Does a Cold Stomach Make You Sick? Japan’s Medical Myth

There are lots of misconceptions when it comes to medicine and the human body — after all, even with all we know about medicine, we’re still discovering how the human body works.

It’s no surprise then that people still to this day rely on folk medicine and medical myths to understand the human body. People still seem to think that carrots improve your vision (they don’t), Robitussin cures all ailments (Chris Rock said so!), and an apple a day keeps the doctor away (they’ll help your teeth tho).

Japan has its fair share of medical myths, but do these myths have any basis in reality at all, or are they simply made up?

I thought in this post I could act as a kind of Japanese mythbuster — just think of me like a younger, more Asian Adam Savage. Kuu, our office cat, could be Jamie and I guess Koichi is Kari Byron? I didn’t think this through very far.

Needlessly complicated analogies aside, the Japanese myth I want to take a look at is the idea that the temperature of your stomach has a huge bearing on your overall general health. The Japanese are really, really concerned about the temperature of your stomach. If you’re feeling sick, it’s probably because your stomach is too cold.

shojin ryoriYou can see bits and pieces of this myth in Koichi’s post from earlier this week, where he talked about starting a vegetarian Buddhist diet. He quotes one Japanese chef about the different qualities of each food:

Summer vegetables from the melon family, such as tomatoes, eggplants and cucumbers, have a cooling effect on the body. Fall provides and abundant harvest of sweet potatoes, yams, pumpkins and fruit, which revive tired bodies after the heat of summer. In winter, a variety of root vegetables, such as daikon radish, turnip and lotus root, provide warmth and sustenance.

It’s not exactly that this idea of different foods giving different effects on the body is exactly unique to Japan, but I think it takes it beyond what a lot of us are used to. I mean sure, cucumbers are especially refreshing in the summertime, but I don’t know that I’d say that a food has a reviving effect on tired bodies or a warming effect unless the food is, y’know, warm.

The myth of the cold stomach doesn’t stop with the effects of various foods on your stomach. In the wintertime lots of people strap haramaki, little stomach warmers, onto themselves to keep their core nice and toasty. Beyond keeping you warm, haramaki supposedly have other benefits, like helping you process alcohol more quickly. (I talked about all of the benefits of a haramaki in a post I wrote last year.)

To some extent though, keeping the core warm isn’t really a foreign concept in the west. What is it that really makes this a uniquely Japanese myth?

The nail in the coffin for me is that even Japanese medical doctors seem to take this myth to heart and make diagnoses based on it. In one of our earlier posts, one commentor recalled how when he was sick in Japan, the doctors said the same thing:

my stomach was “too cold” because I drank chilled drinks. Mind you, this was August so I’m not sure how I was supposed to survive without regularly drinking cold liquids, but they were convinced this was the cause.

I tried to appease them, but a lifetime of drinking whatever I wanted without gastrointestinal distress convinced me they were full of it so I just stopped asking them what to do. Eventually my condition went away on its own.

It’s more than a little concerning when medical professionals seem to buy into a myth, but maybe it makes more sense if it were actually real.

Given all of the mythos about cold stomachs, is there any truth in there? Does consuming cold food and drink actually make your stomach colder and subsquently, make you sick?

In my very basic research, I couldn’t find any scientific research to support this claim. I read a lot of different anecdotal evidence and half-baked hypotheses, including an argument that colder substances sap energy from your body to warm them up.

Ultimately though, none of the stories or hypotheses were really backed up with any scientific studies or data. There definitely seemed to be a widespread cultural distrust of consuming cold things (I found one article in the New York Times about how much Russians hate ice cubes), but couldn’t come across any scientific basis for it.

I found one, kind of related topic; one radio show questioned whether cold or hot beverages were better for cooling you off in the summer. The expert they brought onto the show, a medical doctor and professor at the Indiana University School of Medicine, said that any differences in temperature once the drinks were consumed were more or less negligible.

Given all this lack of evidence, I think it’s pretty safe to say that eating or drinking something cold won’t have make you sick. If you have sensitive teeth, it might be a bit of a problem, or if you consume it too quickly, you might get brain freeze, but that seems to be about the extent of it.

