Unusual, unexplained, and excessive bleeding are the primary symptom of ITP or immune thrombocypenic purpura. Bleeding may take different forms. Some people experience this kind of uncharacteristic bleeding during medical procedures. Others may experience constant nose bleeding while women may experience heavy bleeding during menstrual period.

Most of the patients also show unexplained bruises and bleeding dots that looks more of a rash. If a person shows any of these signs, chances are they might be suffering from Immune Thrombocytopenic Purpura, which refer to a bleeding disorder due to lack of platelets. It is also known as Idiopathic Thrombocytopenic Purpura or Auto-immune Thrombocytopenic Purpura.

Following are Symptoms of Thrombocytopenic Purpura in TCM:
1. Blood Attacked by Hyperactivity of Heat
Chief Manifestations: Abrupt onset with petechiae and purpuras in the skin, fever, thirst, often accompanied by gingival bleeding, epistaxis, even hematochezia, hematuria, red tongue with yellow coating and rapid pulse.

2. Failure of Qi to Control Blood
Chief Manifestations: Slow onset of scattered purpuras which are aggravated by overwork, and appear and fade intermittently, dizziness, lassitude, poor appetite, sallow complexion, pale tongue with white coating, thready and weak pulse.

3. Hyperactivity of Fire due to Deficiency of Yin  
Chief Manifestations: Slow onset with longer course, mild or serious ecchymosis at frequent intervals, or accompanied by epistaxis, feverish sensation of the palms, soles, and chest, dry mouth and throat, red tongue without coating or geographic tongue, thready and rapid pulse.

4. Obstruction of Collaterals by Blood Stasis
Chief Manifestations: Prolonged and intractable purpura with dark purple ecchymosis, dim complexion, dark purple tongue, thready and unsmooth pulse.