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Acupuncturist Study CentrePMING.CA · TCM STUDY LIBRARY
APPENDIX K · INTERNAL MEDICINE

血证

血証 · Xue Zheng

Bleeding Disorders

Discipline · Internal MedicineHandbook · Appendix KID K-004
FROM KNOWLEDGE TO CLINICAL REASONING

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01症状 / Symptoms & signs

吐血、衄血、便血、尿血或皮下出血

Vomiting blood, nosebleeds, blood in stool or urine, or bleeding beneath the skin.

02病因病机 / Etiology & mechanism

火热迫血妄行、气虚不摄,亦可由瘀阻血络

Fire-heat forces blood out of the vessels; deficient qi fails to contain blood; blood stasis may also obstruct the vessels.

03辨证分型 / Pattern differentiation
01
血热
Blood heat

血色鲜红、舌红

Bright-red bleeding with a red tongue

02
气虚
Qi deficiency

反复出血、神疲面白

Recurrent bleeding, fatigue and pale complexion

04针灸配穴 / Acupuncture point selection
SP10血海Xuehai
SP6三阴交Sanyinjiao
BL17膈俞Geshu
ST36足三里Zusanli

Illustrative study point combinations, not a prescribed treatment or official answer key.

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