In terms of hemorrhagic diseases, for common polyimmune thrombocytopenia, the domestic guidelines have been revised again and will be published soon, emphasizing the importance of bleeding prevention and control, not simply to raise the platelet count, but of course, this is said in terms of keeping the platelet count in a certain safe range, how much platelet count is safe, generally 30 (30,000, the same below) and above, can be done without special western medical intervention, chronic young Patients, pediatric patients, even more so, platelets even between 10-30, a significant number of patients are often not accompanied by bleeding, and even some patients with platelets less than 10, there is no spontaneous bleeding, therefore, the number of platelets need to pay attention to, more need to be combined with bleeding symptoms to assess the condition! Just to inform the patients, do not platelet slightly fluctuate, it is very entangled! After all, the younger the patient is, the less hemorrhage will occur in 2% of patients with life-threatening clinical bleeding, and conversely, elderly patients, especially those with hypertension and diabetes, are prone to bleeding and need to be taken seriously. However, in my clinical practice, few patients describe significant fatigue. I think it is related to the use of Chinese herbal medicine to strengthen the spleen and benefit the qi. At the same time, I often hear feedback from patients that in the early stage of taking Chinese herbal medicine, although the platelet count is not significantly elevated, the related discomfort symptoms such as bleeding and tiredness are significantly improved, which is the meaning of “first reduce the disease, then raise the platelet”. In Western medicine, much attention is paid to the application of new drugs, some drugs are even very expensive, such as Merova, etc., how effective, the recent effect is good, and often combined with hormone treatment, the long-term effect is not satisfactory! In conclusion, the initial treatment, active standardization, and strive to obtain long-term remission, some patients, gradually into a continuous or chronic state, Western medicine moderate treatment, attention to the prevention and control of bleeding, emphasizing safety can be; drug intervention is not effective, for those who can accept spleen cutting treatment, it is recommended to consider the implementation; Chinese medicine in all stages, stratified intervention, is expected to obtain increased effectiveness and reduce the effect of toxicity, for patients in a relatively safe state. Western medicine does not need to intervene specifically, and Chinese medicine is the main treatment. Other bleeding disorders are gradually attracting attention, and it is recommended to actively search for the causes and treat the cause, which is expected to improve. In recent years, thrombotic diseases have been attracting more and more attention, and the clinical trend is increasing year by year, such as longer life expectancy, longer seating hours, less exercise, more diseases affecting blood vessels, such as hypertension, diabetes, etc., and due to various reasons, including rheumatic immune diseases, the influence of drugs, etc., the tendency to embolism is prominent, or lead to the occurrence of serious cardiovascular and cerebrovascular emergencies, acute pulmonary embolism For these conditions, it is very important to eliminate the causes, control the original disease, antiplatelet aggregation and anticoagulation therapy, and scholars are also looking for beneficial components in blood circulation herbs to help, and clinical suggest that long-term use of blood circulation herbs is expected to benefit.