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Insufficiency of yáng qì gives rise to yīn cold. When yáng qì is insufficient, it fails to warm and nourish the bowels and viscera, and gives rise to signs such as aversion to cold and cold limbs, lassitude of the spirit and lack of strength, bland taste in the mouth and lack of thirst, white facial complexion and pale tongue, clear urine and sloppy stool, and a slow sunken pulse or fine weak pulse. Plain Questions (素问 sù wèn, tiáo jīng lùn) states, When yáng is vacuous, there is external cold.

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