Epistaxis+(Nosebleed)

Western Diagnosis

Etiology 1) Trauma  -Digital, Fractures 2) Local Infections -Rhinitis, Sinusitis 3) Systemic Infections -Scarlet Fever, Malaria 4) Drying of membranes 5) Arteriosclerosis 6)Hypertension 7) Disease w/ bleeding tendencies -Leukemia, Thrombocytopenia Aplastic Anemia

Treatment

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Definition:
Bleeding from the nose.

Etiology:
Causes may be local or systemic: • local: a common cause is nose-picking that tears the blood vessels in the anterior nares (Kiesselbach's plexus); other causes include trauma, upper respiratory infection, sinusitis, rhinitis, dryness of the mucous membranes • systemic: malaria, scarlet fever, pertussis, skull fracture, vicarious menses, aspirin usage, hypertension, arteriosclerosis and bleeding disorders such as hemophilia, aplastic anemia, other hereditary coagulopathies, leukemia, Osler-Rendu-Weber syndrome etc.

Nutrition:
therapeutic foods: • for Spleen Xu (Deficiency); food that strengthen Spleen and harmonize the Stomach and Spleen • for Shi (Excess) Heat conditions; foods that clear Heat • increase foods containing Vitamin C, bioflavonoids, Vitamin E

specific remedies; • l lb. catfish, l oz. scallions, salt. Steam and eat 3x/week (Butt and Bloomfield, p. 150) • take 10 g crushed garlic and bind to the center of the sole of the foot. If bleeding from the right nostril then bind to left foot, if from left nostril, the right foot, and if from both nostrils then bind both feet (Chao-liang, Qing-rong, Bao-zhen, p. 87)

avoid: • sugar and sweet foods

Botanicals
• Calendula officinalis: internally for capillary engorgement of tissues (Felter, p. 263) • Capsella bursa-pastoris: chronic hemorrhages (Felter and Lloyd, p. 432) • Chionanthus virginicus: internally (Bastyr) • Cinnamonum zeylanicum: passive hemorrhage (Felter, p. 304) • Crataegus oxyacantha: bioflavonoids; increases integrity of blood vessels • Erigeron canadensis (oil): topically (Felter, p. 360) • Geranium maculatum: topically • Hamamelis virginiana: nasal catarrh with congestion and tendency to recurring epistaxis (Felter, p. 403) • Lycopus virginiana (Felter, p. 464) • Thuja occidentalis: topically • Trillium pendulum (toxic): passive hemorrhage (Felter and Lloyd, p. 1997) • Urtica spp.: anti-hemorrhagic (British Herbal Pharmacopoeia, p. 225)

Chinese Formulae
» acute care: • Yun Nan Bai Yao (patent): For any bleeding. (Zhu, p. 243) • Si Sheng Wan: Xue (Blood) Heat in the upper body. (Yeung, p. 219; Bensky and Barolet, p. 337) • Fu-Lung-Kan C. (Huang Tu Tang): Spleen Yang Xu (Deficiency): pale face, cold extremities (Hsu, 1980, p. 420; Yeung, p. 129; Bensky and Barolet, p. 343)

» long-term care: • Morus and Chrysanthemum C. (Sang Ju Yin); Qing Fei Yi Huo Pian (patent): Lung Wind-Heat. (Morus and Chrysanthemum C.: Hsu, 1980, p. 78; Yeung, p. 191; Bensky and Barolet, p. 44; Qing Fei Yi Huo Pian: Zhu, p. 75) • Rehmannia and Gypsum C. (Yu Nu Jian); Huang Lien Shang Ching Pien (patent): Stomach Yin Xu (Deficiency): loose teeth, hungry but doesn't want to eat (Rehmannia: Hsu, 1980, p. 201; Yeung, p. 279; Bensky and Barolet, p. 94; Huang Lien: Fratkin, p. 54) • Gentiana C. (Long Dan Xie Gan Tang) (available as patent); Gentiana 12 (patent): Liver Fire Blazing Upward (Gentiana C: Hsu, 1980, p. 181; Yeung, p. 154; Dharmananda, 1986, p. 229; Bensky and Barolet, p. 96; patent: Zhu, p. 172; Fratkin, p. 82; Gentiana 12: Dharmananda, 1990, p. 69) • Ginseng and Longan C. (Gui Pi Tang): Xue Xu (Blood Deficiency) with Qi Xu (Deficiency) (Hsu, 1980, p. 425; Yeung, p. 112; Dharmananda, 1986, p. 244; Bensky and Barolet, p. 255) • Yung Sheng He Ah Chiao (patent): Kidney Yin Xu (Deficiency) with Empty Fire Blazing (Fratkin, p. 186) • Coptis and Rhubarb C. (Xie Xin Tang): Heart Fire Blazing: Anemia due to excessive bleeding. (Hsu, 1980, p. 190; Yeung, p. 265; Dharmananda, 1986, p. 151; Bensky and Barolet, p. 79)

Acupuncture
after assessing the person and palpating, consider these patterns: Wind-Heat of Lung; Lung Xu (Deficiency); Heart Fire Blazing; Stomach Yin Xu (Deficiency); Stomach Heat; Spleen Yang Xu (Deficiency); Liver Fire; Blood (Xue) Heat; Xue Xu (Blood Deficiency) with Qi Xu (Deficiency); Kidney Yin Xu (Deficiency) with Empty Fire Blazing

