Distinguishing Between Wind-Heat and Wind-Cold Colds: Misdiagnosis Can Worsen the Condition

Wind-heat cold and wind-cold cold have very similar symptoms. If one cannot distinguish between them and uses the wrong medication, it may worsen the condition.

Distinguishing Between Wind-Heat and Wind-Cold Colds: Misdiagnosis Can Worsen the Condition

1. Wind-Heat Cold. The primary symptoms start with the throat, such as: sore throat, dry mouth, and swollen throat, feeling as if there is a fire burning in the throat. Pain during swallowing intensifies, and the voice may become hoarse.

Thick yellow nasal discharge, high fever, and a feeling of pressure in the head, making one feel as if they are being burned by fire. The mind feels heavy, and body temperature can reach 38°C or even higher. The invasion of wind-heat evil disrupts the lung qi, leading to these heat-related symptoms.

Distinguishing Between Wind-Heat and Wind-Cold Colds: Misdiagnosis Can Worsen the Condition

2. Wind-Cold Cold. The primary symptoms start with the nose, such as: runny nose, nasal congestion, and sneezing, with clear nasal discharge flowing continuously. Nasal congestion makes breathing difficult, and sneezing occurs in succession.

There may also be body aches, as the wind-cold evil constricts the exterior, causing the defensive yang to be obstructed. The body’s righteous qi rises to resist, leading to a struggle between the righteous and the evil at the muscle level, resulting in obstructed meridian qi and blood. Wind-cold colds typically do not present with high fever; there may only be a low fever or normal temperature but a strong aversion to cold.

Wind-cold colds may transform into wind-heat colds after a day or two, with heat becoming the main feature. Some individuals may initially have a runny nose and sneezing, but after a couple of days, they will start to develop a fever.

Distinguishing Between Wind-Heat and Wind-Cold Colds: Misdiagnosis Can Worsen the Condition

This is because during the struggle between the body’s righteous qi and the wind-cold evil, the righteous qi gradually strengthens, and the cold evil transforms into heat, presenting symptoms of wind-heat cold. Elderly individuals with weaker righteous qi may take three to four days to transform, while younger individuals with better health may experience transformation in one to two days.

3. Regarding medication.

For wind-heat colds, one can take Lianhua Qingwen (Lianhua Qingwen Capsule), and Shuanghuanglian Oral Liquid, which have the effects of clearing heat and detoxifying, effectively alleviating the heat symptoms of wind-heat colds.

Distinguishing Between Wind-Heat and Wind-Cold Colds: Misdiagnosis Can Worsen the Condition

For wind-cold colds, one can take Ganmaoling (Ganmaoling Granules), Guanmaoqing (Guanmaoqing Granules), and Xiao Chai Hu Tang (Minor Bupleurum Decoction).

Ganmaoling can relieve symptoms such as headache, fever, and nasal congestion caused by colds.

Guanmaoqing Granules can disperse wind and scatter cold, relieve the exterior, and clear heat, making it effective in the early stages of wind-cold colds.

Xiao Chai Hu Tang can relieve the exterior and disperse heat, soothe the liver and stomach, suitable for exterior pathogenic diseases, and help alleviate discomfort during the transformation process of wind-cold colds.

Distinguishing Between Wind-Heat and Wind-Cold Colds: Misdiagnosis Can Worsen the Condition

It is important to note that medication must be taken under the guidance of a physician, as each person’s constitution is different, and the condition may have complex variations. Accurate diagnosis is essential for rational medication use and effective treatment of colds.

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