手腳冰冷可先用 當歸四逆湯
26 Video Views·Mar 13, 2026
中西醫師鄧正梁 祥和中醫診所
手腳冰涼是很常見的問題。很多人感覺是陽虛了,是不是要吃點補藥?
《傷寒論》裡面有〈四逆湯〉與〈當歸四逆湯〉,都是治療手腳冰冷。四逆就是四肢厥逆,手冷到肘,腳冷到膝。真正的陽虛要用〈四逆湯〉,「少陰病,脈沉者,急溫之;宜四逆湯。」心腎陽虛,全身都冷,使用乾薑、生附子、炙甘草回陽救逆。生附子是中藥中的原子彈,大熱大辛,直接將腎陽拉起來。乾薑大熱,守中焦脾胃,炙甘草顧胃氣,緩和藥性。
一般的手腳冰涼,身子不一定很怕冷,可能陽氣鬱結,血虛寒凝。如果是情緒壓抑,肝氣不舒,導致的手腳冰涼,可用〈四逆散〉,「少陰病四逆,其人或咳、或悸、或小便不利、或腹中痛、或泄痢下重者,四逆散主之。」組成是柴胡、枳實、
白芍、甘草,柴胡疏肝解鬱,透達鬱熱;枳實泄熱散結,芍藥柔肝歛陰;炙甘草補脾和中益氣。氣都堵上上面,陽氣過不去,四肢就感覺冰冷。這種冰冷常伴隨著心情鬱悶、經常嘆氣、胸脅脹滿、經前乳房脹痛等。
還有一種手腳冰涼,月經量少,不一定全身怕冷,面色萎黃,唇甲淡,易頭暈眼花,用〈當歸四逆湯〉:「手足厥寒,脈細欲絕者,當歸四逆湯主之。」組成有:當歸、桂枝、白芍、細辛、甘草 炙、通草、大棗。當歸是補血活血第一聖藥,細辛穿透力極強,無所不至,搜剔經絡深伏之寒,桂枝將陽氣帶到經絡。〈當歸四逆湯〉是治療血虛寒凝的手腳冰涼。
〈四逆湯〉、〈四逆散〉與〈當歸四逆湯〉都可治療手腳冰涼,但病機不同,需要辯證論治。
Cold hands and feet are a common issue and many people feel it's due to yang deficiency—does that mean they should take tonics
In the previous round there were formulas such as Shi Ni Tang and Dang Gui Shi Ni Tang both used to treat cold hands and feet "shi
ni" refers to extreme cold in the limbs with hands so cold they feel frozen at the wrists and feet so cold they reach the knees
True yang deficiency requires the Decoction for Reversing
Dampness for young patients spirit-selling practitioners
and extreme cold cases use the Decoction for Reversing Dampness with dried ginger herbal biomass and dried grass
Reviving your yang energy life-saving like an atomic bomb in traditional medicine
Intensely warming and clearing instantly lifting your life back up
Dried ginger is extremely warm warming the middle burner and strengthening the spleen and stomach consuming licorice root helps consolidate stomach qi and moderates the potency of other herbs
Cold hands and feet are common but the body doesn't necessarily feel chilly—this may indicate stagnated yang energy
When blood and qi are chilled and stagnant if emotional suppression leads to liver qi stagnation causing cold hands and feet use Shini San
A young person with dampness reversal may experience discomfort in the body muscles or joints or have difficulty moving
if there is lower abdominal pain or a sensation of heaviness and pressure treat with the Dampness Reversal Powder
The composition is: Bupleurum stopping food stagnation white burnt dried herb
Bupleurum disperses liver stagnation resolves stasis and promotes the release of latent heat it alleviates food stagnation and dissipates nodular
accumulations A small dose nourishing the liver and enriching yin treats liver disorders with Cortex Moutan and Astragalus harmonizing and strengthening qi
The energy gets stuck above yang cannot pass through leaving a damp chilly sensation
Moodiness frequent sighing chest tightness and breast tenderness before menstruation etc
Cold hands and feet scanty menstrual flow not necessarily feeling cold throughout the body
Pale yellow complexion pale lips and cheeks dizziness and blurred vision treated with Danggui Shunqi Tang
Hands feel neither cold nor numb and when the pulse is weak and constricted use the
Tanggui Shiniu Decoction composed of Angelica root Cinnamon twig and baked licorice root
Cornus officinalis jube and angelica are the premier herbs for nourishing and activating blood circulation they penetrate deeply with
exceptional precision reaching every part of the body they help arrest nasal discharge
are mild in nature and their effects are deep and penetrating dispelling cold
Cinnamon twig helps circulate yang energy through the meridians when used in the Decoction of Angelica and Rhizoma Chuanxiong
to treat cold stagnation of blood and qi it effectively warms the cold hands and feet
Wet Reversal Decoction Wet Reversal Powder and Angelica Wet Reversal Decoction all treat cold hands
and feet but differ in underlying patterns and require syndrome differentiation for proper treatment
