Blood running counterflow with qì

When qì ascends counterflow, it can carry blood with it. This happens with liver qì. The liver stores the blood and its qì upbears and effuses. When liver yáng is hyperactive, liver qì upbears more strongly than normal, which is called ascending counterflow. Liver qì ascending counterflow carries blood with it and can give rise to vomiting of blood or to clouding reversal.