1. Face color pale, lips light white, eyelids pale, excessive clear saliva.
2. Complexion dull, dark and lackluster, with a blackened glabella and facial swelling.
3. Dry mouth without thirst, prefers warm drinks.
4. Tongue pale red or pale white, enlarged tongue with tooth marks on the edges, white, slippery, thick and greasy tongue coating.
5. Yellow greasy tongue coating, but slippery, tongue body is weak and pale.
6. Pulse thin, weak, slow, and choppy; may be rapid but weak, or floating and scattered, or hollow, etc.
7. Face appears bluish, dark, with a sallow and dull complexion.
8. Excessive facial oiliness, noticeable grease, leading to skin lesions.
9. Lips dark and purple, dry and cracked, but without obvious heat signs.
10. Frequent acne, but redness, swelling, and pain are not obvious. Recurs often, usually solitary, especially around the mouth and jaw.
11. Subcutaneous lumps or nodules that are painful upon pressure, but no obvious protrusions or redness on the surface.
12. Dark circles, eyelids swollen in the morning.
13. Gums pale, or often bleed.
14. Hair thinning, yellow, dry. Frequent hair loss.
15. Hair easily oily. Oily the day after washing, but without a strong odor.
16. Frequent headaches, dizziness.
17. Dizziness and nausea upon sudden standing, prolonged squatting, or after intense exercise.
18. Frequent colds. Symptoms include fear of cold, fear of wind, nasal congestion, clear nasal discharge, cough, pale saliva, clear phlegm, spontaneous sweating.
19. Allergic rhinitis. Symptoms similar to the previous point. Sneezing continuously upon waking every morning. Slight activity after meals can relieve symptoms. Severe cases may not see relief.
20. Facial spots, various pigmentation, freckles, etc. Frequent lipomas and papillomas.
21. Frequent oral ulcers, recurring. Wounds appear white or light red, with no significant redness or swelling.
22. Dry mouth, purple tongue, but prefers to rinse with water rather than swallow.
23. Chronic pharyngitis, laryngitis, recurring. No significant high fever during episodes.
24. Frequent facial paralysis, stiff neck, etc. Neck pain, especially at the back of the neck.
25. Frequent shoulder pain, worsens with wind or cold.
26. Palpable nodules or hard lumps in the back and shoulders, with significant pain upon pressure.
27. Obesity with weak muscles, pale, weak, and fatigued.
28. Frequent chest tightness, especially noticeable in cold conditions. Back feels icy, about the size of a palm, more common in older individuals.
29. Shortness of breath, chest tightness, difficulty breathing, weak wheezing. Pressure feels comfortable.
30. Palpitations, either rapid or slow, but pulse is weak.
31. Back pain, lower back pain, leg and knee pain, worsens with cold.
32. Excessive oiliness on the back, frequent acne, recurrent and unhealed.
33. Poor appetite, picky eating, prone to bloating, stomach pain, acid reflux, vomiting, etc.
34. Small food intake. Or large intake but easily leads to diarrhea, stomach pain, bloating, etc.
35. Eating cold foods like raw fruits, drinking cold beverages easily leads to diarrhea and stomach discomfort.
36. Frequent consumption of cold water and food, regardless of summer or winter. But without obvious diarrhea or gastrointestinal discomfort. Cold pathogens can affect other organs, leading to phlegm, obesity, dark complexion, swelling, lower back and knee pain, varicose veins, etc.
37. Liver and spleen enlargement, ascites, cholecystitis, stones, various digestive and urinary diseases, presenting with fatigue, cold intolerance, and lack of heat signs.
38. Menstrual irregularities, including excessive or insufficient menstruation, early or delayed periods, prolonged or short cycles, but with pale, thin, or dark blood with clots.
39. Frequent dysmenorrhea, with acute, chronic, severe, dull, distending, or stabbing pain.
40. Frequent amenorrhea, leading to infertility.
41. Frequent metrorrhagia, with more frequent spotting than heavy bleeding, including prolonged menstruation and intermenstrual bleeding. Heavy bleeding is less common but still significant.
42. Menstruation every two to three months, consistently. Menstrual blood is either thin, dark, or with clots.
43. Excessive leukorrhea, clear and thin, or thick with a fishy odor, or mixed colors, foul-smelling.
44. Various discomforts during menstruation, including headaches, dizziness, nausea, vomiting, chest tightness, bloating, diarrhea, constipation, fatigue, poor appetite, frequent colds, easy to get heat, easy gum bleeding, purpura, extreme emotional instability, cold pain in the lower abdomen, cold hands and feet, temporary deafness or tinnitus, or exacerbation of existing symptoms.
45. Normal sexual life, intending to conceive but long-term infertility without obvious discomfort, consider one or both partners as “cold beauties”.
46. Extreme pregnancy reactions, severe morning sickness, first consider the pregnant woman as a “cold beauty”.
47. No other obvious discomforts or external influences, multiple miscarriages or habitual abortion.
48. Significant fatigue, anorexia, anemia, edema, palpitations, insomnia, constipation, diarrhea, cold intolerance, swollen eyelids, gum bleeding, athlete’s foot, worsening skin diseases, etc. during pregnancy.
49. Insufficient milk supply during breastfeeding, or milk is thin. Prolonged weaning period, unable to stop milk production.
50. Long time after weaning, even years later, still has milk, with scant menstruation or other menstrual irregularities.