  • Kiyomori

    I likep pie :3

  • http://www.vietamins.com Viet

    Remember to rub that tummy when you get the stomach ache.

  • http://www.tofugu.com koichi

    It’s aliens.

  • Guest

    My grandparents I think held onto to a similar idea. Whenever I would get a stomach ache when I was younger, my grandparents would suggest that I lie down on my stomach. I once asked them why and they said it was to help keep it warm. But this was only for stomach aches, not any other kind of sickness.

  • http://twitter.com/shollum Shollum

    You’re lucky to get brain freeze. If you were like me, the sudden contraction and expansion of your blood vessels (http://en.wikipedia.org/wiki/Brain_freeze ) would cause pain in your eye instead! Lets just say that eyeball freeze is much more painful than brain freeze.

  • Tora.Silver

    I noticed a Japanese woman in a restaurant drinking steaming water from a glass. I was pretty confused, and I figured that maybe she was concerned the glass wasn’t clean? I really had no idea. The next year, my cousins Benni and Mai microwaved a cup of soda and explained this to me. I was just weirded out by the idea of a hot pepsi.

  • http://twitter.com/shollum Shollum

    I’m thinking you should change your avatar to this (no I didn’t spend very long on this, so someone feel free to make a better one if you feel like it):

  • grotesk_faery

    The only reason I could think this would have ANY scientific basis would be that enzymes (like the ones in your stomach and intestines) have an optimal temperature, and if their surroundings are too cold, they won’t more around as quickly or be as effective, and if it’s too hot, they will denature. However, I don’t think that food, hot or cold, could change the temperature of an organ like your stomach enough to make that happen, and even if it did, it would only affect the speed and completeness of your digestion, it wouldn’t make you sick (though if your stomach really got that hot or cold, there’s a good chance you’d be dead anyway).

  • http://www.feitclub.com feitclub

    Thumbs up for citing me from 3 years ago.

  • http://www.tofugu.com/ Hashi

    Thumbs up for the quotable anecdote!

  • http://twitter.com/LeafyTangram Leah

    This is hardly a Japanese thing. My best friend is Chinese, and whenever I’m not feeling well, she insists that it’s because I’m not careful about liquid temperatures! My coffee is too hot in the summer, my water is too cold in the winter. My time of the month is so painful because I don’t warm up my drinks. While she’s been in China for the summer, she messages me each night to remind me to let my tea cool before I drink it. -_-

  • http://twitter.com/shollum Shollum

    If anything, the temperature difference is only beneficial. You have to expend energy bringing the food to body temperature when it’s ingested. When it’s cold, you have to expend energy to do this. This, when applied to certain foods (raw celery and pickles (I think) for instance) makes them take more energy to digest than you actually gain from them. Making it a great way to snack while both getting nutrients and not taking in too many calories.

  • Melissa

    The basis of this belief lies in traditional chinese medicine (tcm), which was imported into Japan a long time ago as kampo and is apparently quite popular there now. The concept is that cold causes qi flow to slow/stop, (like water freezes), so cold food and drinks will cause the flow of yang qi of the stomach and spleen (the tcm concept of the spleen is related to digestion, nothing to do with the western med concept of the spleen) to be disrupted. This then results in disruption of the function of the stomach and spleen, i.e. digestive problems. (Source: I’m taking a double degree in tcm and biomedical science, and have an exam on this in 3 days =D not quite sure about the western medical basis of this, maybe lower temperatures reduce digestive enzyme activity rates due to lower kinetic energy and thus reduce effectiveness of digestion?)

  • Deliah

    My friend just went to the doctor due some problems with her back, and the doctor told her to only eat or drink warm stuff, that would help her muscles to get stronger and by that relieve some weight of her back. And the doctor is totally western. oO

    But I do think that there’s some connection between stomach temperature and general well-being and/or health. It’s just dofferent to the person. Some people just like warm food, so when they eat something cold, they aren’t as confident. And we all know that the mind has an impact on the body. Plus, you gernerally should keep warm in order to be healthy (don’t go out with wet hair etc.) so you should of course also keep your stomach warm.
    I still don’t get how warm food can improve muscles, but I know that I feel totally crap when my breakfast hasn’t seen a microwave ^^

  • http://zoomingjapan.com/ zoomingjapan

    I never heard about this myth before despite living in Japan for a long time. Very interesting.
    I eat cold meals a lot, usually twice a day – and I doubt that it has any bad effect on my health.
    Actually I’m surprised because there’s quite a few cold stuff served in the traditional Japanese diet, too.

