LYU Peiwen believes that the true cold with false heat syndrome is easily overlooked in the syndrome differentiation of sores and ulcers in clinical practice. He emphasizes that syndrome differentiation of sores and ulcers must closely integrate local manifestations with the overall condition and comprehensively consider the four diagnostic methods， so as to identify the core contradiction between local false heat and systemic true cold within complex clinical manifestations. For the treatment of sores and ulcers characterized by "true cold with false heat"， he advocates warming

yang

to dispel cold， guiding fire back to its source， and replenishing

qi

and blood. Bitter-cold drugs should be used with caution， attention should be paid to protecting the spleen and stomach， and in severe cases， therapies for restoring depleted

yang

， rescuing collapse， dredging the collaterals， and promoting toxin discharge should be applied.