Vomiting Blood in Traditional Chinese Medicine
Understanding different vomiting blood patterns according to TCM theory
Educational content • Consult qualified practitioners for medical advice
Condition Categories
Condition Categories
Vomiting blood, medically known as hematemesis, is a symptom where a person expels blood mixed with stomach contents through the mouth. This condition is often an indicator of gastrointestinal issues, ranging from ulcers and inflammation to more severe conditions like cancer or liver disease. Recognizing this symptom is critical as it requires immediate medical attention to diagnose and treat the underlying cause.
In Traditional Chinese Medicine (TCM), vomiting blood is seen through the lens of imbalance and disharmony within the body. TCM identifies several patterns of disharmony that could lead to this symptom, including but not limited to Liver Fire Blazing, Liver Wind agitating Internally due to Liver Fire, or Blood Stasis. Identifying the exact pattern is crucial for TCM practitioners as it dictates the treatment approach, focusing on restoring balance and addressing the root cause of the symptom.
TCM Patterns for Vomiting Blood
Heat
Causes: Haematemesis, Vomiting of blood
Liver Fire Blazing
Haematemesis
Along with: Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness, Flushed face, Eye hyperemia, Thirst, Bitter taste in the mouth, Vivid dreaming, Constipation, Dry stools, Dark urine, Nosebleeds, Cough of blood, Vomiting blood
Liver Wind agitating Internally due to Liver Fire
Haematemesis
Along with: Tremors, Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness, Flushed face, Eye hyperemia, Thirst, Bitter taste in the mouth, Vivid dreaming, Constipation, Dry stools, Dark urine, Nosebleeds, Vomiting blood, Cough of blood
Heat in the Blood
Vomiting of blood
Along with: Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia, Hematuria, Vomiting blood, Cough of blood, Nosebleeds, Excessive menstruation
Heat victorious agitating Blood
Vomiting of blood
Along with: Restlessness, High fever, Mania, Macules, Vomiting blood, Nosebleeds, Hematochezia, Hematuria
Blood Stasis
Causes: Vomiting of blood, Possible vomiting of blood
Liver Blood Stagnation
Vomiting of blood
Along with: Hypochondriac pain, Abdominal pain, Vomiting blood, Nosebleeds, Menstrual cramps, Irregular periods, Dark menstrual clots, Infertility, Abdominal masses, Purple nails, Purple lips, Purple face, Skin dryness, Petechiae
Stomach Blood Stagnation
Vomiting of blood, Possible vomiting of blood
Along with: Nocturnal epigastric pain, Abdominal pain worsened by pressure, Nausea or vomiting, Potential vomiting of blood, Hematochezia
Mind Disturbance
Causes: Vomiting of blood
Heat victorious agitating Blood
Vomiting of blood
Along with: Restlessness, High fever, Mania, Macules, Vomiting blood, Nosebleeds, Hematochezia, Hematuria
Blood Deficiency
Causes: Vomiting of blood
Loss of Blood
Vomiting of blood
Along with: Nosebleeds, Uterine hemorrhage, Hematuria, Hematochezia, Cough of blood, Vomiting blood, Dark menstrual clots, Excessive menstruation, Bloody sputum
Qi Rebellion
Causes: Vomiting of blood
Rebellious Lung Qi
Vomiting of blood
Along with: Coughing, Asthma, Nausea, Vomit, Dizziness, Headaches, Loss of consciousness
Wind
Causes: Haematemesis
Liver Wind agitating Internally due to Liver Fire
Haematemesis
Along with: Tremors, Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness, Flushed face, Eye hyperemia, Thirst, Bitter taste in the mouth, Vivid dreaming, Constipation, Dry stools, Dark urine, Nosebleeds, Vomiting blood, Cough of blood
Herbal Formulas for Vomiting Blood
Traditional Chinese Medicine formulas used to address vomiting blood
Xi Jiao Di Huang Tang
Addresses these vomiting blood patterns:
Main Actions
- Treats severe fevers and Heat in the Blood system
- Removes Blood Stagnation
Addresses These Vomiting Blood Pattern Variations
Heat in the Blood
How it manifests:
Vomiting of blood
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...
