The information provided here is not a replacement for a doctor. You shouldn't use it for the purpose of self-diagnosing or self-medicating but rather so you can have a more informed discussion with a professional TCM practitioner.
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Nosebleed can be the consequence of several so-called “patterns of disharmony” in Chinese Medicine.
Chinese Medicine sees the body as a system, not a sum of isolated parts. A "pattern" is when the system's harmony is disrupted, leading to symptoms or signs that something is wrong (like nosebleed here). It is similar to the concept of disease in Western Medicine but not quite: a Western disease can often be explained by several Chinese patterns and vice-versa.
A pattern often manifests itself in a combination of symptoms that, at first glance, do not seem necessarily related to each others. For instance here nosebleed is often associated with abdominal pain, irregular menstruation and infertility in the pattern “Liver Blood Stagnation”.
Once identified, patterns are treated using medicinal herbs, acupuncture, and other therapies. In the case of nosebleed we’ve identified two herbal formulas that may help treat patterns behind the symptom.
We’ve also selected below the five medicinal herbs that we think are most likely to help treat nosebleed.
Liver Blood Stagnation, a "pattern of disharmony" that can cause nosebleed
In Chinese Medicine nosebleed is a symptom for the pattern "Liver Blood Stagnation". Below is a small explanation for it with links for more details.
The Liver is a so-called "Zang" Organ. Learn more about the Liver in Chinese Medicine
Liver Blood Stagnation
Pulse type(s): Wiry (Xian)
Tongue color: Bluish-Purple sides
Liver Blood Stagnation usually develops from Qi Stagnation, Cold and Heat. It has great influence over the Directing and Penetrating Vessels and thus the menstruation functions.
In addition to nosebleed, other symptoms associated with Liver Blood Stagnation include abdominal pain, irregular menstruation and infertility.
Liver Blood Stagnation is often treated with Xiao Yao San, a herbal formula made of 6 herbs (including Bupleurum Roots - Chai Hu - as a key herb). Xiao Yao San belongs to the category of "formulas that harmonize liver-spleen", which might be why it is often recommended for this pattern. Its main action as a formula is: "Harmonizes the function of Liver and Spleen".
Two herbal formulas that might help with nosebleed
Xiao Yao San
Source date: 1107 AD
Number of ingredients: 6 herbs
Key actions: Harmonizes the function of Liver and Spleen. Relieves Liver Qi stagnation. Nourishes the Blood.
Why might Xiao Yao San help with nosebleed?
Because it is a formula often recommended to treat the pattern 'Liver Blood Stagnation' of which nosebleed is a symptom.
Other symptoms characteristic of Liver Blood Stagnation include abdominal pain, irregular menstruation and infertility.
Chai Hu Shu Gan San
Source date: 1602
Number of ingredients: 7 herbs
Key actions: Disperses Stagnant Liver Qi and Blood. Alleviates pain. Harmonizes Blood.
Why might Chai Hu Shu Gan San help with nosebleed?
Because it is a formula often recommended to treat the pattern 'Liver Blood Stagnation' of which nosebleed is a symptom.
Other symptoms characteristic of Liver Blood Stagnation include abdominal pain, irregular menstruation and infertility.
The five Chinese Medicinal herbs most likely to help treat nosebleed
Why might Liquorice (Gan Cao) help with nosebleed?
Because Liquorice is an ingredient in several formulas indicated to treat nosebleed as a symptom, like Xiao Yao San or Chai Hu Shu Gan San for instance.
Liquorice is a Neutral herb that tastes Sweet. It targets the Spleen, the Stomach, the Heart and the Lung.
Its main actions are: Tonifies the Basal Qi and nourishes the Spleen Qi. Clears Heat and dispels toxicity. Moistens the Lungsexpel phlegm and stop coughing. Relieves spasms and alleviates pain. Harmonizes and moderates the effects of other herbs.
Why might Szechuan Lovage Root (Chuan Xiong) help with nosebleed?
Because Szechuan Lovage Root is an ingredient in several formulas indicated to treat nosebleed as a symptom, like Ge Xia Zhu Yu Tang or Chai Hu Shu Gan San for instance.
Szechuan Lovage Roots is a Warm herb that tastes Pungent. It targets the Gallbladder, the Liver and the Pericardium.
Its main actions are: Regulates and moves the Blood. Relieves Wind-Cold and pain. Circulates the Qi in the Upper Burner, relieving headaches.
Why might Flying Squirrel Faeces (Wu Ling Zhi) help with nosebleed?
Because Flying Squirrel Faeces is an ingredient in several formulas indicated to treat nosebleed as a symptom, like Shi Xiao San or Ge Xia Zhu Yu Tang for instance.
Flying Squirrel Faeces is a Warm herb that tastes Bitter and Sweet. It targets the Spleen and the Liver.
Its main actions are: Disperses congealed Blood in the lower abdomen and uterus and relieves pain. Promotes childhood nutrition with Cold Stagnation and focal abdominal swelling.
Why might White Peony Root (Bai Shao) help with nosebleed?
Because White Peony Root is an ingredient in several formulas indicated to treat nosebleed as a symptom, like Xiao Yao San or Chai Hu Shu Gan San for instance.
White Peony Roots is a Neutral herb that tastes Bitter and Sour. It targets the Spleen and the Liver.
Its main actions are: Tonifies the Blood and preserves the Yin. Nourishes the Liver and assists in the smooth flow of Qi. Regulates the meridians and eases the pain.
Why might Dong Quai (Dang Gui) help with nosebleed?
Because Dong Quai is an ingredient in several formulas indicated to treat nosebleed as a symptom, like Xiao Yao San or Ge Xia Zhu Yu Tang for instance.
Dong Quai is a Warm herb that tastes Pungent and Sweet. It targets the Spleen, the Heart and the Liver.
Its main actions are: Tonifies the Blood. Lubricates the Intestines. Relieve constipation. Promotes circulation and dispels Bi Pain. Reduce Dysmenorrhea and help with irregular menstruation.
Other symptoms often associated with nosebleed
Bloody sputum Sores Hematemesis Hematuria Carbuncles Abnormal uterine bleeding Hematochezia Fever Chest pain Amenorrhea