» combinations: • Lv-5, SI-1 and UB-18; GV-24, GV-20, GV-15 and LI-19; GB-21, SI-15, GB-20 and UB-10; LI-11, LI-10, LI-4 and St-44; CV-4, UB-54/40 and St-36; SI-2, Lu-3, GB-39, UB-64 and Lv-1 for epistaxis (Mann, p. 128) • Sp-1 and UB-54/40 for "severe nosebleeds that will not stop" (Shanghai, p. 290) • UB-20, UB-18 and CV-13 for epistaxis with spitting of blood (Shanghai, p. 206) • Kd-3, Sp-6 and Lu-11: strengthen Yin, reduce Heat, and stop epistaxis (Finkelstein, p. 53 )

Homeopathy
• Ambrosia: nosebleed; stuffed up feeling of nose and head; watery coryza • Arnica montana: bleeding after every fit of coughing; dark fluid blood; nose feels sore, cold • Bryonia: frequent bleeding of nose when menses should appear • Ferrum phosphoricum: bright red blood; anemia • Hamamelis: profuse bleeding; flow passive, non-coagulated • Nitricum acidum: nosebleed with chest affections; corrosive discharge; passive bleeding of bright, red blood; poor coagulation of the blood • Phosphorus: epistaxis instead of menses; bright red blood

Subtle Support
• notes: A#, B, C, D#, E, G, G#

• chords: diminished 8th, C Major, D# Major, G# Major (Gimbel, p. 116)

Mind/Body
• Nose represents self recognition. Nosebleeds are associated with feeling unrecognized and unnoticed; crying for love. (Hay, 1984, p. 177)

Chinese psychophysiology: • Lung ~ Fei governs the Qi; regulates the rhythm of respiration, the pulse, and all bodily processes; is the home of the Po (Corporeal Soul); it relates to strength and sustainability; and opens at the nose. » Healthy expressions are righteousness and courage. » Weakness, dysfunction, and illness are associated with excessive grief, sadness, worry, and depression. Worry depletes the Lung Qi. » Lung Xu (Deficiency) signs include cold shoulder and back; changing complexion; inability to sleep (Seem, p. 28); shortness of breath; changes in urine color; rumbling in the bowels with loose bowel movements; pallor; malar flush; chills; sniffles; sneezing; light cough; and sensitivity to cold. Chronic deficiency increases susceptibility to acute Shi (Excess) conditions such as Heat. » Lung Shi (Excess) signs include panting; yawning; sneezing (Seem, p. 28); pain in the upper back, shoulder, and chest; colds with stuffed nose; hoarseness; wheezing respiration; frequent urination with small amounts; heavy chest; reduced lung capacity; coughing; and nasal discharge.

• Liver ~ Gan is the home of the Hun (Ethereal Soul); it relates to decisiveness, control, and the principle of emergence; stores and cleanses the Xue (Blood); and reflects emotional harmony and movement. » Healthy expressions are kindness, spontaneity, and ease of movement. » Liver Shi (Excess) signs include discontent; anger; pain in lumbar region and genitals (Seem, p. 28); muscular tension; excessive sex drive; insomnia; moodiness; excitability; genital diseases; red, tearing eyes; compulsive energy; and bitter taste in the mouth. Liver Yin Xu (Deficiency) predisposes to the Shi (Excess) conditions of Liver Wind, Liver Yang Rising, and Liver Fire Blazing.

• Stomach ~ Wei is the Sea of Nourishment and origin of all fluids; transforms and digests food so that the Spleen can separate the distilled food essences; with the Spleen, is the root of post-natal Qi; and as Earth, relates to the ability to assimilate, stabilize, and feel centered and balanced. » Healthy expressions are fairness, openness, and nurturance. » Weakness, dysfunction, and illness associated with worry, anxiety, and overthinking. » Stomach Xu (Deficiency) signs include slow digestion; vomiting after meals; painful eyebrows; emotionality; teariness; sadness; cold feet (Seem, p. 28); cold and shivering in the abdominal area; abdomen swollen and full; gastritis; loss of appetite; diarrhea; nausea; and leg weakness. » Stomach Shi (Excess) signs include nightmares; acne; skin eruptions; excess stomach acid (Seem, p. 28); heat in the abdominal area; overactive digestive system causing hunger and thirst; dark yellow urine; gluttony; halitosis; swollen gums; red dry lips; pains and cramps in legs.

• Pang Guang ~ Chinese "Bladder" receives the "dirty" part of fluids after Small Intestine separates them from the "clean" fluids; is in charge of Qi transformation, i.e. transforming and excreting fluids by the power of Qi; and controls the storing of fluid » Fear, or more exactly fright, adversely effects the Bladder. » Bladder Xu (Deficiency) signs include lack of confidence; lethargy; neurological disorders; low sexual energy; incontinence (Seem, p. 29); epistaxis; frequent excessive urination; back pain; nocturnal enuresis; fear.

Integrative Therapies
Occasional nosebleeds are common in children and adults. When they occur frequently, the cause must be determined. The most common cause is nose picking. Other causes include upper respiratory tract infections, sinusitis, and bleeding problems.

THE FOLLOWING SUPPLEMENTS CAN BE TAKEN UNTIL SYMPTOMS IMPROVE:

1. Vitamin K – 50 to 200 micrograms a day, depending on if it is for a child or an adult. See the product label for recommended dosages. Eat green vegetables and alfalfa sprouts daily. These are high in vitamin K and help with blood clotting.

2. Bioflavonoids – 100 milligrams times age, up to 1,000 milligrams. This increases the strength of the blood vessels.

3. Vitamin C – 100 milligrams times the age of the person per day, given in divided doses.

HOMEOPATHY:

• Phosphorus 12c: Dissolve 3 pellets under the tongue twice a day for 2 weeks. Repeat as needed.

AS A GENERAL MEASURE FOR NOSEBLEEDS :

Pinch or plug the nose for about 5 to 10 minutes. Leaning slightly forward will prevent swallowing blood.