Vomiting of blood according to Chinese Medicine

haematemesis, hematemesis redirect here

Vomiting of blood can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.

Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like vomiting of blood here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.

A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here vomiting of blood is often associated with epistaxis, dizziness and irritability in the pattern “/tcm-education-center/patterns/liver-fire-blazing”. As you will see below, we have in record three patterns that can cause vomiting of blood.

Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of vomiting of blood we’ve identified five herbal formulas that may help treat patterns behind the symptom.

We’ve also selected below the five medicinal herbs that we think are most likely to help treat vomiting of blood.

The three "patterns of disharmony" that can cause vomiting of blood

In Chinese Medicine vomiting of blood is a symptom for 3 patterns that we have on record. Below is a small explanation for each of them with links for more details.

The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine

Liver Fire Blazing

Pulse type(s): Rapid (Shu), Wiry (Xian), Full (Shi)

In addition to vomiting of blood, other symptoms associated with /tcm-education-center/patterns/liver-fire-blazing include epistaxis, dizziness and irritability.

/tcm-education-center/patterns/liver-fire-blazing is often treated with Long Dan Xie Gan Tang, a herbal formula made of 10 herbs (including Chinese Gentian - Long Dan Cao - as a key herb). Long Dan Xie Gan Tang belongs to the category of "formulas that clear heat from the organs", which might be why it is often recommended for this pattern. Its main action as a formula is: "Clears Heat and Fire from the Liver and Gallbladder".

Read more about Liver Fire Blazing here

Water Buffalo Horns (Shui Niu Jiao) is the king ingredient for Xi Jiao Di Huang Tang, a formula used for /tcm-education-center/patterns/heat-in-the-blood

Heat in the Blood

Pulse type(s): Rapid (Shu)

Tongue color: Red

Heat in the Blood (or Blood-Heat) refers to a condition whereby Heat, as a so-called "Pernicious Influence", entered the Blood. This invasion tends to accelerate Blood flow (leading to a faster pulse) and to manifest itself in various types of bleeding as well as other symptoms.

In addition to vomiting of blood, other symptoms associated with /tcm-education-center/patterns/heat-in-the-blood include bloody sputum, dizziness and irritability.

From a Western Medicine standpoint /tcm-education-center/patterns/heat-in-the-blood is associated with health issues such as Early Menstruation or Abnormal Uterine Bleeding.

/tcm-education-center/patterns/heat-in-the-blood is often treated with Xi Jiao Di Huang Tang, a herbal formula made of 4 herbs (including Water Buffalo Horns - Shui Niu Jiao - as a key herb). Xi Jiao Di Huang Tang belongs to the category of "formulas that clear nutritive-level heat", which might be why it is often recommended for this pattern. Its main action as a formula is: "Treats severe fevers and Heat in the Blood system".

Read more about Heat in the Blood here

The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine

Liver Blood Stagnation

Pulse type(s): Wiry (Xian)

Tongue color: Bluish-Purple sides

Liver Blood Stagnation usually develops from Qi Stagnation, Cold and Heat. It has great influence over the Directing and Penetrating Vessels and thus the menstruation functions.

In addition to vomiting of blood, other symptoms associated with /tcm-education-center/patterns/liver-blood-stagnation include epistaxis, abdominal pain and dark clots in menstrual blood.

/tcm-education-center/patterns/liver-blood-stagnation is often treated with Xiao Yao San, a herbal formula made of 6 herbs (including Bupleurum Roots - Chai Hu - as a key herb). Xiao Yao San belongs to the category of "formulas that harmonize liver-spleen", which might be why it is often recommended for this pattern. Its main action as a formula is: "Harmonizes the function of Liver and Spleen".

Read more about Liver Blood Stagnation here

Five herbal formulas that might help with vomiting of blood

Long Dan Xie Gan Tang

Source date: 1682 AD

Number of ingredients: 10 herbs

Key actions: Clears Heat and Fire from the Liver and Gallbladder. Clears and drains Damp-Heat from the Lower Burner.

Why might Long Dan Xie Gan Tang help with vomiting of blood?

Because it is a formula often recommended to treat the pattern '/tcm-education-center/patterns/liver-fire-blazing' of which haematemesis is a symptom.

