Prodromal signs of raktapitta

Before raktapitta appears, the abdomen feels heavy, there is burning in the body, a feeling as if smoke rises from the throat, loss of taste, weakness and a smell of blood in the breath. Downward purification (purgation) is useful in raktapitta; a footnote adds that upward raktapitta calls for purgation and downward raktapitta for emesis.