Hiccup due to cold evil invading the stomach or due to stomach (or spleen-stomach) vacuity cold. Cold hiccup is a continuous hiccup that is severe in the evening and mild in the morning, cold extremities, and a forceless slow pulse.
Medicinal therapy: Warm the center and disperse cold with formulas such as Center-Rectifying Decoction (理中汤lǐ zhōng tāng) plus clove (Caryophylli Flos, 丁香dīng xiāng). Alternatively, use Clove Powder (丁香散dīng xiāng sǎn). For cold evil, add patchouli (Pogostemonis Herba, 藿香huò xiāng) and perilla leaf (Perillae Folium, 紫苏叶zǐ sū yè). If the pattern is one of spleen-kidney vacuity cold, the method of warming and supplementing the spleen and kidney with variations of Yīn-Rectifying Brew (理阴煎lǐ yīn jiān) can be used.
Acumoxatherapy: Base treatment mainly on CV, PC, ST, and LR. Select BL-17 (Diaphragm Transport, 膈俞 gé shù), CV-17 (Chest Center, 膻中 shān zhōng), PC-6 (Inner Pass, 内关 nèi guān), CV-6 (Sea of Qì, 气海 qì hǎi), CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and LR-3 (Supreme Surge, 太冲 tài chōng). For cold evil invading the stomach, add TB-5 (Outer Pass, 外关 wài guān) and LI-4 (Union Valley, 合谷 hé gǔ); needle with drainage and add moxa. For stomach vacuity cold, needle with supplementation and add moxa.