2 Surprising Reasons Your Hot Body Type Feels Cold (An 8-Constitution Guide)
“I’m a Pancreotonia type, so I should be warm. Why am I always freezing? My hands and feet feel like ice!”
This is one of the most common and perplexing issues faced by individuals with
constitutions. According to 8 Constitution Medicine, these two types are gifted with the most powerful digestive systems. They possess an internal “furnace” that should, in theory, keep them warm and full of energy.
And yet, many find themselves in a state of chronic coldness. This isn’t just a mild chill; it’s often a deep, stubborn cold that seems to defy logic and is harder to treat than in any other constitution.
If your internal thermostat feels broken, you’re not alone. The theory isn’t flawed. The reality is that your body’s greatest constitutional strength, when mismanaged, can become the source of your biggest problem.
Let’s explore the two primary reasons why your hot body type feels cold and how this paradoxical state develops over time.
The “Hot Furnace” Paradox of Pancreotonia and Gastrotonia
In 8 Constitution Medicine, Pancreotonia and Gastrotonia constitutions are defined by a core organ arrangement of a very strong digestive system and a constitutionally weaker kidney system.
This means:
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A Very Strong Pancreas/Stomach System (The Furnace): Your digestive organs are naturally powerful and generate a great deal of metabolic heat. They are designed to efficiently break down food and convert it into abundant energy.
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A Constitutionally Weaker Kidney/Bladder System (The Reservoir): In contrast, your Kidney system—which governs your deepest energy reserves, hormonal balance, and core body temperature—is inherently less robust.
With such a powerful digestive engine, feeling warm should be your natural state. But having a powerful furnace is useless if you burn through all your fuel and damage the machinery in the process. This is exactly what can happen.
2 Surprising Reasons Your Inner Fire Is Fading
The journey from a warm, energetic individual to one who constantly battles the cold is a gradual one. It’s a direct result of an imbalance created by unknowingly misusing your constitutional gifts.
Reason #1: You Have Exhausted Your Digestive “Fire”
The old saying, “too much of a good thing can be a bad thing,” perfectly describes this situation. A powerful digestive system is a gift, but without discipline, it can become a liability.
This is the common cycle:
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Overconfidence: Your strong stomach can handle large meals, rich foods, and irregular eating patterns without immediate protest.
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Overconsumption & Overexertion: This leads to a lifestyle of overeating, which provides a surge of energy. You then use this abundant energy to overwork, burn the midnight oil, and push your physical limits.
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System Burnout: For years, your body keeps up. But this is like running an industrial furnace at maximum capacity 24/7 without maintenance. Eventually, the fire burns so intensely that it depletes the other balancing energies within the digestive tract.
Your once-mighty digestive system begins to falter. When this happens, your body can no longer effectively produce Jing (Essence) and Blood—the fundamental substances that serve as your body’s heating fuel.
Without adequate fuel, your furnace sputters and cools. This is the first critical stage where a hot body type feels cold, as you are no longer generating enough essential energy to warm yourself.

Reason #2: Your Kidney’s Foundational Energy Has Been Depleted
This second stage is more serious and is the primary reason for the deep, unshakeable cold that many with Pancreotonia and Gastrotonia experience. It occurs when the problem from Reason #1 is left unchecked and progresses.
Think of your body’s energy in terms of Fire and Water.
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Pancreas/Stomach = Fire
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Kidney = Water (and deep energy)
When the digestive “Fire” burns uncontrollably for years, its intense heat begins to “evaporate” the “Water” of the Kidney system. In the language of Eastern medicine, the excess Fire of the digestive system dries out the Essence of the Kidneys.
This is devastating for your body temperature because the Kidney system is responsible for two critical functions:
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It’s Your Body’s Core Battery: The Kidneys store Jing, your deepest life-force and foundational energy reserve.
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It Governs Peripheral Circulation: The Kidneys play a key role in pushing Blood and warmth to your extremities—your hands and your feet.
When the Kidney’s essence is depleted, your core battery is drained and the mechanism for warming your limbs breaks down. The chill you feel is no longer just a surface issue; it’s a profound, internal cold that originates from an exhausted core. This is why a hot body type feels cold in such a chronic and debilitating way.
A Deeper Problem Than in Other Constitutions
It’s easy to assume that anyone who feels cold has a “cold” constitution, like the Renotonia type. However, the root cause is completely different.
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Renotonia (a naturally cold type) Coldness: Their chill comes from a constitutionally weak and cold digestive system. The solution is relatively direct: eat warm, nourishing foods. As their digestion improves, they warm up.
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Pancreotonia/Gastrotonia Coldness: Their chill is the end result of an over-heated system burning itself out and damaging the Kidneys. The problem’s root is deep within the depleted Kidney system. Simply eating more won’t fix it; it can even add more fuel to the damaging fire. Recovery only begins when the foundational Kidney energy is slowly and carefully rebuilt.
This explains why the condition is so stubborn. You are not just trying to add heat; you are trying to repair your body’s fundamental power supply.
The Ultimate Takeaway: Cherish and Conserve Your Inner Fire
Your powerful digestive system is a tremendous constitutional gift. But it must be managed with wisdom.
Don’t be overconfident in your natural “heat.” Learn to conserve that fire, not exhaust it. By eating moderately, managing stress, and respecting your body’s need for rest, you protect your weakest link—the Kidneys. This allows you to keep your internal furnace running efficiently for a lifetime.
The fact that your hot body type feels cold is a vital signal from your body. It’s an invitation to rebalance your lifestyle and start cherishing your greatest gift instead of taking it for granted.
For the original Korean text, visit here.
If you’re curious about the basics of traditional Korean medicine and health, read the following article:
The Truth About 8 Constitution Medicine: A Revolutionary Healing Framework Explained
Learn Why Studying JangSang Medicine is Important.
Frequently Asked but Silly Questions (Foods Good for the Liver??)