Gastrointestinal bleeding and vomiting more than blood are usually upper gastrointestinal bleeding, which is mainly manifested by vomiting blood or black stools, and may also be manifested by dizziness, panic, fatigue, pallor, fever and other symptoms. Usually, general treatment, drug treatment, endoscopic treatment, interventional therapy, surgical treatment and other ways can be used to treat. 1. General treatment: rest in a lying position, keep the airway smooth to avoid blood reflux into the trachea when vomiting a large amount of blood, which may cause asphyxiation. If the condition is serious, fasting, oxygen intake and blood volume supplementation are needed. 2. Drug therapy: the drugs used to treat upper gastrointestinal bleeding include acid-suppressing drugs and hemostatic drugs. Acid-suppressing drugs can use omeprazole, lansoprazole and other proton pump inhibitors. Hemostatic drugs can be used as post-pituitary hormone or growth inhibitor, etc. Post-pituitary hormone can contract the vascular smooth muscle for hemostasis, and growth inhibitor can reduce the pressure of portal vein to achieve the effect of hemostasis. 3. Endoscopic treatment: the main way is to stop bleeding under the direct vision of endoscope. 4. Interventional therapy: if the bleeding is still not controlled after drug therapy and endoscopic therapy, transjugular intrahepatic portosystemic shunt may be needed. 5. Surgery: It is suitable for patients who have a large amount of bleeding in a short period of time and all the above methods are ineffective, or malignant changes are suspected. Surgery is categorized as peripancreatic vascular dissection or major gastrectomy. Upper gastrointestinal bleeding may be caused by gastroduodenal ulcer, portal hypertension, acute hemorrhagic gastritis, gastric cancer and other diseases. Treatment varies from disease to disease, so it is recommended to seek prompt medical attention for symptoms of vomiting blood under the guidance of a doctor.