epistaxis, ayurvedic treatment

Epistaxis is defined as the bleeding from the nose or haemorrhage. It is a sign of increase in the body’s heat and is also caused due to increased blood pressure and some other systemic disorders. People usually suffer from this condition in the summers. This can occur as a disease by itself or it can be a symptom of some other systemic illness as well.

Most nosebleeds are benign, self-limiting and spontaneous. Bleeding from nose usually occurs when the membranes lining the inner nose are disturbed or irritated and cause abnormal bleeding.

Bleeding from nose is a common complaint presenting an emergency. Epistaxis is often a frightening sight and can be due to some heart diseases, pregnancy, bleeding disorders and acute general conditions like typhoid, pneumonia, malaria, dengue fever, measles etc.


  • Injury or trauma to the nasal area
  • Insertion of sharp objects into the nose
  • Consumption of alcohol, spicy and hot food
  • Prolonged exposure to excessive dry heat
  • Sinus infection in the nasal cavity
  • Due to any nasal surgery
  • Sticking of foreign particles in the nose
  • Excessive sneezing
  • Repeated blowing of the nose in a vigorous manner
  • Allergic rhinitis
  • Vascular formation in the nose
  • Tumors or polyps in the nose
  • Due to high blood pressure
  • Exposure to irritants like ammonia
  • Due to suffering from common cold
  • Due to overuse of nasal sprays
  • Sudden change in altitude may also cause bleeding from the nose


  • Bleeding from the nose
  • Dizziness
  • Weakness in the body
  • Confusion
  • Fainting
  • Sometimes bleeding occurs from the other parts of the body such as in the urine or bowels


According to Ayurveda, epistaxis is compared with the Urdhavaga Raktapitta. When there is increase in the level of vata and pitta dosha in the body, it mixes up with the blood tissue or rakta dhatu and cause bloody nose.

Single herbs beneficial in this condition are:

  • Vasa
  • Amla
  • Neem
  • Onion
  • Lemon
  • Grapes
  • Pomegranate
  • Durva
  • Anjeer

Ayurvedic formulations used in epistaxis are:

  • Gulkand
  • Chyavanprasha
  • Vasavaleha
  • Anu taila
  • Udum syrup
  • Durva swarasa


  • Don’t eat hot and spicy food
  • Avoid intake of alcohol
  • Avoid smoking
  • Don’t work under the hot sun
  • Avoid mental tensions and pressure
  • Old rice, cow’s milk and butter are highly useful
  • Full time and sound sleep should be taken
  • Don’t expose yourself to the dry atmosphere.
  • Air coolers and air conditioners are best as they maintain some humidity in the air.
  • Avoid work that requires much hard work.
  • Consume fruits like pomegranate, grapes and white pumpkin.
  • Mutton soups and moong dal are also beneficial in such patients.


  • Drink cold water or use a cold compress.
  • Pinch your nose with your thumb and index finger. Hold for 2-3 minutes, breathing normally through the mouth.
  • Put a few drops of lukewarm ghee in each nostril or dip a cotton swab into a jar of ghee and place it into nostrils.
  • Patient should be advised to sit straight with the head turned upwards. This is done to reverse the blood flow.
  • Take one fourth of Manjishtha churna, one eighth kamdudha rasa. Take this mixture twice a day with a little warm water.
  • ¬†Cranberry juice and pomegranate juice are highly beneficial in epistaxis.
  • Grapes, coconut water and milk are useful in bleeding nose.
  • Vinegar helps in sealing the walls of the blood vessel therefore cotton ball dipped in vinegar is beneficial.
  • Keep your head in an elevated position whenever it bleeds.
  • Make a paste of 2 gm of young tender leaves of banana tree and mix with 20 gm of sugar crystals and one fourth litre of water. Take this mixture once a day regularly to control chronic bleeding from the nose.
  • Alum, camphor and oak-galls in equal quantities should be powdered and dropped in small doses into the nostrils.
  • Prepare a dry powder of flowers of the pomegranate and use it as a snuff.


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