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Also dual damage to liquid and blood (津血两伤 jīn xuè liǎng shāng). Severe insufficiency of liquid affecting the blood and causing blood dryness and vacuity heat. It often occurs after high fever, vomiting, diarrhea, and great sweating. The signs are dry throat and mouth; thirst with desire to drink; parched and possibly cracked lips; short voidings of scant urine; dry stool; heart vexation; vexing heat in the five hearts; emaciation; dry skin with itching in severe cases; a red tongue with little liquid; and a pulse that is fine and rapid.

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