Heat victorious agitating Blood
How it manifests:
Vomiting of blood
Accompanying symptoms:
Restlessness, High fever, Mania, Macules, Vomiting blood, Nosebleeds...
Loss of Blood
How it manifests:
Vomiting of blood
Accompanying symptoms:
Nosebleeds, Uterine hemorrhage, Hematuria, Hematochezia, Cough of blood, Vomiting blood...
Ling Jiao Gou Teng Tang
Addresses these vomiting blood patterns:
Main Actions
- Cools the Liver
- Extinguishes Wind
- Increases Fluids
- Relaxes the sinews
Addresses These Vomiting Blood Pattern Variations
Liver Wind agitating Internally due to Liver Fire
How it manifests:
Haematemesis
Accompanying symptoms:
Tremors, Irritability, Anger, Tinnitus, Deafness, Temporal headache...
Zi Xue Dan
Addresses these vomiting blood patterns:
Main Actions
- Clears Heat
- Opens the sensory orifices
- Controls spasms and convulsions
- Extinguishes Wind
Addresses These Vomiting Blood Pattern Variations
Liver Wind agitating Internally due to Liver Fire
How it manifests:
Haematemesis
Accompanying symptoms:
Tremors, Irritability, Anger, Tinnitus, Deafness, Temporal headache...
Feng Yin Tang
Addresses these vomiting blood patterns:
Main Actions
- Extinguishes and pacifies Wind with heavy medicinals
- Calms the Mind
- Clears Heat
Addresses These Vomiting Blood Pattern Variations
Liver Wind agitating Internally due to Liver Fire
How it manifests:
Haematemesis
Accompanying symptoms:
Tremors, Irritability, Anger, Tinnitus, Deafness, Temporal headache...
Long Dan Xie Gan Tang
Addresses these vomiting blood patterns:
Main Actions
- Clears Heat and Fire from the Liver and Gallbladder
- Clears and drains Damp-Heat from the Lower Burner
Addresses These Vomiting Blood Pattern Variations
Liver Fire Blazing
How it manifests:
Haematemesis
Accompanying symptoms:
Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness...
Xiao Yao San
Addresses these vomiting blood patterns:
Main Actions
- Harmonizes the function of Liver and Spleen
- Relieves Liver Qi stagnation
- Nourishes the Blood
Addresses These Vomiting Blood Pattern Variations
Liver Blood Stagnation
How it manifests:
Vomiting of blood
Accompanying symptoms:
Hypochondriac pain, Abdominal pain, Vomiting blood, Nosebleeds, Menstrual cramps, Irregular periods...
Su Zi Jiang Qi Tang
Addresses these vomiting blood patterns:
Main Actions
- Directs rebellious Qi downward
- Arrests wheezing
- Stops coughing
- Warms and transforms Phlegm-Cold
Addresses These Vomiting Blood Pattern Variations
Rebellious Lung Qi
How it manifests:
Vomiting of blood
Accompanying symptoms:
Coughing, Asthma, Nausea, Vomit, Dizziness, Headaches...
Dang Gui Long Hui Wan
Addresses these vomiting blood patterns:
Main Actions
- Drains Liver and Gallbladder Fire Excess
Addresses These Vomiting Blood Pattern Variations
Liver Fire Blazing
How it manifests:
Haematemesis
Accompanying symptoms:
Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness...
Chai Hu Shu Gan San
Addresses these vomiting blood patterns:
Main Actions
- Disperses Stagnant Liver Qi and Blood
- Alleviates pain
- Harmonizes Blood
Addresses These Vomiting Blood Pattern Variations
Liver Blood Stagnation
How it manifests:
Vomiting of blood
Accompanying symptoms:
Hypochondriac pain, Abdominal pain, Vomiting blood, Nosebleeds, Menstrual cramps, Irregular periods...
Jin Fei Cao San
Addresses these vomiting blood patterns:
Main Actions
- Disperses Wind-Cold
- Descends Lung Qi
- Transform Phlegm
- Stop cough and calms wheezing
Addresses These Vomiting Blood Pattern Variations
Rebellious Lung Qi
How it manifests:
Vomiting of blood
Accompanying symptoms:
Coughing, Asthma, Nausea, Vomit, Dizziness, Headaches...
