Please review the following steps before your appointment

Where to start when sensations of heat and cold recur?

Even if tests show no clear abnormalities, recurring sensations of heat and cold are genuine discomforts. By gathering information on the affected area, time of day, duration, and accompanying changes such as sleep, sweat, and digestion, we can more precisely analyze the symptoms from the perspective of heat and cold (Han-yeol) and determine the direction of Korean medicine treatment.

1. Translate your current symptoms into specific words

Experiences such as "tests say it is normal, but I still feel hot" or "it doesn't feel cold to the touch, but I feel a chilling sensation" are not contradictions. Even if tests are normal, there are cases where the body's response to regulating temperature and sensation is disrupted, causing the patient to feel clear discomfort. Baekrokdam Heat and Cold Clinic does not overlook these subjective sensations; we treat them as medical information by examining where, when, and how they appear.

2. Distinguish between the affected area and the nature of the sensation

Details to RecordExample
AreaFace, inside the mouth, palms, soles of the feet, abdomen, back
SensationHeat, burning, stinging, chilling, coldness
TimeWorse at night, after meals, after exercise, before or after menstruation
DurationSubsides after a few minutes, lasts for several hours, repeats daily
Accompanying ChangesSweating, Dry mouth, throbbing, numbness, skin color changes, sleep disturbance

These records are not for self-diagnosing a disease. They are used to distinguish between what has been confirmed by previous tests and the discomfort that remains unexplained, and to find the pattern between the distribution of heat/cold sensations and other bodily responses.

3. Select the guide that most closely matches your symptoms

4. Test results are used as a starting point, not the end of medical evaluation

If no abnormalities were found in your tests, please bring the result reports. It is also helpful to gather a list of medications and supplements you are taking, diagnosed conditions, and the point when your recent symptoms changed. Rather than repeating information already confirmed, we can look deeper into how heat or cold sensations, unexplained by tests, interact with sleep, digestion, sweating, and thirst.

5. What else is examined in Korean medicine treatment?

In addition to the findings from existing tests, we examine accompanying patterns such as the distribution of heat and cold, sleep, sweating, digestion, thirst, and menstrual changes. In Korean medicine, the process of grouping this information to categorize the body's current tendency is called Byun-jeung (Pattern Identification)This allows us to distinguish different heat and cold patterns even within the same complaint of "burning feet," and determine the direction and areas where Korean medicine treatment, including herbal medicine, can help.

In these cases, other evaluations must come first

If you experience sudden chest pain, difficulty breathing, changes in consciousness, high fever, weakness or decreased sensation in one side of the limbs, skin turning rapidly white or blue, or severe pain and swelling, please seek prompt medical evaluation at a nearby medical institution. This is not a general procedure for all patients with heat or cold sensations, but an exceptional guide for when urgent signals are present.

Referenced Evidence and Scope of Application

NINDS Peripheral Neuropathy Guideexamine burning, numbness, and decreased temperature sensation in NHS Guide to Raynaud's phenomenonexamine color changes and pain in the hands and feet following cold exposure in NIDCR Burning Mouth Syndrome GuideI have endured persistent oral pain without any visible external changes. These links are materials to help you find the scope to check first based on your symptoms; they are not self-diagnosis charts.

Apply this to my symptoms

This is how we continue the evaluation during the consultation

It can be overwhelming to know where to start when your face feels hot while your hands and feet are cold, or when you feel burning on some days and chilling on others. Rather than trying to guess the name of the disease first, you can find the right guidance by identifying the most uncomfortable area and the time it occurs.

We ask these three things first

  • Which area is the most uncomfortable: the face, inside the mouth, hands/feet, abdomen, or back?
  • At what time of day do the hot or cold sensations occur, and how long do they last?
  • Which of the following also change: sweating, numbness, color changes, sleep, or digestion?

This is how the direction of Korean medicine treatment is determined

During a medical evaluation, we do not simply confirm the disease name you searched for. After verifying necessary tests, we group scattered symptoms by the distribution of heat and cold and the body's reactions to find the appropriate branch of Korean medicine treatment. If Korean medicine treatment is not suitable, we will explain the medical evaluation you should receive first.

We monitor these changes during treatment

  • The frequency and intensity of the single most distressing symptom
  • The sequence of accompanying symptoms and recovery time
  • How much your actual daily life improves, such as sleep, meals, and going outdoors

Frequently Asked Questions

If test results are normal, are sensations of heat or cold just part of my constitution?

Normal test results are important information, but they do not eliminate all possibilities at once. We must simultaneously review which tests were taken and when, changes in symptoms, medications currently being taken, and accompanying symptoms.

If I have both sensations of heat and cold, which one should I focus on?

The upper body may be hot while the feet are cold, or the same area may feel hot and cold depending on the time. Rather than choosing only one, it is better to record the changes by area and time and examine them together.

Reviewed by Dr. Choi Yeon-seungChief Director of Baekrokdam Korean Medicine Clinic · Practicing since 2010

We do not draw conclusions based on a single symptom name, but verify existing test results and the patterns in which symptoms appear together.

Summary and review information for this page

Reviewing Medical Staff

Choi Yeon-seung, Doctor of Korean MedicineChief Director · Editor of Korean Medicine Atlas · BRC Researcher

Page Summary

Even if there are no clear abnormalities in tests, recurring sensations of heat and cold are a definite discomfort. By gathering information on the area, time of day, duration, and accompanying changes such as sleep, sweat, and digestion, we can examine the branches of symptoms more precisely from the perspective of heat and cold and determine the direction of Korean medicine treatment.

Key Points

  • Experiences such as "Tests say it's normal, but it still feels hot" or "It doesn't feel cold to the touch, but I feel a chilling sensation" are not contradictions. Even if tests are normal, there are cases where the body's response to regulating temperature and sensation is disrupted, causing the patient to feel clear discomfort. Baekrokdam Heat and Cold Clinic does not overlook these subjective sensations; we convert where, when, and how they appear into medical information for evaluation.
  • This record is not for determining a disease name on your own. It is used to distinguish between what has been confirmed through tests already received and the discomfort that remains unexplained, and to find the flow between the distribution of heat/cold sensations and other bodily reactions.
  • If there were no abnormalities in your tests, please bring the result sheets. It is also helpful to gather a list of medications and supplements you are taking, diagnosed diseases, and the point when your symptoms recently changed. Rather than repeating what has already been confirmed, we can more deeply examine how the heat and cold sensations, unexplained by tests, move in conjunction with sleep, digestion, sweat, and thirst.

References cited on this page

Baekrokdam Heat-Cold Glossary

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