熱入血室简体热入血室

rè rù xuè shì

Heat entering the blood chamber · re ru xue shi

Also rendered: Heat entering the blood chamber (This site) · Heat entering the blood room (Literal) · Heat invading the uterus (Clinical)

Pathology

Reviewed · 2026-10-31

At a glance

Pinyin: rè rù xuè shì
Simplified: 热入血室
Literal: 熱 rè is heat; 入 rù is to enter; 血 xuè is blood; 室 shì is a chamber, the inner room of a house. The blood chamber is the uterus — the room where blood is kept and from which it is released — and the phrase says that heat has gone into that room during a woman's period, so that the blood congeals there and the spirit is disturbed above it.
Shuowen: **《說文》：「血，祭所薦牲血也。」「室，實也。」** 血室，歷代或指衝脈、或指肝、或指胞宮；本書四條俱繫婦人經水適來適斷，故以胞宮爲正。**六至十篇四見**：第七篇三（行345、347、349）、第八篇一（行537）。**與「蓄血」之别**：蓄血在太陽、少腹鞕滿、小便自利、其人如狂；熱入血室在婦人經期、胸脅下滿如結胸、晝明暮讝，一在下焦血分，一在血室而涉肝膽。**治不在攻下**：刺期門以瀉其實，或小柴胡之和，「無犯胃氣及上二焦」一語，最爲禁例。

In brief

Heat that enters the blood chamber while a woman is menstruating. The signs are peculiar and easily mistaken: fever and aversion to cold at the outset, then after seven or eight days the fever goes, the pulse slows, the body cools, and yet the chest and flank below are full as in a knotted chest, with raving. Or the menses stop short, chill and fever return on schedule like malaria, and the blood must congeal. Or the patient is clear by day and raves at dusk, seeing ghosts. The treatment is never to purge: prick the period gate to drain the repletion, or harmonise with minor bupleurum, and above all do not offend the stomach qi or the two upper burners — in one case the chapter says the disease will resolve of itself. In the yang brightness chapter the same name is given when there is blood below and raving with sweat only on the head.

Senses in the classical corpus

經水適來而熱入此爲熱入血室也

婦人中風，經水適來，七八日熱除而脉遲身凉，反胸脅下滿如結胸、讝語，是熱乘血室，當刺期門瀉實

A woman with wind-stroke, her period just begun: after seven or eight days the fever leaves, the pulse slows and the body cools, yet the chest and flank grow full like a knotted chest and she raves. Heat has taken the blood chamber; prick the period gate and drain the repletion.

婦人中風，發熱惡寒，經水適來，得之七八日，熱除，而脉遲身凉，胸脅下滿，如結胸狀，讝語者，此爲熱入血室也。 — 辨太陽病脉證并治下第七

經水適斷而血結此爲熱入血室，其血必結

中風七八日續得寒熱、發作有時，經水適斷，熱與血結，故如瘧狀，主以小柴胡湯

Wind-stroke for seven or eight days, then chill and fever returning on schedule as the period stops short: heat and blood have knotted, hence the malaria-like pattern. Minor bupleurum governs.

婦人中風七八日，續得寒熱，發作有時，經水適斷者，此爲熱入血室，其血必結，故使如瘧狀，發作有時，小柴胡湯主之。 — 辨太陽病脉證并治下第七

晝明暮讝晝日明了，暮則讝語

婦人傷寒發熱，經水適來，晝日明了而暮則讝語如見鬼狀，是熱入血室；無犯胃氣及上二焦，必自愈

A woman with cold damage and fever, her period just begun, is clear by day and at dusk raves as though seeing ghosts. This is heat in the blood chamber; do not offend the stomach qi or the two upper burners, and it will resolve of itself.

婦人傷寒發熱，經水適來，晝日明了，暮則讝語，如見鬼狀者，此爲熱入血室，無犯胃氣及上二焦，必自愈。 — 辨太陽病脉證并治下第七

陽明下血讝語此爲熱入血室

陽明病下血而讝語，但頭汗出，亦名熱入血室；刺期門，隨其實而瀉之，濈然汗出則愈

Yang brightness disease with blood below and raving, sweat only on the head: this too is called heat entering the blood chamber. Prick the period gate and drain according to the repletion; a steady sweat breaks and the patient recovers.

陽明病，下血讝語者，此爲熱入血室，但頭汗出者。 — 辨陽明病脉證并治第八

Occurrences in the classics

Passages where the term does real work, with the original, pinyin and English on the same line.

