38. Hemorrhage
Definition
Emission of blood from its physiological reservoirs with seepage into the surrounding tissues or discharge through the orifices.
Relevant diseases of western medicine
1. Epistaxis (nosebleed)
2. Bleeding gums
3. Hemoptysis (coughing blood)
4. Hematemesis (vomiting blood)
5. Hematochezia and melena (blood in stool)
6. Hematuria (blood in urine)
7. Subcutaneous bleeding
Etiology & pathogenesis
1. External pathogenic factors
2. Improper diet
3. Emotional stress
4. Overexertion
5. Chronic illness or the late stage of a febrile disease
Differential diagnosis
Classification & treatment
1. Epistaxis (Nosebleed)
1. Heat Attacking Lung
Sang Ju Yin
Sang Ye, Ju Hua, Bo He, Lian Qiao---
Lie Gen, Xing Ren---
Xing Ren---
Lu Geng---
2. Stomach Heat
Yu Nu Jian
Shi Gao, Zhi Mu---
Di Huang, Ma Dong---
Niu Xi---
3. Liver Fire
Long Dan Xie Gan Tang
Long Dan Cao, Zhi Zi, Huang Qin---
Sheng Di Huang, Dang Gui---
Che Qian Zi, Mu Tong, Ze Xie---
4. Qi And Blood Deficiency
Gui Pi Tang
2. Bleeding gums
1. Stomach fire
Qing Wei San
Huang lian---
Sheng di, Mud an pi---
Dang gui---
Shengma---
2. Yin deficiency with empty fire
Zi Shui Qing Gan Yin (Liu Wei Di Huang Wan + Dan Zhi Xiao Yao San)
3. hemoptysis (coughing blood)
1. Dry-heat attacking lung
sang xing tang
Sang ye, Dan dou chi, Zhi zi---
Sha shen, Li pi---
Xing ren, Bei mu---
2. Liver fire
xie bai san + dai ge san
Sang bai pi, Di gu pi---
Qing dai---
Hai g eke, Gan cao---
3. Lung yin deficiency with empty fire
Bai He Gu Jin Tang
Bai he, Mai dong, Xuan shen, Di huang---
Dang gui, Bai shao---
Bei mu, Gan cao---
4. Hematemesis (vomiting blood)
1. Stomach heat
Xie Xin Tang
Huang Qin, Huang Lian, Da Huang---
2. Liver fire
Long Dan Xie Gan Tang
3. Qi deficiency failing to control blood
Gui Pi Tang
5. hematochezia and melena (blood in stool)
1. damp-heat in intestines
di yu san
Di yu, Qian cao gen---
Huang qin, Huang lian, Zhi zi---
Fu ling---
2. Spleen and stomach yang deficiency
Huang tu tang
Zao xin tu (Fu long gan)---
Fu zi---
Bai zhu, Gan cao---
E jiao, Di Huang---
6. Hematuria (blood in urine)
1. Heat in lower jiao
Xiao ji yin zi
Xiao ji, Sheng di huang, Ou jie, Pu huang---
Zhi zi, Zhu ye---
Hua shi, Mu tong---
2. Kidney yin deficiency with empty fire
Zhi bai di huang wan
Liu wei di huang tang---
Zhi mu, Huang bai---
3. spleen deficiency failing to control blood
gui pi tang
4. Kidney deficiency failing to consolidate lower jiao
Wu bi san yao wan
Shu di hang, Shan yao, Shan zhu yu---
Rou cong rong, Tu si zi, Ba ji tian, Du zhong, Niu xi---
Fu ling---
Wuwei zi, Chi shi zhi---
7. Subcutaneous bleeding
1. Heat in blood
Xi jiao di huang wan
Shui niu jiao, Sheng di huang---
Mu dan pi, Chi shao---
2. Yin deficiency with empty fire
Qian ge san
Qian cao gen, Ce bai ye, Huang qin---
Di huang, E jiao---
Gan cao---
3. Qi deficiency failing to control blood
Gui pi tang
Acupuncture treatment
1. Epistaxis (Nosebleed)
LI 20 Ying Xiang, LI 4 He Gu, Du 23 Shang Xing
2. Bleeding Gums
LI 4 He Gu, ST 7 Xia Guan, ST 6 Jia Che
3. Hemoptysis (Coughing Blood)
BL 13 Fei Shu, LU 6 Kong Zui, LU 5 Chi Ze
4. Hematemesis (Vomiting Blood)
RN 13 Shang Wan, PC 7 Da Ling, PC 4 I Men
5. Hematochezia And Melena (Blood In Stool)
BL 20 Pi Shu, BL 25 Da Chang Shu, BL 32 Ci Liao, Du 1 Chang Qiang
6. Hematuria (Blood In Urine)
BL 17 Shen Shu, RN Guan Yuan
7. Subcutaneous Bleeding
BL 17 Ge Shu, BL 20 Pi Shu, SP 10 Xue Hai, SP 6 San Yin Jiao
Emission of blood from its physiological reservoirs with seepage into the surrounding tissues or discharge through the orifices.
