Hunger pangs leading to vomiting of blood are usually caused by gastric ulcers, ruptured esophageal-floor varices, etc. They can be treated with life therapy, medication, and surgery. 1. Gastric ulcer: The presence of an ulcerated surface in the stomach will stimulate hunger pangs and secretion of gastric acid when there is no content in the stomach. Stomach acid stimulates the ulcer surface to trigger bleeding, which leads to hunger pangs resulting in vomiting blood. Usual life should quit smoking and alcohol, avoid spicy and stimulating food. When bleeding is caused, acid-suppressing drugs such as omeprazole can be pumped in, and hemostatic drugs such as growth inhibitor and thrombin lyophilized powder can be used as prescribed by the doctor. If necessary, endoscopic hemostatic treatment can be performed. 2. Rupture of esophageal – fundal varices: Rupture of esophageal – fundal varices bleeding, stimulate the stomach to produce hunger, hunger and vomiting blood. Hemostatic drugs such as growth inhibitor and vasopressin can be used. Surgical treatments such as endoscopic lancing and sclerotherapy or transjugular intrahepatic portal vein shunt can be performed. The symptoms of vomiting blood caused by hunger alone cannot accurately determine the cause, but also need to be combined with the characteristics of the medical history, other test results to make an accurate judgment, it is recommended to clarify the cause of the disease under the guidance of the doctor, and then to be reasonable and standardized treatment.