凡药性峻猛，以破血逐瘀为主要功效的水蛭药物称破血逐瘀药。
本类药物味多辛苦，图片虫类药居多，每天兼有咸味，学习均主归肝经血分。味中药性峻猛，药水走而不守，能破血逐瘀、水蛭消癥散积，图片主治瘀血时间长，每天程度重的学习癥瘕积聚。亦可用于血瘀经闭、味中瘀肿疼痛、药水偏瘫等症。
应用本类药物时，常配伍行气药以加强其破血消癥之效;或配伍攻下药以增强其攻逐瘀血之力。
本类药物药性峻猛，大都有毒，易耗气、动血、伤阴，所以凡出血证，阴血亏虚，气虚体弱者，及孕妇，当忌用或慎用。
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