Relevant diseases of western medicine
1. Epistaxis (nosebleed)
2. Bleeding gums
3. Hemoptysis (coughing blood)
4. Hematemesis (vomiting blood)
5. Hematochezia and melena (blood in stool)
6. Hematuria (blood in urine)
7. Subcutaneous bleeding
Etiology & pathogenesis
1. External pathogenic factors
2. Improper diet
3. Emotional stress
4. Overexertion
5. Chronic illness or the late stage of a febrile disease
Differential diagnosis
Classification & treatment
1. Epistaxis (Nosebleed)
1. Heat Attacking Lung
Sang Ju Yin
Sang Ye, Ju Hua, Bo He, Lian Qiao---
Lie Gen, Xing Ren---
Xing Ren---
Lu Geng---
2. Stomach Heat
Yu Nu Jian
Shi Gao, Zhi Mu---
Di Huang, Ma Dong---
Niu Xi---
3. Liver Fire
Long Dan Xie Gan Tang
Long Dan Cao, Zhi Zi, Huang Qin---
Sheng Di Huang, Dang Gui---
Che Qian Zi, Mu Tong, Ze Xie---
4. Qi And Blood Deficiency
Gui Pi Tang
2. Bleeding gums
1. Stomach fire
Qing Wei San
Huang lian---
Sheng di, Mud an pi---
Dang gui---
Shengma---
2. Yin deficiency with empty fire
Zi Shui Qing Gan Yin (Liu Wei Di Huang Wan + Dan Zhi Xiao Yao San)
3. hemoptysis (coughing blood)
1. Dry-heat attacking lung
sang xing tang
Sang ye, Dan dou chi, Zhi zi---
Sha shen, Li pi---
Xing ren, Bei mu---
2. Liver fire
xie bai san + dai ge san
Sang bai pi, Di gu pi---
Qing dai---
Hai g eke, Gan cao---
3. Lung yin deficiency with empty fire
Bai He Gu Jin Tang
Bai he, Mai dong, Xuan shen, Di huang---
Dang gui, Bai shao---
Bei mu, Gan cao---
4. Hematemesis (vomiting blood)
1. Stomach heat
Xie Xin Tang
Huang Qin, Huang Lian, Da Huang---
2. Liver fire
Long Dan Xie Gan Tang
3. Qi deficiency failing to control blood
Gui Pi Tang
5. hematochezia and melena (blood in stool)
1. damp-heat in intestines
di yu san
Di yu, Qian cao gen---
Huang qin, Huang lian, Zhi zi---
Fu ling---
2. Spleen and stomach yang deficiency
Huang tu tang
Zao xin tu (Fu long gan)---
Fu zi---
Bai zhu, Gan cao---
E jiao, Di Huang---
6. Hematuria (blood in urine)
1. Heat in lower jiao
Xiao ji yin zi
Xiao ji, Sheng di huang, Ou jie, Pu huang---
Zhi zi, Zhu ye---
Hua shi, Mu tong---
2. Kidney yin deficiency with empty fire
Zhi bai di huang wan
Liu wei di huang tang---
Zhi mu, Huang bai---
3. spleen deficiency failing to control blood
gui pi tang
4. Kidney deficiency failing to consolidate lower jiao
Wu bi san yao wan
Shu di hang, Shan yao, Shan zhu yu---
Rou cong rong, Tu si zi, Ba ji tian, Du zhong, Niu xi---
Fu ling---
Wuwei zi, Chi shi zhi---
7. Subcutaneous bleeding
1. Heat in blood
Xi jiao di huang wan
Shui niu jiao, Sheng di huang---
Mu dan pi, Chi shao---
2. Yin deficiency with empty fire
Qian ge san
Qian cao gen, Ce bai ye, Huang qin---
Di huang, E jiao---
Gan cao---
3. Qi deficiency failing to control blood
Gui pi tang
Acupuncture treatment
1. Epistaxis (Nosebleed)
LI 20 Ying Xiang, LI 4 He Gu, Du 23 Shang Xing
2. Bleeding Gums
LI 4 He Gu, ST 7 Xia Guan, ST 6 Jia Che
3. Hemoptysis (Coughing Blood)
BL 13 Fei Shu, LU 6 Kong Zui, LU 5 Chi Ze
4. Hematemesis (Vomiting Blood)
RN 13 Shang Wan, PC 7 Da Ling, PC 4 I Men
5. Hematochezia And Melena (Blood In Stool)
BL 20 Pi Shu, BL 25 Da Chang Shu, BL 32 Ci Liao, Du 1 Chang Qiang
6. Hematuria (Blood In Urine)
BL 17 Shen Shu, RN Guan Yuan
7. Subcutaneous Bleeding
BL 17 Ge Shu, BL 20 Pi Shu, SP 10 Xue Hai, SP 6 San Yin Jiao
