चिकित्सा प्रकार: रक्तमोक्षण (Blood letting)

Prakaara Paribhaashaa:

Asra Visruti / S`hon`ita Nirharan`a / Asra Visraavan`a

• The process in which vitiated blood, Vaata, Pitta and Kapha are allowed to come out of the body through Siraa is termed as रक्तमोक्षण. Its is one of the eight S`hastrakarma described by Sus`hruta.
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• Its a procedure in which entrapped Vaayu is drained through Viddha (puncture) in the skin. This also helps to let out entrapped circulation in blood vessels.

Types:

Two main types

1. S`hastrakrit
   Prachchhaana
   Siraavedha
2. S`hastra Rahita i.e. blood letting done with the help of Anus`hastra.

• Jalaukaavacharan`a
• Alaabu
• S`hringa
• Ghat`iyantra

Poorvakarma (Prerequisites):

Patient preparation:
Oleation and fomentation therapy should be administered locally for Siraavedha S`hringa Karma and Alaabu Karma. It produces anaesthesia and reduces pain during prick. As Dosha are S`haakhaagata (i.e. in Siraa). No internal oleation or fomentation is required as Dosha are not to be brought in Kosht`ha as in वमन and Virechana.

Pradhaanakarma:

• Quantity of blood letting should be 540 ml according to Samhitaa. But now a days 250 ml of blood is the maximum quantity accepted all over for a healthy person and 40 to 100 ml for a diseased person (as emergency measure).
• Still if patient develops the signs of Raktakshaya blood letting should be stopped immediately.
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Pas`hchaatkarma:

• The patient should be advised to consume diet having following properties

• Laghu (easy to digest)
• Agnideepana (stimulating the digestive power)
• Raktavardhaka (facilitating blood formation)
• Na Ati Ushn`a Na Ati S`heeta (should not be very hot or cold in potency)

चिकित्सा Karma (Benefits):

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• रक्तमोक्षण in the surgical branch of clinical medicine is as important as Basti in internal medicine. It is equally potent and effective in controlling pathology.
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• The importance of Asravisruti is equally important in chronic diseases as well as acute disorders. The modality being vene puncture.
• The role of Rakta flowing in its normal channels is to facilitate all movements, fill the vessels and provide unfailing perception of touch.
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• Siraa always carry all Dosha along with Rakta. Vedanaa indicates deranged or Vikrita Vaayu and this is an ideal indication for Raktamokshan`a.
• Balya
• Tusht`i
• Relieves pain and severity of the condition.
• If there is no relief from pain by Snehana and Svedana, Raktamokshan`a should be carried out which should be followed by Agni karma.
• S`hoola Pras`hamana
• Prasanna Varnendriyam Indriyaarthaanichchhantam   C. Su. 24/24
• Prasanna Varn`ya
• Prasanna Indriya
• Indriyaarthaan Ichchhantam Avyaahatam
• Agnideepana
• Sukhakara
• Vran`a Paaka S`hamana

Other Description:

• One must have full knowledge about Indrabasti, S`hankha, Sthapani, S`hringaat`aka and Kshipramarma as they are the landmarks for selection of place on body for puncture.
• Raktamokshan` should be done in Vaataja Gulma if all other measures indicated for Vaataja Gulma fail.
• कुष्ठ which are stable, hard and rounded should be fomented by Prasthara and Naadi types of Svedana and then rubbed with Kurcha.
• In elevated patches of कुष्ठ fomentation should be done by Pot`t`ali containing meat of aquatic animals.
• If the patches are numb and anaesthetic, absence of perspiration and itching, then they should be rubbed with Kurcha or with steams of Danti, Trivrit, Karanja, Karaveera and Kut`aja, Leaves of Jaati, Arka and Nimba or with sharp instruments or with Samudraphena or dried cow dung.
• The Pittaja Gulma becomes Chhinnamoola and suppuration is also avoided due to Raktamokshan`a.
• In Kritamoola, Mahaavaastu, Kat`hina, Stimita and Guru Kaphaja Gulma Agnikarma should be done after blood letting.

Last updated on February 25th, 2021 at 06:48 am