National Standard Code
BWC
GB/T 15657-2021
Category
Surgical diseases and symptoms

Traditional Chinese Medicine Definition

Frostbite, a type of external disease in traditional Chinese medicine, also known as "frost injury." According to "Internal Medicine in Traditional Chinese Medicine": "Frostbite is caused by the invasion of cold pathogen into the skin, leading to blood stasis. It is characterized by redness, swelling, itching, and pain in exposed areas such as hands, feet, ears, nose, and face, which may even lead to ulceration."

In clinical practice of traditional Chinese medicine, the core pathogenesis of frostbite is the invasion of cold pathogen and blood stasis. Common triggers include cold weather, prolonged residence in damp environments, and wearing thin clothing. During differentiation, attention should be paid to distinguishing the nature of cold, heat, deficiency, and excess. For instance, the blood stasis due to cold manifestation is characterized by red, itchy, and painful hands and feet, which worsen in cold conditions and become itchy when exposed to heat; while the yang deficiency and cold congealment manifestation is characterized by recurrent episodes, cold hands and feet, and pale complexion. The overall direction of treatment suggests that in clinical practice, the treatment of frostbite often involves methods such as warming the meridians and dispelling cold, promoting blood circulation and removing obstruction, or warming the yang and dispelling cold, and promoting blood circulation and alleviating pain. Traditional Chinese medicine believes that by adjusting the balance of yin and yang in the body, and enhancing the body's resistance to cold, the purpose of prevention and treatment of frostbite can be achieved.

Common Syndrome Types and Key Points of Differentiation

Cold and blood stasis syndrome

Main Manifestations: Redness, swelling, itching, and pain in hands and feet, exacerbated by cold, and itching when warm

Management Approach: Warm the Channels and Disperse Cold, Activate Blood and Dredge Channels

Yang deficiency-cold coagulation syndrome

Main Manifestations: Recurrent attacks, cold hands and feet, pale complexion

Management Approach: Wen Yang San Han, Tong Luo Zhi Tong

The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.

Physician's Clinical Insights

The local coldness in frostbite patients can be alleviated by promoting blood circulation and removing blood stasis, as well as warming the meridians and dispelling cold.

— Wang Zhengxiang Traditional Chinese Medicine Practitioner

Reviewed by: Wang Zhengxiang (Traditional Chinese Medicine Practitioner) | 2026-07-07 | Version 2

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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.

This article has been reviewed by licensed TCM physicians at Hangzhou Kezhentang TCM Clinic. It is for TCM popular science reference only and does not involve specific treatment plan recommendations.

References: Internal Medicine of TCM (13th Five-Year Plan Textbook), Diagnostic and Therapeutic Effectiveness Standards for TCM Diseases and Syndromes (ZY/T001.1-94), Classification and Codes of TCM Diseases and Syndromes (GB/T 15657-2021)

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