Commentary on "Blood Syndrome Treatise"

A Tuberculosis Worm Cough

Chapter 23

Feeling depressed and slightly irritable, with a face that alternates between red and white, an unbearable itch in the throat, and persistent coughing without any sense of smell or taste, it is appropriate to use Yue Hua

From Commentary on "Blood Syndrome Treatise" · Read time 1 min · Updated March 22, 2026

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Section Index

  1. A Tuberculosis Worm Cough

A Tuberculosis Worm Cough

Feeling depressed and slightly irritable, with a face that alternates between red and white, an unbearable itch in the throat, and persistent coughing without any sense of smell or taste, it is appropriate to use Yue Hua Wan to regulate lung qi and kill worms. The origin of the worms is due to blood stasis, heat, humidity, and decay, further stimulated by liver wind, leading to the formation of tuberculosis worms. Once the worms have formed, they should be treated as worms, but at the same time, blood stasis must also be removed to eliminate the root cause, clear dampness and heat to cleanse the source, calm the wind and wood to stabilize the mechanism, and gather toxic drugs to kill the species. This formula combines several methods, providing a general approach to treating tuberculosis worms. For more details, please refer to the section on tuberculosis worms.

There is also pulmonary abscess coughing, with pus and blood being expelled, which will be discussed separately in the section on pus expulsion.

There is also fire from food accumulation, which attacks the lungs and causes coughing. This fire often enters the lungs around five o'clock in the morning and causes coughing. This condition is not related to blood, but frail people often experience it. Use Xiao Chai Hu Xiao Yao San combined with Shan Zha, Shen Qu, Mai Ya, Lai Fu Zi, Shan Zhi, Mai Dong. Evening coughing is due to yang entering yin, and the floating fire cannot be contained, entering the lungs and causing coughing. It is appropriate to use Wu Wei Zi, Chuan Wen Ha, Dou Ling, and other remedies to treat this.

Other miscellaneous blood-related coughs that are not related to blood conditions can be found in relevant medical books, but will not be discussed here.

This chapter is prepared for online research and reading; for external materials, please align with original publications and the review process.