Changes

=== Introduction ===

=== Introduction ===

The second chapter of the Nidaanasthaana focuses on rakta, the second dhatu, just as the first chapter on jwara focused on the first dhatu, rasa. Pitta is the primary cause of jwara which causes elevated temperature, leading to raktapitta. Thus it can be said that jwara is a cause of raktapitta, and an aggravated pitta is the cause of both jwara and raktapitta.  

The second chapter of the [[Nidana Sthana]] focuses on ''rakta'', the second ''dhatu'', just as the first chapter on ''jwara'' focused on the first dhatu, rasa. Pitta is the primary cause of jwara which causes elevated temperature, leading to raktapitta. Thus it can be said that jwara is a cause of raktapitta, and an aggravated pitta is the cause of both jwara and raktapitta.  

Bleeding disorders also include conditions where bleeding is not apparent. Hemorrhagic strokes, vessel diseases, and heart attacks cause internal bleeding and do not erupt through the skin or orifices. These are typically due to vascular and other events and not caused due to raktapitta. These disorders should be classified under avarana and shiragata vata.

Bleeding disorders also include conditions where bleeding is not apparent. Hemorrhagic strokes, vessel diseases, and heart attacks cause internal bleeding and do not erupt through the skin or orifices. These are typically due to vascular and other events and not caused due to raktapitta. These disorders should be classified under avarana and shiragata vata.

Raktapitta manifests through two broadly divided routes that correlate with the flow of doṣha energies in the body: the upper tract and the lower tract. The upper tract includes the orifices of eyes, ear, nose, and mouth/throat and is the route taken by the flow of blood when the person has an abundance of body kapha besides rakta and pitta. When there is an abundance of body vata with an interplay of rakta and pitta, raktapitta manifests through the lower tract using urine via hematuria and feces via occult blood. When bleeding manifests through both the routes, it indicates the involvement of both the doshas, vata and kapha.  

Raktapitta manifests through two broadly divided routes that correlate with the flow of doṣha energies in the body: the upper tract and the lower tract. The upper tract includes the orifices of eyes, ear, nose, and mouth/throat and is the route taken by the flow of blood when the person has an abundance of body kapha besides rakta and pitta. When there is an abundance of body vata with an interplay of rakta and pitta, raktapitta manifests through the lower tract using urine via hematuria and feces via occult blood. When bleeding manifests through both the routes, it indicates the involvement of both the doshas, vata and kapha.  

Raktapitta from the upper orifices is curable, while that from the lower orifices is considered palliable. Manifestation of bleeding from both the tracts is said to be incurable. Caraka advocates that in order to avoid progression to this stage, prompt preventive action should be taken.  

Raktapitta from the upper orifices is curable, while that from the lower orifices is considered palliable. Manifestation of bleeding from both the tracts is said to be incurable. Caraka advocates that in order to avoid progression to this stage, prompt preventive action should be taken.  

Original Sanskrit Text, Transliteration with English Translation:      

=== Original Sanskrit Text, Transliteration with English Translation ===

      

अथातोरक्तपित्तनिदानंव्याख्यास्यामः||१||

अथातोरक्तपित्तनिदानंव्याख्यास्यामः||१||

इतिहस्माहभगवानात्रेयः||२||

इतिहस्माहभगवानात्रेयः||२||