How to distinguish between wind-heat and wind-cold colds

Patient's question:

What are the differences in symptoms between wind-cold and wind-heat fever? What are the differences in medication? What kind of assistance is needed: How to distinguish between wind-heat and wind-cold fever? How to treat it specifically?...

Doctor's answer:

Fever: In addition to general symptoms such as nasal congestion, chills, cough, and headache, patients with this type of fever may also experience aversion to cold, low-grade fever, absence of sweating, muscle pain, clear nasal discharge, thin white sputum, red and swollen throat, thirst or a preference for warm drinks, and a thin white tongue. These patients often feel more comfortable when wearing many clothes or covering themselves with thick blankets. This type of fever is usually associated with wind-cold.
Wind-heat type fever: In addition to general fever symptoms such as nasal congestion, runny nose, cough, and headache, patients with this type of fever may also experience high fever, thick yellow sputum, sore throat, which often occurs before other fever symptoms, and constipation.
Medical Advice: The treatment for wind-cold fever should follow the principle of "pungent-warm external resolution." Patients can take medications such as Wind-Cold Cold Relief Granules, Fever and Heat Clearing Granules, Nine Herbs Wind-Cooling Pills, Promoting Lung Function and Dispelling Cold Pills, and Noon Tea Granules. If patients also have symptoms of internal heat and constipation, they can take Fangfeng Tongsheng Pills. Wind-cold fever patients should avoid medications such as Mulberry and Chrysanthemum Fever Relief Tablets, Forsythia and Peony Decoction Tablets, Goatbeard and Peony Decoction Tablets, and Compound Fever Relief Tablets. The key to treating wind-cold fever is to induce sweating (known in traditional Chinese medicine as "pungent-warm external resolution"). There are many methods, including steam baths, soaking feet in hot water (better with a bit of alcohol added), covering oneself with two blankets, drinking ginger-sugar water, or eating ginger congee, etc. The main prescription for wind-cold fever is the Guizhi Decoction, the first prescription in the Treatise on Cold Damage, also known as the "King of Harmonizing Formulas" (Ma Huang Decoction also treats wind-cold fever but should be used with caution in the south).
Summary: Pungent-warm external resolution and dispersing lung cold.
For wind-heat fever, treatment should follow the principle of "pungent-cool external resolution." Patients can take medications such as Aromatic Snow Antiviral Oral Liquid, Fever Reducing and Clearing Granules, Isatis Root Granules, Forsythia and Peony Decoction Pills, and Goatbeard Decoction Pills. Wind-heat fever patients should avoid medications such as Nine Herbs Wind-Cooling Pills and Lung Function Promoting Pills.
The above advice is for the question "How to distinguish between wind-heat and wind-cold fever." I hope it helps you. Wishing you good health!

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