Display

4 passages

辨太陽病脉證并治下第七·辨太陽病脉證并治下第七 Read in context →

婦人中風，發熱惡寒，經水適來，得之七八日，熱除，而脉遲身凉，胸脅下滿，如結胸狀，讝語者，此爲熱入血室也。當刺期門，隨其實而瀉之。妇人中风，发热恶寒，经水适来，得之七八日，热除，而脉迟身凉，胸胁下满，如结胸状，讝语者，此为热入血室也。当刺期门，随其实而泻之。

fù rén zhòng fēng fā rè wù hán jīng shuǐ shì lái dé zhī qī bā rì rè chú ér mài chí shēn liáng xiōng xié xià mǎn rú jié xiōng zhuàng zhān yǔ zhě cǐ wéi rè rù xuè shì yě dāng cì qī mén suí qí shí ér xiè zhī

A woman with wind-strike, fever and aversion to cold, whose menses come just then: seven or eight days later the fever clears, the pulse slows, the body cools, but the chest and flank are full as in chest binding and she speaks deliriously. This is heat entering the blood chamber. Needle the liver meeting point and drain it according to what is replete.

熱除、脉遲、身凉而反胸脅下滿如結胸，正是熱不在表而在血室。

辨太陽病脉證并治下第七·辨太陽病脉證并治下第七 Read in context →

婦人中風七八日，續得寒熱，發作有時，經水適斷者，此爲熱入血室，其血必結，故使如瘧狀，發作有時，小柴胡湯主之。妇人中风七八日，续得寒热，发作有时，经水适断者，此为热入血室，其血必结，故使如疟状，发作有时，小柴胡汤主之。

fù rén zhòng fēng qī bā rì xù dé hán rè fā zuò yǒu shí jīng shuǐ shì duàn zhě cǐ wéi rè rù xuè shì qí xuè bì jié gù shǐ rú nüè zhuàng fā zuò yǒu shí xiǎo chái hú tāng zhǔ zhī

A woman with wind-strike of seven or eight days who then has chills and fever at fixed times, her menses just stopping: this is heat entering the blood chamber, and the blood will bind. That is why she has attacks at fixed times like malaria. Minor Bupleurum Decoction governs it.

「其血必結」四字，說盡熱入血室之質；如瘧狀則是其形。

辨太陽病脉證并治下第七·辨太陽病脉證并治下第七 Read in context →

婦人傷寒發熱，經水適來，晝日明了，暮則讝語，如見鬼狀者，此爲熱入血室，無犯胃氣及上二焦，必自愈。妇人伤寒发热，经水适来，昼日明了，暮则讝语，如见鬼状者，此为热入血室，无犯胃气及上二焦，必自愈。

fù rén shāng hán fā rè jīng shuǐ shì lái zhòu rì míng liǎo mù zé zhān yǔ rú jiàn guǐ zhuàng zhě cǐ wéi rè rù xuè shì wú fàn wèi qì jí shàng èr jiāo bì zì yù

A woman with cold damage and fever whose menses come just then: clear-headed by day, delirious at dusk as if seeing ghosts. This is heat entering the blood chamber. Do not injure the stomach qi or the upper two burners; she will recover of herself.

晝明暮讝，熱在陰分；「無犯胃氣及上二焦」是禁例，非治法。

辨陽明病脉證并治第八·辨陽明病脉證并治第八 Read in context →

陽明病，下血讝語者，此爲熱入血室，但頭汗出者。刺期門，隨其實而瀉之，濈然汗出則愈。阳明病，下血讝语者，此为热入血室，但头汗出者。刺期门，随其实而泻之，濈然汗出则愈。

yáng míng bìng xià xuè zhān yǔ zhě cǐ wéi rè rù xuè shì dàn tóu hàn chū zhě cì qī mén suí qí shí ér xiè zhī jí rán hàn chū zé yù

In yangming disease with bloody stool and delirious speech, this is heat entering the blood chamber, with sweat on the head alone. Needle Qimen and drain according to the excess; a continuous sweat brings recovery.

陽明亦有熱入血室，以下血讝語、但頭汗出爲辨。

Compounds built on this term

熱入血室

rè rù xuè shì

heat entering the blood chamber

辨太陽病脉證并治下第七

血室

xuè shì

blood chamber

辨太陽病脉證并治下第七

刺期門

cì qī mén

prick the period gate

辨太陽病脉證并治下第七

無犯胃氣

wú fàn wèi qì

do not offend the stomach qi

辨太陽病脉證并治下第七

How it has been translated

Every rendering below is a decision about which reader is being addressed. There is no neutral option.

This site	heat entering the blood chamber	keeps 室 as a room, not an organ name
Literal	heat enters the blood room	exact, and strange in English
Clinical	heat invading the uterus during menses	clear, but narrows a debated term

Entry status

Review pending — who reviews this?

2026-10-31

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