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Raktamokshana (view source)

Revision as of 13:37, 26 December 2020

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→‎Classification

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#Without surgical instruments (ashastra)

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Bloodletting with surgical instruments is of two types[Su.Sa.Sutra Sthana.14/25]<ref name=Susruta/>

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Bloodletting with surgical instruments is of two types [Su.Sa.Sutra Sthana.14/25]<ref name=Susruta/>

*Puncturing (pracchana)

*Venesection (siravyadha)

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*Application of pot like instrument (ghatiavacharana)

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Nowadays, indigenous methods like using animal horns (shringaavacharana), gourd (alabuavacharana) and pot (ghati) are rarely used in practice. These might have been prevalent during ancient times. [Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.H.Sutra Sthana.26/53-55]<ref name=Hridaya/> In current times, the most common methods for bloodletting are puncturing, leech therapy and venesection. These three methods are described in details.

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Nowadays, indigenous methods like using animal horns (shringaavacharana), gourd (alabuavacharana) and pot (ghati) are rarely used in practice. These might have been prevalent during ancient times. [Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.Hr.Sutra Sthana.26/53-55]<ref name=Hridaya/> In current times, the most common methods for bloodletting are puncturing, leech therapy and venesection. These three methods are described in details.

===Puncturing (pracchana)===

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Pracchana is indicated in patients with good strength and if blood is accumulated locally or in clotted state.[Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.H.Sutra Sthana.26/53-55]<ref name=Hridaya/>

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Pracchana is indicated in patients with good strength and if blood is accumulated locally or in clotted state.[Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.Hr.Sutra Sthana.26/53-55]<ref name=Hridaya/>

====Procedure====

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===Venesection (siravyadha)===

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Siravyadha is indicated in the following conditions [Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.H.Sutra Sthana.26/53-55]<ref name=Hridaya/>

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Siravyadha is indicated in the following conditions [Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.Hr.Sutra Sthana.26/53-55]<ref name=Hridaya/>

*If there is generalized vitiation of blood.

*In patients with good physical and mental strength.

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*In patients with poor mental and physical strength.

*In the conditions of burning and pricking sensation.

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*[[Pitta]] [[dosha]] vitiation in blood ([[rakta]])[Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.H.Sutra Sthana.26/53-55]<ref name=Hridaya/>

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*[[Pitta]] [[dosha]] vitiation in blood ([[rakta]])[Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.Hr.Sutra Sthana.26/53-55]<ref name=Hridaya/>

====Procedure====

Eganeesh

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