Tears of the Sun (3.5e Maneuver)

''Striking the target with your open palm, you visibly jar every fiber of his being, causing him to buckle over in pain. Even as he seems to recover, he begins to bleed profusely from every visible orifice on his body.''

By hitting the target and causing reverberations and tremors throughout the body, you incite horrific internal bleeding, sending blood gushing from every available opening in a most grotesque manner. In addition to normal melee damage, the target of this strike also takes an amount of damage equal to the victim’s Hit Dice every round from blood loss (immediately after you hit with this strike and at the beginning of each of your turns thereafter). Lastly, they are blinded for 1 round, deafened for 2 rounds, and sickened for 3 rounds. Once all of these secondary effects have been alleviated, the bleeding stops. Targets that do not have circulatory systems are immune to these effects.