The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
Preliminary reading: What is a pattern? The concept of The six stages theory The concept of Cold
Key attributes
Chinese name: 少阴寒化 Pinyin name: Shǎo Yīn Hán Huà
Pattern nature: Empty
Causes
Precursor patterns: Greater Yin stage
Common causes: External pathogenic factor
Diagnosis
Common symptoms: Chills Diarrhea No thirst Cold limbs Listlessness and four other symptoms
Pulse type(s): Deep (Chen), Slow (Chi), Weak (Ruo)
Tongue description: Pale and wet tongue with white coating
Treatment
Treatment principle: Tonify Kidney-Yang, expel Cold.
Common formulas: Si Ni Tang
This is one of the two patterns of the Lesser Yin stage, the second Yin stage of the Six Stages theory.
The Lesser Yin stage is where the disharmony mainly affects the Kidney Channel.
The Kidneys are considered the root of Yin and Yang in the body. As such, this stage has two patterns, called "Cold transformation" and "Heat transformation" that describe respectively a Kidney Yang Deficiency (with Empty-Cold symptoms) and a Kidney Yin Deficiency (with Empty-Heat symptoms).
This being the "Cold transformation" patterns, the pathology of this pattern is essentially Kidney Yang Deficiency with Empty-Cold symptoms like a feeling of cold, frequent pale urination or diarrhea.
Precursor patterns: Lesser Yin Cold Transformation can derive from Greater Yin stage
External pathogenic factor: The main cause of this pattern is when an external pathogen, typically Wind-Cold, has invaded the body and had progressed in the Interior.
Diagnosing a pattern in Chinese Medicine is no easy feat and should be left to professional practitioners. In particular one has to know how to differentiate between different types of pulses and tongue coatings, shapes and colors as well as learn to read from a long list of seemingly unrelated symptoms.
Pulse type(s): Deep (Chen), slow (Chi) or weak (Ruo)
Tongue description: Pale and wet tongue with white coating
Main symptoms: Chills Diarrhea No thirst Cold limbs Listlessness Feeling of cold Desire to sleep Lying with body curled Frequent pale urination
Tonify Kidney-Yang, expel Cold.
The top herbs in Si Ni Tang are Prepared Aconite (Zhi Fu Zi), Dried Ginger (Gan Jiang) and Liquorice (Gan Cao)
Source date: 220 AD
Number of ingredients: 3 herbs
Key actions: Rescues devastated Yang. Warms the Middle Burner. Stops diarrhea.
Si Ni Tang is a 3-ingredient Chinese Medicine formula. Invented in 220 AD, it belongs to the category of formulas that rescue devastated Yang.
If left untreated Lesser Yin Cold Transformation can lead to Terminal Yin