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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. It’s is one of the eight S`hastrakarma described by Sus`hruta.
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    ö乨ÉÉhÉÆ ´ÉÉ ´É½ýxiªÉäiÉÉ +iÉ: ºÉ´ÉǴɽýÉ: º¨ÉÞiÉÉ: **                    S. Sha. 7/16   
  • It’s 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

  • S`hastrakrit
  1. Prachchhaana
  2. Siraavedha
  • S`hastra Rahita i.e. blood letting done with the help of Anus`hastra.
  1. Jalaukaavacharan`a
  2. Alaabu
  3. S`hringa
  4. 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.
  • ®Häú%¨™üʶÉʶɮ|ÉÒÊiÉʶɮɶÉèÊlɱªÉ°ÿIÉiÉÉ&**                        A. H. Su. 11/17

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):

  • ʺɮɴªÉvÉÊõÉÊEúiºÉÉvÉÈ ¶É±ªÉiÉxjÉä |ÉEúÒÌiÉiÉ: **
    ªÉlÉÉ |ÉÊhÉʽýiÉ: ºÉ¨ªÉM¤ÉκiÉ: EúɪÉÊSÉÊEúÎiºÉiÉä **                     S. Sha. 8/23
  • 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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    ªÉÉxiªÉɶÉÖ ´ªÉÉvɪÉ: ¶ÉÉÏxiÉ ªÉlÉÉ ºÉ¨ªÉEÂú ʺɮɴªÉvÉÉiÉ **                S. Sha. 8/22
  • 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.
  • ÊGúªÉÉhÉɨÉ|ÉiÉÒPÉÉiɨɨÉÉä½Æý ¤ÉÖÊrüEú¨ÉÇhÉɨÉ **
    Eú®ÉäiªÉxªÉÉxÉ MÉÖhÉÉÆõÉÉÊ{É º´ÉÉ: ʺɮÉ: {É´ÉxÉõÉ®xÉ **ªÉnüÉ iÉÖ EÖúÊ{ÉiÉÉä ´ÉɪÉÖ: º´ÉÉ: ʺɮÉ: |ÉÊiÉ{ÉtiÉä **
    iÉnüÉ%ºªÉ Ê´ÉÊ´ÉvÉÉ ®ÉäMÉÉ VÉɪÉxiÉä ´ÉÉiɺÉƦɴÉÉ: **            S. Sha. 7/8-9
  • xÉ Ê½ý ´ÉÉiÉÆ ÊºÉ®É: EúÉÊõÉzÉ Ê{ÉkÉÆ Eäú´É™Æü iÉlÉÉ **
    ö乨ÉÉhÉÆ ´ÉÉ ´É½ýxiªÉäiÉÉ +iÉ: ºÉ´ÉǴɽýÉ: º¨ÉÞiÉÉ: **          S. Sha. 7/16
  • 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 DantiTrivritKaranjaKaraveera and Kut`aja, Leaves of JaatiArka 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 April 30th, 2021 at 05:59 am

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