Analysis of Convergence Method for Prevention and Treatment of Hemorrhagic Diseases Based on "Liver Dominating Coagulation"

Author：LIN Shigao1,2, YANG Miaomiao2, WU Dahua2, XIE Le2

Unit：1.Graduate School, Hunan University of Chinese Medicine, Changsha Hunan 410208, China; 2.Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine/The Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine, Changsha Hunan, 410006, China

Quote：引用：林仕高，杨苗苗，伍大华，谢乐.基于“肝主凝血”分析收敛法防治出血性疾病[J].中医药导报,2025,31(1):164-168.

DOI：10.13862/j.cn43-1446/r.2025.01.029

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Abstract：

This article explores the application of "liver dominating coagulation" in hemorrhagic diseases from the perspectives of ancient literature, modern medical experience, and modern research, in order to enrich the traditional Chinese medicine treatment methods for hemorrhagic diseases and provide certain references and ideas for future research on "liver dominating coagulation". The sufficiency of liver Yin and liver Qi, moderate relief liver, and emotional calmness determine the normal functionning of "liver dominating coagulation" function. The liver can also cooperate with the heart, spleen, lungs, and kidneys to jointly exert the function of coagulation. Sour astringent drugs, such as Baishao (Paeoniae Radix Alba), Shanzhuyu (Corni Fructus), Haipiaoxiao (Sepiae Endoconcha), Wumei (Mume Fructus) and so on, can not only stop the blood that has been produced, but also solidify the blood that has not been produced. Acid also can enters the liver, and regulate liver Qi and liver Yin, allowing the liver to have moderate relief and plays the "liver dominating coagulation"function better. Modern pharmacological research has also shown that such drugs themselves or after processing can exert coagulation effects. In the clinical treatment of patients with bleeding, it is necessary to pay attention to the examination and verification of the cause, find the cause of bleeding while stopping the bleeding, flexibly use the convergence method, and pay attention to the combined use of other treatment methods, so as to make the "liver dominating coagulation" function play normally.

Key words：hemorrhagic diseases; "liver dominating coagulation"; convergence method; the liver hides blood

摘要：从古籍论述、现代医家经验及现代研究探讨“肝主凝血”在出血性疾病中的运用，为丰富出血性疾病的中医药治疗手段及今后“肝主凝血”的研究提供一定的参考及思路。肝阴、肝气充足，肝之疏泄适度，情志平和等因素决定了“肝主凝血”功能的正常发挥。肝还能与心、脾、肺、肾四脏协作共同发挥凝血之功。酸味收敛药物，诸如白芍、山茱萸、海螵蛸、乌梅等，既能止已出之血，又能固未出之血；酸又入肝，同时还能收肝气、敛肝阴，使肝之疏泄适度，更好地发挥“肝主凝血”的功能。现代药理研究也表明此类药物本身或炮制后可以发挥凝血功效。临床治疗出血的患者，需注意审证求因，在止血的同时寻找出血之因，灵活运用收敛法，注意配合其他治法联合运用，以使“肝主凝血”之功正常发挥。

关键词：出血性疾病；“肝主凝血”；收敛法；肝藏血

Release time：2025-12-01

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