Read more about Long Dan Xie Gan Tang here

Xi Jiao Di Huang Tang

Source date: 650 AD

Number of ingredients: 4 herbs

Key actions: Treats severe fevers and Heat in the Blood system. Removes Blood Stagnation.

Why might Xi Jiao Di Huang Tang help with vomiting of blood?

Because it is a formula often recommended to treat the pattern '/tcm-education-center/patterns/heat-in-the-blood' of which vomiting of blood is a symptom.

Read more about Xi Jiao Di Huang Tang here

Ge Xia Zhu Yu Tang

Source date: 1830 AD

Number of ingredients: 12 herbs

Key actions: Invigorates Blood. Eliminates Blood Stagnation below the diaphragm. Stops pain. Promotes Qi movement.

Why might Ge Xia Zhu Yu Tang help with vomiting of blood?

Because it is a formula often recommended to treat the pattern '/tcm-education-center/patterns/liver-blood-stagnation' of which vomiting of blood is a symptom.

Read more about Ge Xia Zhu Yu Tang here

Shi Xiao San

Source date: 1108 AD

Number of ingredients: 2 herbs

Key actions: Invigorates Blood. Dispels Blood Stagnation. Eases pain.

Why might Shi Xiao San help with vomiting of blood?

Because it is a formula often recommended to treat the pattern '/tcm-education-center/patterns/liver-blood-stagnation' of which vomiting of blood is a symptom.

Read more about Shi Xiao San here

Gu Jing Wan

Source date: 1481 AD

Number of ingredients: 6 herbs

Key actions: Nourishes Yin . Clears Heat. Stops bleeding. Stabilizes the menses.

Why might Gu Jing Wan help with vomiting of blood?

Because it is a formula often recommended to treat the pattern '/tcm-education-center/patterns/heat-in-the-blood' of which vomiting of blood is a symptom.

Read more about Gu Jing Wan here

Acupuncture points used for vomiting of blood

The five Chinese Medicinal herbs most likely to help treat vomiting of blood

Why might Liquorice (Gan Cao) help with vomiting of blood?

Because Liquorice is an ingredient in several formulas indicated to treat vomiting of blood as a symptom, like Xiao Yao San or Chai Hu Shu Gan San for instance.

Liquorice is a Neutral herb that tastes Sweet. It targets the Heart, the Lung, the Spleen and the Stomach.

Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.

Read more about Liquorice here

Why might Dong Quai (Dang Gui) help with vomiting of blood?

Because Dong Quai is an ingredient in several formulas indicated to treat vomiting of blood as a symptom, like Dang Gui Long Hui Wan or Xiao Yao San for instance.

Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Heart, the Liver and the Spleen.

Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.

Read more about Dong Quai here

Why might Coco-Grass Rhizome (Xiang Fu) help with vomiting of blood?

Because Coco-Grass Rhizome is an ingredient in several formulas indicated to treat vomiting of blood as a symptom, like Chai Hu Shu Gan San or Ge Xia Zhu Yu Tang for instance.

Coco-Grass Rhizomes is a Neutral herb that tastes Bitter, Pungent and Sweet. It targets the Liver, the Sanjiao and the Spleen.

Its main actions are: Unblocks Stagnant Liver Qi and relieves pain. Regulates the Liver and Spleen. Assists the regulation of menses and relieves pain.

Read more about Coco-Grass Rhizomes here

Why might White Peony Root (Bai Shao) help with vomiting of blood?

Because White Peony Root is an ingredient in several formulas indicated to treat vomiting of blood as a symptom, like Gu Jing Wan or Xiao Yao San for instance.

White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Liver and the Spleen.

Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.

Read more about White Peony Roots here

Why might Bupleurum Root (Chai Hu) help with vomiting of blood?

Because Bupleurum Root is an ingredient in several formulas indicated to treat vomiting of blood as a symptom, like Xiao Yao San or Chai Hu Shu Gan San for instance.

Bupleurum Roots is a Cool herb that tastes Bitter. It targets the Gallbladder and the Liver.

Its main actions are: Harmonizes exterior and interior. Smoothes the Liver and upraises the Yang.

Read more about Bupleurum Roots here