The Compendium of Caraka 6.4.25

6.4.25

akṣīṇabalamāṃsasya raktapittaṃ yadaśnataḥ/
taddoṣaduṣṭamutkliṣṭaṃ nādau stambhanamarhati//

When bleeding disorder occurs in one who eats while their strength and flesh are undiminished,
vitiated by doshas and stirred up, it does not initially merit astringent stoppage.