Qi asthenia and hemorrhagia syndrome refers to syndrome caused by failure of asthenic qi to control blood. This syndrome is mainly caused by spleen asthenia which due to chronic disease, or by inability of asthenic qi to control blood resulting from overstrain.
 
Clinical manifestations:
Hematemesis, hematochezia, or muscular bleeding, or epistaxis, or profuse menstruation, metrorrhagia, accompanied by lack of qi, no desire to speak, lassitude, pale complexion, pale tongue and weak pulse.

Analysis of symptoms:
Failure of asthenic qi to control blood and extravasation of blood lead to hematemesis, hematochezia, bleeding and metrorrhagia; lack of qi, no desire to speak and lassitude appearing at the same time or in advance of bleeding are due to hypofunction of the viscera resulting from qi asthenia; pale complexion and tongue as well as weak pulse are signs of asthenia of both qi and blood due to bleeding.

Key points for syndrome differentiation:
Hypofunction of the viscera and bleeding.