51. Insufficient breast development, early sagging, atrophy.
52. Breast hyperplasia, nodules, etc., but with fatigue and no heat signs.
53. Uterine fibroids, ovarian cysts, etc., with poor appetite, fatigue, pale complexion, and weak pulse.
54. Uterine prolapse, vaginal prolapse, gastric prolapse, and other significant prolapse symptoms.
55. Low female libido, or slow arousal, or rarely experiences orgasm.
56. Male impotence, premature ejaculation, weak erection, no morning erection.
57. Significant fatigue after sexual activity, insomnia, lack of energy the next day, or excessive excitement, prone to colds or diarrhea.
58. Frequent nocturnal emissions, even daily. Semen is thin and watery.
59. Scrotal dampness and coldness. Skin has inflammatory lesions, fungal infections, or skin growths.
60. Abdominal obesity, leg obesity, lower limb obesity or edema, with pitting upon pressure.
61. Frequent urination, pale urine, or frequent urination, or incomplete urination, or cloudy urine, etc. When going out, only focus on public restrooms, akin to a health inspector.
62. Loose stools, three to five times a day, or even more than ten times.
63. Watery stools, undigested food; or sticky, foul-smelling; using multiple pieces of toilet paper, never feeling clean.
64. Chronic constipation, not having a bowel movement for three to five days, but without significant pain. Stools start hard but become loose. Though hard, they are not foul-smelling, or slightly fishy.
65. Yellow urine, but no burning or painful sensation in the urethra. Hard stools, but no burning sensation in the anus.
66. Frequent hemorrhoids, but bleeding is slightly dark, and no burning sensation with bowel movements.
67. Constant dampness around the anus. Constant cold and damp feeling in the vulva.
68. Itching in the genital area, dampness. Inflammatory ulcerations, or various growths, white in color, or slightly red and swollen.
69. Cold hands and feet, even feet cold above the knees, hands cold above the elbows. Worse in winter.
70. Cold and numbness in hands and feet during rainy days or low temperatures.
71. Prone to athlete’s foot, foot rot, and other fungal infections in summer.
72. Excessively dry feet, rough skin, even cracking, especially in winter.
73. Feeling cold air rising from the feet, spreading upwards. Prone to cold feet in winter.
74. Palms easily sweat, peeling, blistering, ulcerating, etc.
75. Cracked palms, bleeding, peeling, red in color. But no significant heat signs, even with obvious deficiency of qi and blood.
76. Hot hands and feet, especially at night, must extend hands and feet outside the blanket to sleep, or feel irritable and unable to sleep. If the tongue is not red, mouth not dry, body not hot, and pulse not weak, it is not yin deficiency, but rather excess cold internally with yang constrained externally.
77. Cold lower back, cold abdomen, especially in the lower abdomen.
78. Cold pain in the lower abdomen when exposed to cold weather or wind, discomfort in the stomach, gurgling sounds, diarrhea, etc.
79. Chronic diarrhea, even passing undigested food residues.
80. Morning diarrhea. At five or six o’clock, before getting up, abdominal pain, rushing to the toilet for immediate relief. A typical case of “five o’clock diarrhea”.
81. Knees and lower limbs ache and are cold, worsened by cold, arthritis, etc.
82. Varicose veins in lower limbs, purple and swollen like ropes, worsened by prolonged standing or exposure to cold and dampness.
83. Skin appears dark, sallow, pale, lackluster, or damp.
84. Obvious spontaneous sweating. Either whole body sweating, or sweating on the head and face, or hands and feet sweating, feeling cold after sweating.
85. Damp skin, itching, prone to eczema, sweat spots, warts, and various skin diseases.
86. Night sweats, but without obvious heat signs, pale mouth, no thirst, etc.
87. Skin is particularly tender, sensitive, painful with slight scratching, or showing obvious scratches that do not fade for a long time.
88. Skin is particularly dry, rough, peeling, prone to various skin diseases, various bumps, warts, or even psoriasis and vitiligo.
89. Skin color dark purple, prone to inexplicable bruising.
90. Poor memory, forgetfulness; slow reaction, poor comprehension, poor academic performance. Prone to irritability.
91. Palpitations, fearfulness, easily nervous and trembling at unexpected events, with sluggish brain function.
92. Prefers quiet, enjoys solitude. Cannot tolerate noise, easily irritated, dizzy in noisy environments, sensitive to sound.
93. Small appetite, but very overweight. Commonly referred to as gaining weight just by drinking cold water.
94. Dislikes exercise, easily short of breath and sweating, intolerable palpitations.
95. Frequent insomnia and vivid dreams, unable to sleep at night, lacking energy during the day.
96. Red complexion, fear of heat, irritability, palpitations, if pulse is weak, also indicates yang deficiency.
97. Hypertension, hypotension, hyperlipidemia, hyperglycemia, hypoglycemia, coronary heart disease, angina, diabetes, various cancers, etc., presenting with fatigue, cold intolerance, and worsening with cold.
98. Wounds heal slowly, wounds take a long time to heal, oozing thin pus, resembling clear water.
99. Body aches, but pain is not localized. Vague pain, cannot be pinpointed, but symptoms relieve after full-body massage.
100. Body feels cold all over. Or body heat is not prominent. Or head, face, and limbs feel hot, with recurrent heat and inflammation. But below the waist presents cold signs.
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