Xie Qing Wan
Addresses these vomiting blood patterns:
Main Actions
- Clears the Liver and drains Fire
Addresses These Vomiting Blood Pattern Variations
Liver Fire Blazing
How it manifests:
Haematemesis
Accompanying symptoms:
Irritability, Anger, Tinnitus, Deafness, Temporal headache, Dizziness...
Ge Xia Zhu Yu Tang
Addresses these vomiting blood patterns:
Main Actions
- Invigorates Blood
- Eliminates Blood Stagnation below the diaphragm
- Stops pain
- Promotes Qi movement
Addresses These Vomiting Blood Pattern Variations
Liver Blood Stagnation
How it manifests:
Vomiting of blood
Accompanying symptoms:
Hypochondriac pain, Abdominal pain, Vomiting blood, Nosebleeds, Menstrual cramps, Irregular periods...
Stomach Blood Stagnation
How it manifests:
Vomiting of blood, Possible vomiting of blood
Accompanying symptoms:
Nocturnal epigastric pain, Abdominal pain worsened by pressure, Nausea or vomiting, Potential vomiting of blood, Hematochezia
Gu Jing Wan
Addresses these vomiting blood patterns:
Main Actions
- Nourishes Yin
- Clears Heat
- Stops bleeding
- Stabilizes the menses
Addresses These Vomiting Blood Pattern Variations
Heat in the Blood
How it manifests:
Vomiting of blood
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...
Shi Xiao San
Addresses these vomiting blood patterns:
Main Actions
- Invigorates Blood
- Dispels Blood Stagnation
- Eases pain
Addresses These Vomiting Blood Pattern Variations
Liver Blood Stagnation
How it manifests:
Vomiting of blood
Accompanying symptoms:
Hypochondriac pain, Abdominal pain, Vomiting blood, Nosebleeds, Menstrual cramps, Irregular periods...
Stomach Blood Stagnation
How it manifests:
Vomiting of blood, Possible vomiting of blood
Accompanying symptoms:
Nocturnal epigastric pain, Abdominal pain worsened by pressure, Nausea or vomiting, Potential vomiting of blood, Hematochezia
Shi Hui San
Addresses these vomiting blood patterns:
Main Actions
- Cools the Blood and
- Stops bleeding
- Clears Heat and drains Fire
Addresses These Vomiting Blood Pattern Variations
Heat in the Blood
How it manifests:
Vomiting of blood
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...
Xue Fu Zhu Yu Tang
Addresses these vomiting blood patterns:
Main Actions
- Invigorates the Blood
- Dispels blood Stagnation
- Spreads the Liver Qi
- Unblocks the channels
Addresses These Vomiting Blood Pattern Variations
Stomach Blood Stagnation
How it manifests:
Vomiting of blood, Possible vomiting of blood
Accompanying symptoms:
Nocturnal epigastric pain, Abdominal pain worsened by pressure, Nausea or vomiting, Potential vomiting of blood, Hematochezia
Bai He Di Huang Tang
Addresses these vomiting blood patterns:
Main Actions
- Moistens the Lungs
- Enriches the Body Fluids
- Clears Heat and cools the Blood
Addresses These Vomiting Blood Pattern Variations
Heat in the Blood
How it manifests:
Vomiting of blood
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...
Hua Ban Tang
Addresses these vomiting blood patterns:
Main Actions
- Clears Qi-level Heat
- Cools the Blood
Addresses These Vomiting Blood Pattern Variations
Heat in the Blood
How it manifests:
Vomiting of blood
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...
Qing Ying Tang
Addresses these vomiting blood patterns:
Main Actions
- Clears the Nutritive level Heat
- Relieves Fire Toxin
- Removes Heat
- Nourishes Yin
Addresses These Vomiting Blood Pattern Variations
Heat in the Blood
How it manifests:
Vomiting of blood
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...
Qing Re Gu Jing Tang
Addresses these vomiting blood patterns:
Main Actions
- Clears Empty Heat
- Tonifies the Kidney Yin
- Stops bleeding
- Supplies Body Fluids
Addresses These Vomiting Blood Pattern Variations
Heat in the Blood
How it manifests:
Vomiting of blood
Accompanying symptoms:
Feeling of heat, Red skin eruptions, Thirst, Frequent bleeding, Bloody sputum, Hematochezia...