    I tend to keep my stomach warm when I have an upset stomach or pain there, but not when I just have a cold.
    Actually my doctor once told me that it really depends on what kind of sickness you have.
    I remember I once had something where it would had been bad if I tried to keep my stomach warm from the outside, but I can’t remember what exactly it was.

  • http://www.tofugu.com koichi

    Is that… an alien on my head!?? D: D:

  • WhiteRice

    Carrots help you see in the dark due to vitamin A. It helps you see in general but it won’t replace your glasses if you need them to see.

  • http://www.tofugu.com/ Hashi

    I was under the impression that it was just a myth: http://www.snopes.com/food/ingredient/carrots.asp

  • anon22345

    My aunt died from eating too many ice cubes bro.

  • Björn Morén

    Everything that goes into your stomach has to be/will be adjusted to your body temperature. In general this is no issue, but if you’re feeling a bit unwell or are having an upset stomach lukewarm liquid is better to drink than cold drinks. Tea can also help. :)

    But i’m pretty sure it doesn’t _make_ you sick.

  • Mathieu Margollé

    Second time I comment on Tofugu, and second time it’s for pointing out a manga ^^’
    This time reading the title immediately made me think of a character from “Love & Collage” whose, well, principal purpose is to possess the “Bizen Porcelain Vase-like Waist” the hero fetishes. As she’s far from being the only one in this case (there’s also the girl with “Cat shaped transparent blue Eyes”, the one with “Bullet Train Breasts”, and I’m not even mentioning the “Slight sakura pink thats just a tiny bit thick Lips” ‘s one) she always tries to attract the hero with her belly dance… even though that makes her feel sick from cold stomach in less than 5 minutes !
    Actually when I was searching for the picture below with this character I ended up re-reading whole chapters… ^^’ This manga is really crazy/hilarious/touching at times, you may give it a try !

  • DAVIDPD

    In China it’sa big no-no to eat hot and cold foods together.

  • linguarum

    Seems there are many temperature related myths in Japan. Like cold outside temperature causes colds. Although this one is fairly common in the West too. Funny that people in Alaska (or Hokkaido) don’t have any higher sickness rates. And somehow whether your forearms are covered or not has a lot to do with body temperature. If I go outside in Japan in 65F weather wearing short sleeves, everyone’s very concerned I’ll catch a cold.

  • CelestialSushi

    Yeah, or the other one about being outside in the rain making you catch a cold. From one standpoint, I’ve read that being in the cold can certainly lower your immune system, so you could easily catch a cold after that, but obviously it’s not the cold itself making you sick :)
    65 degree weather? Really? ._. Sounds like they’d absolutely freak out about some of the people I’ve seen walking around in shorts when the weather’s 40-some degrees F. Heck, I’M even freaked out by that.

  • Raab

    I would love to see more posts about Japanese medical myths, because I’m curious too. When it comes to health, I’ve heard some pretty suspect “facts” from both normal folks and so-called medical professionals here (I live in Kansai). For example, they always promote wearing surgical masks in the fall/winter (it’s almost October, so I’m sure I won’t see most of my student’s faces again until March or April) and are shocked when I go without one but still never get sick. I want to say that it’s because I actually regularly wash my hands WITH SOAP, don’t touch my face, and eat well. But nah, it’s much easier to pinpoint lack of surgical mask wearing as the reason for the school’s flu outbreak.

  • http://twitter.com/shollum Shollum

    I didn’t think so before, but now that I look at it…
    Yeah, you better be careful. I don’t think the aliens want everyone to know about their plans.

  • http://www.facebook.com/rachele.pernet Rachèle Emeline Pernet

    omgosh I’m just loving this – I’m in Japan atm and, well, I’m sick of people telling me this and that about my chiled drinks and cool stomach… -_-
    For a moment there I think I almost believed them!
    Tofugu <3

  • http://twitter.com/makumazahn Nathan

    Actually the Russians have the opposite folklore. The will tell you eating мороженое, or “ice cream” will cure a cold. They also eat it in wintertime. The cultural variation on this point is fascinating.

