The bringing up of blood with relatively little food from the stomach. Retching of blood is attributed to anger damaging the liver, excessive liquor consumption, dietary irregularities and taxation fatigue damaging the spleen and stomach, or sexual taxation damaging the kidney causing lower body vacuity and upper body exuberance.
Medicinal therapy: For anger damaging the liver, treat by coursing the liver and draining fire. Use Bupleurum Liver-Coursing Powder (柴胡疏肝散chái hú shū gān sǎn) plus wine-processed rhubarb (Rhei Radix et Rhizoma, 大黄dà huáng) or Moutan and Gardenia Free Wanderer Powder (丹栀逍遥散dān zhī xiāo yáo sǎn). For excessive liquor consumption with accumulated heat stirring the blood, treat by draining fire and stanching bleeding, using Coptis and Pueraria Flower Pill (葛黄丸gé huáng wán). For dietary irregularities or taxation fatigue damaging the spleen, fortify the spleen and contain the blood with Spleen-Returning Decoction (归脾汤guī pí tāng) with judicious addition of agrimony (Agrimoniae Herba, 仙鹤草xiān hè cǎo), bletilla (Bletillae Rhizoma, 白及bái jí), and cuttlefish bone (Sepiae Endoconcha, 海螵蛸hǎi piāo xiāo). For sexual taxation damaging the kidney with lower body vacuity and upper body exuberance, with signs such as vexation, agitation, and thirst, red face and cold lower extremities, base treatment mainly on supplementing the kidney. Use Six-Ingredient Rehmannia Pill (六味地黄丸liù wèi dì huáng wán) plus cinnamon bark (Cinnamomi Cortex, 肉桂ròu guì) and schisandra (Schisandrae Fructus, 五味子wǔ wèi zǐ) combined with Pulse-Engendering Powder (生脉散shēng mài sǎn).