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(Ear bleeding, Eye bleeding)
The term "Nasal Major Hemorrhage" (Bi Da Nu) refers to a condition where epistaxis (nosebleed) causes bleeding from the mouth, ears, and nose simultaneously; hence it is called Nasal Major Hemorrhage. (From *Zhu Bing Yuan Hou Lun*)

When blood flows from all nine orifices (eyes, ears, mouth, nose), there is no time to decoct medicine, and death occurs within moments. At this juncture, splash cold water on the face several times, quickly part the hair, soak several layers of coarse paper thoroughly in vinegar, and apply it to the fontanelle (Xinmen); the bleeding will stop immediately. Subsequently, decoct 1 liang of Danggui (Angelicae Sinensis Radix) in water, grind Chenxiang (Aquilariae Lignum Resinatum) and Jiangxiang (Daemonorops Draco Resina) each at 5 qian, add Tongbian (Urine of a healthy young boy), and administer orally; the blood will naturally return to its vessels. Thereafter, administer Siwu Tang (Four Substance Decoction) with added Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Membranacei Radix), Bei Wuweizi (Schisandrae Chinensis Fructus), and Maidong (Ophiopogonis Tuber) to achieve complete efficacy. (From *Yang Yi Da Quan*) The text *Yi Jing* does not use Jiangxiang.

Manifestation of Bleeding from Nine Orifices and Four Limbs: Whenever Ying and Wei Qi are severely deficient, Zang-Fu organs are damaged, and blood vessels are empty and exhausted, compounded by uncontrolled anger, excessive fright and indignation, causing violent Qi to reverse and overflow, leading to the opening of Couli (pores/skin texture) and the dispersion of blood vessels. Consequently, bleeding occurs from the nine orifices, accompanied by panting, coughing, and rebellious Qi rising upward. If the pulse is rapid, accompanied by fever and inability to lie down, the prognosis is fatal. (From *Zhu Bing Yuan Hou Lun*)

Ge Shi recorded a formula for patients suffering from bleeding from the nine orifices and between the fingers/toes of the four limbs. Use Jinghua Shui (well water drawn at dawn) to splash on the patient's face (Note: The original character 'Mian' [face] was erroneously printed as 'Xue' [blood]; corrected according to *Ben Cao*). This should be done suddenly. It is best if the patient is unaware beforehand. Yao Shi states that this is caused by sudden fright. (From *Zhou Hou Bei Ji Fang*)

For bleeding from the nine orifices, blow finely powdered Longgu (Fossilized Bones) into the affected areas. (From *Qian Jin Yao Fang*)

Sudden fright-induced wind causing bleeding from the nine orifices, characterized by a deficient pulse.
Administer 100 pills of Lingsha (Cinnabar and Mercury preparation), divided into three doses, taken with Renshen decoction. This condition must not be misdiagnosed; assuming that heat causes blood to flow freely and thus wrongly using cooling herbs is an error. (From *Zhi Zhi Fang*)

Bleeding from the nine orifices indicates either poisoning or trauma from falling/hitting. For poisoning, methods such as administering raw sheep blood are used (Note: The use of sheep blood here originates from Yao Shi's treatment for conditions caused by sudden fright). For trauma, observe if the patient has no fever and can still eat; if so, frequently administer hot Tongbian (Urine of a healthy young boy). If there is unexplained fever accompanied by bleeding from the nine orifices, it indicates extreme exhaustion of the Liver and Kidney, and internal collapse of the Five Zang organs; this is mostly incurable. If bloody fluid is seen, death is certain. (From *Yi Tong*)

For any bleeding inside the ear, blowing in powdered Longgu (Fossilized Bones) stops it immediately. (From *San Yin Fang*) Alternatively, calcined Mingfan (Alumen) mixed with Moshe (Moschus) blown into the ear stops it immediately. (From *Ji Ji Xian Fang*)

For bleeding in the ear, use Xiong Gui Tang (Ligusticum and Angelica Decoction) with Mao Gen (Imperatae Rhizoma) and a small amount of salt, decocted together, taken on an empty stomach. Wash the feet with fresh well water depending on whether the nasal bleeding occurs from the left or right nostril; this is effective. For continuous bleeding from the ears, nose, and mouth, burn horse manure to ash, mix with warm wine, and take 1 qian. (From *Yong Lei Qian Fang*)

Bleeding in the ear is called Ear Epistaxis (Er Nu). A wiry and rapid pulse at both Guan positions, often seen in individuals who drink alcohol and are prone to anger, belongs to Liver Fire; treat with Chai Hu Qing Gan San (Bupleurum Liver-Clearing Powder). A weak or restless Chi position pulse belongs to Yin Deficiency; treat with Sheng Liu Wei Wan (Raw Six-Ingredient Pill) plus Wuwei Zi (Schisandrae Chinensis Fructus). (From *Yi Tong*)