Epistaxis

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Contents 1 Definition 2 Causes and Pathological Mechanisms 3 Patterns 4 References 5 Articles 6 Books

Definition

A condition with bleeding as the main symptom caused by failure of blood to circulate in the vessels and blood discharges through the nose (epistaxis).

Causes and Pathological Mechanisms

• There are two major factors: Qi and Fire.
• Exogenous Evils: Dry Heat and Wind Heat – Lung
• Extreme Emotions: anger – Liver and consequently the Lung
• Overwork: Heart, Spleen and Kidney impiarments
• Qi Deficiency
• Yin Deficiency
• After febrile diseases and protracted illnesses
• Yin fluid impairments – Deficient Fire
• Blood Stasis – Blood moves out of Essence

Patterns

Heat evil invades the Lung

• Symptoms: Nosebleeding with a dry mouth, sore throat, with or without fever and a cough with little phlegm.
• Tongue: Red tongue with thin coating
• Pulse: Rapid
• Treatment strategy: Clear lung heat and cool blood to stop bleeding
• Formula: Sang Ju Yin
• Acupoints:

Stomach Fire

• Symptoms: Nosebleeding with or without gum bleeding, bright red and large amount of blood, thirst for drink, dry nose, dry mouth with foul smell, dysphoria and constipation.
• Tongue: Red tongue with yellow coating
• Pulse: Rapid
• Treatment strategy: Purge stomach fire and cool blood to stop bleeding
• Formula: Yu Nu Jian
• Acupoints:

Liver Fire

• Symptoms: Nosebleeding, headache, dizziness, blurred vision, tinnitus, irritable, red eyes and a bitter taste in the mouth.
• Tongue: Red tongue
• Pulse: Wiry and Rapid
• Treatment strategy: Purge liver fire and cool blood to stop bleeding
• Formula: Long Dan Xie Gan Tang
• Acupoints:

Qi and Blood impairment

• Symptoms: Nosebleeding with or without gum bleeding and hematohidrosis (sweat blood), lack of vitality, listlessness, pale complexion, dizziness, tinnitus, palpitation
• Tongue: Pale tongue
• Pulse: Thready and Weak
• Treatment strategy: Tonify qi to command blood
• Formula: Gui Pi Tang
• Acupoints:

References

Articles

Books