Symptom: Ear hot and feet cold in winter

Here is a case about dis-coordination of Heart fire and Kidney water.

Ears feel hot and feet feel cold at night; cannot feel asleep.

One approach is to clear heart fire and tonify kindney Qi.  SHEN QI WAN + TIAN WANG BU XING WAN

Another is to cool down Upper Fire Mai Wei Di Huang and heat up Middle Jiao Li Zhong WAN.

Ophiopogon 4 Schisandra 2 Codonopsis Atractylodes 10aconite, dried ginger 10 Zhigancao 10-Pinellia 4 Amomum 5cinnamon 3 dogwood a Rehmannia

麦冬4五味子2党参5白术10干姜10炙甘草10半夏4砂仁5肉桂3山茱萸8附子1熟地6