by the Chinese. According to Chinese medicine, American ginseng nourishes the qi and nourishes the yin, clears the fire and generates body fluid. Dosage: 3-6 grams, can be boiled, stewed, steamed, embalmed, brewed, or decocted. It is suitable for deficiency of qi and yin with fire, lung heat and dry cough, less qi and lazy speech, tiredness of limbs, irritability; wounded yin and fluid deficiency after fever, prolonged illness, postpartum, exhaustion caused by excessive weakness, damage to vital energy, nutritional deficiency, and many kinds of anemia, bleeding, dizziness and headache, neurasthenia, mental weakness, lumbago, spontaneous sweating and night sweating, etc. It is now used for tuberculosis, diabetes, hypertension, hyperlipidemia, neurasthenia, insomnia, yin deficiency, bronchial dilatation, lung cancer, etc. Scientific research has shown that American ginseng contains many ginsenosides, polysaccharides, volatile oils, vitamins and trace elements. It has the functions of anti-fatigue, anti-hypoxia, enhancing the body’s ability to resist diseases and causing protein synthesis. It is suitable for all seasons, especially for summer. Autumn climate is dry, dryness is most likely to hurt the lungs, most likely to hurt the skin coup and fluids, so autumn tonic is also appropriate to use ginseng. According to the Qing Dynasty’s “Materia Medica”, “American ginseng replenishes the lungs and reduces fire, generates fluids and removes tiredness. It is suitable for those who are deficient and have fire.” It can be seen that the use of American ginseng is not widespread, and there are contraindications to its application. However, in recent years, various kinds of ginseng products have flooded the market, such as ginseng pills, ginseng tablets, ginseng tea, ginseng wine, ginseng sugar and so on, plus some advertisements render ginseng as the “all-purpose” health tonic to strengthen the body, which often mislead the consumers and even bring serious consequences, such as cold body, i.e. Yang deficiency or Patients who mistakenly take American ginseng can make their condition even worse due to qi and fire. Cordyceps is a kind of mycelium that combines worms and grasses together and has the effect of nourishing lung yin and replenishing kidney yang, which is a flat tonic for yin and yang, used for consumption, coughing up blood, impotence and spermatorrhea. It can also be used for post-illness deficiency, spontaneous sweating and cold, etc. It can be taken in stew with duck, chicken, pork, etc. It has the effect of tonic deficiency and supporting weakness. Nowadays, Cordyceps products on the market such as Dongbao Hetai, Bai Ling capsule, Jin Shui Bao. For rheumatoid arthritis patients should be reduced, children, pregnant and lactating women, cold and fever, brain hemorrhage people should not eat, with real fire or evil victory should not be used. Chinese medicine is called “deficient in tonic”, why there is a phenomenon of “deficient in tonic”? There are several reasons for this. The deficiency is caused by yin deficiency, yang deficiency, and contrary to the wish. The medicine used is not precise, the medicine should be clear, but use nourishing, should be a severe tonic but choose sweet and slow, or the medicine is too severe, or the amount of medicine is too large, the body can not accept, there will be adverse reactions. If the spleen and stomach are weak and not healthy, the tonic will not be absorbed, regardless of the conditioning. When using tonic method, we must pay attention to the function of spleen and stomach, and use appetizing and appetizing products at the same time. Especially for people who have been deficient for a long time, the function of the spleen and stomach is often weak, so when using tonic medicine should take into account the spleen and stomach. To ignore the seasonal treatment, we must refer to the seasonal and climatic characteristics. For example, in spring, Yang Qi rises, and in autumn, dryness is the order of the day, so the use of warm tonic Yang medicine can easily get on fire, resulting in dry mouth, dry throat, and even bleeding nasal maggots. Lack of proper nourishment can also hinder the treatment of diseases if the necessary nourishment is lacking. For example, patients with yin deficiency should avoid eating warm and dry food to help yang, otherwise, even if the yin medicine is used properly, it is difficult to play a therapeutic role. The problems that are often encountered in the supplementation of Yang, 1. improper supplementation of deficiency fire is easy to float As the saying goes, “spring is born and summer grows, autumn harvest and winter hide”, winter is the season of collection of all things, people should also follow the weather. To better prepare for the winter and health next spring. The kidney is the organ that stores nutritional essence, and only when the essence is returned to the kidney can it be nourished and stored, and the opposite will give rise to all kinds of false fire. People think that the winter yang is not enough, so they rush to tonic, warm and dry food is eaten more. But after the tonic, the nutritional essence is not collected in the kidney yuan, but instead runs around and floats to other organs that will produce false fire. Because the winter cold tends to hurt the kidney’s yang energy, so the kidney’s warming and sealing function is damaged. Even if the supplement is good, it cannot be used by the body, it will turn into dregs and cause harm to the body. How to avoid this problem? It is to nourish the yin while replenishing the yang, so that the body can achieve a balance. The kidneys are the foundation of the innate nature, and winter tonic is mainly to supplement the kidney yang, which has the effect of warming the whole body. However, it is not enough to supplement the kidney yang, to let the yang latent also need to nourish yin. “Nourishing Yin is like a warehouse expansion, the more Yang in the winter, the larger the warehouse should be, the so-called ‘Yin is born then Yang long’, if ‘Yang more Yin but not enough to load’, will also float up into a false fire. “For example, in taking the Yang food or drugs appear fire symptoms is, you can first stop taking 2-3 days, or in the Yang supplement at the same time can add some heat-clearing herbs such as chrysanthemum.