Warmth and cold sensations are known to derive from separate warm and cold cutaneous thermoreceptors in the form of differentiated afferent nerves. The firing rate of warm-sensing nerves increases as the temperature increases; the firing rate of coldsensing nerves increases if the temperature is reduced. I postulate that the primary sensitivity of the warm sensors derives from voltage-gated Ca 2؉ membrane channels configured such that an increase in temperature opens channels and increases the ion influx while a reduction in temperature increases the ion influx through voltage-gated Na ؉ channels in the cold sensory nerve ends. In either case, the initial cation influx causes a small cellular depolarization that further opens Ca 2؉ channels, admitting more cations in a positive feedback process that leads to the depolarization of the membrane, thus initiating an action potential pulse. Monte Carlo calculations based on a well defined model of such processes, which include effects of noise, demonstrate quantitative agreement of the model with an extensive body of data.T he sensations of warmth and cold are known to follow from the excitation of separate warm and cold cutaneous thermoreceptors as measured by the firing rates of the afferent nerves that form the receptors. For each modality, the firing rates depend statically upon temperature, T, and dynamically on the rate of temperature change, dT͞dt, with positive coefficients for warm receptors and negative coefficients for cold receptors (1). Hence, in the homeotherm skin, the firing rate of the afferent nerves that serve the warm-receptors increases with increasing temperature while the firing rate of the nerves that serve the cold sensors is reduced (1-3). The systems adapt to long-term temperature changes and an increase in external calcium concentration results in a feeling of warmth (4, 5).I show, through Monte Carlo calculations that include noise effects, that these properties of the warm-cold sensory system can be understood quantitatively as the consequences of simple characteristics of voltage-gated membrane channels in the sensory nerve systems that admit Ca 2ϩ and Na ϩ cations into afferent nerve cell that generate the observed action pulses.The warm-receptors in mammals appear to be differentiated C-fibers, unmyelinated afferent nerve fibers Ϸ1-2 m in diameter (6, 7), while the cold receptors are differentiated A␦ fibers (8), myelinated axons Ϸ3 m in diameter. The afferent cold fibers differentiate near their end, at the sensory site, into 5 or 10 short unmyelinated fibers (1). The warm-fibers differentiate similarly (9). I assume that the sensory regions consist of these differentiated ''fingers.'' The cold-receptor fingers are found at a depth of Ϸ150 m in the human skin, near the interface between the dermis and epidermis. The warm-receptors may be somewhat deeper (10, 11).The density of receptors in humans varies according to the location, and there are usually more cold sensors than warm sensors. While there are, typically, from one to five c...