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There are cases where individuals have no deficiency of the Heart and Kidney (Zang-Fu organs governing essence and spirit) in their daily lives, nor do they present with symptoms of consumptive disease. However, after occasional sexual indiscretion, they suddenly experience hematemesis (vomiting blood). This blood originates from the Stomach and should not be treated as a consumptive disease. Treatment should involve herbs such as Chai Hu (Bupleuri Radix), Bei Mu (Fritillariae Bulbus), Jie Geng (Platycodonis Radix), Ze Xie (Alismatis Rhizoma), Dan Pi (Moutan Cortex), Bai Shao (Paeoniae Radix Alba), and Mai Dong (Ophiopogonis Radix). In other cases caused by labor injury to the sinews and muscles, recovery can be achieved simply by regulating Stomach Qi.

Often, patients suffer from severe hematemesis, and physicians mistakenly diagnose this as a consumptive disease. This error arises because anger first injures the Liver; since the Liver naturally harbors stagnant blood, treatment for hematemesis should include Shan Zha Rou (Crataegi Fructus) to resolve stasis and stop bleeding initially, followed by gradual regulation of other symptoms to ensure complete recovery.

In cases where fatigue and overwork damage the blood, leading to blood stasis accumulating in the stomach collaterals, combined with an invasion of Wind-Cold pathogenic factors, the Cold forces blood to move recklessly while Fire fails to descend, resulting in hematemesis or epistaxis (nosebleed). These should not be treated as deficiency conditions. How can one differentiate them? The answer is: headache, aversion to cold, shivering, and cold extremities, yet the person has no history of chronic deficiency. If it were deficient Fire flaming upward, signs of insufficiency would be present, such as emaciation. However, if the body is not thin and the onset is sudden, it indicates this specific pattern.

It is frequently observed that individuals with congenital insufficiency develop intestinal wind with bloody stools. They refuse to acknowledge this as a labor-induced consumptive disease and dismiss it as a minor ailment, neglecting treatment. Over time, this leads to the exhaustion of Qi and Blood in the Middle Jiao (Spleen and Stomach), sinking of Yuan Qi (Original Qi), and infiltration of exogenous Wind and pathogenic Fire into the intestines. This results in Qi stagnation and blood coagulation, causing corruption and chaos, creating a crisis akin to a collapsing earth dyke or bursting river. If not treated promptly, it will become a major disaster. What is the treatment method? It involves dispersing Wind, drying Dampness, and lifting the sunken Qi. To disperse Wind, fried black Fang Feng (Saposhnikoviae Radix) and Jing Jie (Schizonepetae Herba) are used as principal herbs. When raw, these herbs disperse Wind in the upper body; when fried, they disperse Wind in the large and small intestines, with Jing Jie being particularly important. To widen the intestines and promote Qi movement, fried Zhi Qiao (Aurantii Fructus) is used. To stop bleeding, fried black Pu Huang (Typhae Pollen) and vinegar-fried Di Yu (Sanguisorbae Radix) are used. To resolve stasis, Zi Wan (Asteris Radix) is used, which also possesses the subtle effect of harmonizing blood and guiding it back to its vessels. To lift the sunken Qi, Sheng Ma (Cimicifugae Rhizoma) and Chai Hu are used. To dry Dampness, Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ze Xie, and Fu Ling (Poria) are used. Once Wind is dispersed, Dampness removed, Qi moves freely, and stasis dissipates, the Yuan Yang (Original Yang) generates, and the disease heals spontaneously. If the patient can moderate labor, avoid anger, abstain from alcohol, restrain sexual desire, practice proper self-care, and observe dietary and lifestyle taboos, recurrence will be avoided. Additionally, administering formulas that harmonize Qi and Blood and tonify the congenital foundation, treating it similarly to the concluding phase of consumptive blood diseases, ensures lifelong immunity from such afflictions.