The world number 21 rowed with spectators and was accused of giving away points in a defeat at the same Shanghai event last year.
The fiery Kyrgios was consequently suspended and his immediate future in tennis is again under threat following Tuesday's incident, when he hastily exited the court with jeers and boos ringing in his ears.
It came after he complained about the umpire and spectators in the arena, and was docked a point penalty for the second match running because of his conduct, which included blasting a ball out of the court in a flash of rage.
"What's happening here?" he asked, seemingly irritated by spectators moving around between points in the tie break.
"Exactly why I shouldn't come here," he muttered.
Kyrgios appeared to blame the umpire for failing to get the spectators in line and his afternoon spiralled fast when he received a point penalty.
"Poor officiating again," Kyrgios complained, and added: "Sick of this place."