  • http://twitter.com/shollum Shollum

    That very article says that they are beneficial to the health of your eyes. They just aren’t the super-eyesight producing vegetables that people like to say they are.

  • Melissa
  • ジェシカ レインズ

    Personally I’ve found that drinking or eating a lot of cold foods does actually make me feel sick, but I am extremely sensitive to things like temperature changes and have poor circulation. I often find it difficult to feel like I’m really digesting food properly if I’ve had a big gulp of ice cold water before eating. The older I get, the worse this is and now I almost never use ice except for the hottest summer days. I think there might be something to it, but more related to blood blow to the stomach/digestive region and how temperature can affect that. People with poor circulation would be more sensitive to such things. Also, I thought it was common sense that root vegetables (including ginger, ginseng and garlic) improve circulation and that is why they are considered ‘”warm” foods. Whenever I’ve had foods that are full of this – like samgetan – it isn’t just the warmth from the hot soup but I feel like my heart beats faster. It happens to my husband as well, who is Korean, and has a totally different type of body than I do.

  • ジェシカ レインズ

    Also would like to add to what someone said before that this is hardly a Japanese-only thing at all. I’m from the US (now living in Japan, though) and there is not a single Asian person in my heritage at all, and yet my grandparents and my mother/aunts/unlces occasionally will warn not to eat things that are too cold or too hot, especially together, because of the shock it could do to your “system” (which I assume is any part of your body which might pick up those temperatures until the food reaches body temperature) and that it could make you feel sick. Still, feeling sick and actually becoming sick are not always the same thing. Maybe Japanese people don’t make such a distinction when it comes to upset stomachs.

  • http://mistersanity.blogspot.com Jonadab

    American children often are (or, at least, used to be in the twentieth century) given popsicles and/or ice cream to eat when they’re sick. However, I think this tradition developed because kids _liked_ these foods and would typically eat them even if they didn’t really feel like eating. Also, things you don’t have to chew are easier to eat with a sore throat, as compared with solid food. So I’m not sure the temperature was really relevant.

    Of course, at least half the population of North America still believes that being out in the rain and/or in the cold “lowers your resistance” to getting sick. (The truth is much simpler: the main reason most people leave the house in that kind of weather is to get to public buildings where there are lots of other people. Being around lots of people, especially indoors, is always a good way to catch communicable conditions, especially resiliant airborne pathogens like the common cold. Let’s all get together in one place and cough into our hands and then shake hands, yay.)

  • Mirth

    I remember hearing that. Supposedly eating something cold on a cold day makes you feel warmer, and vice versa for warm drinks. Which makes sense, I guess, from a relative temperature standpoint.

  • Mirth

    “Temperature is increased after eating or drinking anything with calories. Caloric restriction, as for a weight-loss diet, reduces overall body temperature.” Maybe some of these doctors should brush up on their Wikipedia.

  • daniel so

    when my stomach is cold i tend to have indigestion. when i warm it up i poo real nice

  • Jamie Snape

    Hello!
    First time poster and uhhh, well first time lurker too, but sure to be lurkin’ moar!
    Would just like to add that Japan isn’t the only country whose people fully buy into this idea, indeed the Chinese people do the same also and to a much more obvious extent.
    Source: I live in China, XinJiang Province- the far western one, though the phenomenon I’ve seen throughout the whole country.
    For example, in summer here it gets to stupid temperatures and I will walk into a friend’s house or my boss’ office, and cup of boiling hot water forced into my hands. When I ask why we don’t have cold water, they respond either with a look of “Oh, silly westerner…” or tell me that it will “Make your insides unhappy.”
    So there you go!

  • Jam

    It definitely has something to do with the climate. I can drink cold drinks and eat ice cream all the time in United States, but in Shanghai its a different story. I imagine Japan climate is similar. Things like air conditioning effects it as well. When you get a “stomach cold” those heating pads really do work. This is from experience.

  • Knight in Shinning Armour

    You so cute!!!