Objective] To further investigate the academic thoughts and the aspects of clinical treatments of Lu Yuanlei focused on hemorrhage syndrome. [Methods]According to study straightly the compilation of medical records of Lu Yuanlei and his academic works, the scientific explanation toward the therapeutic methods for hemorrhage syndrome and especially both the theoretical thoughts and the clinical experience of hemoptysis and hematochezia are discussed and concluded. [Results] Lu Yuanlei concluded the three major principles of healing hemorrhage syndrome. To emphasize the importance of patients with sufficient healthy qi inside as well as to make well use of Bupleurum based on syndrome differentiation in the clinical treatments. In addition, with the caution of stopping bleeding without blood stagnation, from our survey, there are three frequently used pairs of drugs specialized for hemostasis in the medical records of Lu Yuanlei. Furthermore, Lu Yuanlei demonstrated three distinguished opinions in the examination of enterorrhagia , to apply Huang Tu Decoction deliberately for the clinical treatment of hematochezia. [Conclusion] The valuable academic inspiration and clinical treatments of hemorrhage syndrome proposed by Lu Yuanlei can be meditated and preached. Besides, his academic viewpoints of scientific connotation of TCM are obviously prominent in the contents.%[目的]研究中西汇通派大家陆渊雷治疗血证的学术思想与临证用药特色。[方法]通过研读《陆渊雷医案》及《伤寒论今释》、《金匮要略今释》，探讨陆渊雷对血证治法的科学性认识，并归纳陆渊雷治咳血证所累积的治疗特色与用药经验，扼要分析其医案；总结陆渊雷对便血证的诊断与证治，以及黄土汤的临证运用。[结果]陆渊雷论治血证有五大特色：论治血证有三个阶段；论治血证有病气病血之说；临证注重正气为转归；根据病证善用柴胡；注重止血不留瘀，有3组常用止血专药的药对。其医案注重辨证，善用经方，用药精简有验。对于便血证的诊治，陆渊雷提出鉴别肠出血的三大独到见解，并针对病机，灵活运用黄土汤加减治疗。[结论]陆渊雷对血证治疗经验丰富，善治咳血证与便血证，其宝贵的诊治思想与临证用药经验，既突显其中医科学化的学术观点，亦对后世医家有重要启发。
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