Does bloody nasal discharge mean "excessive internal heat"?

Generally, whether blood streaks in nasal mucus are caused by "excess internal heat" (a traditional Chinese medicine concept) requires a comprehensive assessment based on specific symptoms and triggers. If discomfort persists or worsens, prompt medical consultation is recommended. The detailed analysis is as follows:

If accompanied by symptoms such as dry mouth, sore throat, and constipation, and if there has been recent exposure to triggers like staying up late or consuming spicy foods, blood-tinged nasal discharge may indeed be due to "excess internal heat." This condition can cause nasal mucosa to become dry and congested, increasing capillary fragility. Minor irritation or nose-blowing may then lead to small ruptures and bleeding. The amount of blood is usually minimal and occurs only occasionally; symptoms typically improve gradually with lifestyle adjustments.

In cases without obvious signs of "excess internal heat," or when blood streaks persist or increase in volume, the cause is likely not related to "heat." Nasal mucosal inflammation caused by rhinitis or sinusitis can lead to erosion and bleeding. Conditions such as nasopharyngeal carcinoma may also present with blood-tinged nasal discharge, often accompanied by symptoms like nasal congestion and tinnitus. In these situations, accurate diagnosis of the underlying cause is essential, and attributing symptoms simply to "excess heat" may delay proper treatment.

To maintain nasal moisture, use a humidifier to increase indoor humidity or apply saline nasal sprays to hydrate the nasal mucosa. Eat a light diet rich in fresh fruits and vegetables, and reduce intake of spicy and fried foods. Blow your nose gently to avoid damaging the nasal lining. Maintain regular sleep patterns, avoid staying up late, and keep emotions balanced. Seek medical attention promptly if blood streaks persist or are accompanied by other symptoms.