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In cases where blood comes out from both the routes, [[raktapitta]] is incurable because no effective evacuative measure is applicable. In [[raktapitta]], elimination of [[dosha]] from the opposite route is recommended. Thus, the three types (on the basis of the routes of bleeding) of [[raktapitta]] progression ([[udarka]]) have been described. [18-20]
 
In cases where blood comes out from both the routes, [[raktapitta]] is incurable because no effective evacuative measure is applicable. In [[raktapitta]], elimination of [[dosha]] from the opposite route is recommended. Thus, the three types (on the basis of the routes of bleeding) of [[raktapitta]] progression ([[udarka]]) have been described. [18-20]
 
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==== Factors affecting prognosis ====
 
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Some curable diseases do not get treated successfully because of the lack of attendants and equipment, and fault of the physician. If the disease is not treated, then it proceeds to incurability. If treated well, sometimes the incurable disease may become curable or palliable.  [21-23]
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Some curable diseases do not get treated successfully (and lead to incurability) because of following factors:
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* Not following proper treatment protocol
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* lack of attendants and equipment
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* Mischievousness and fault of the physician.  
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If the disease is not treated, then it proceeds to incurability. If treated well, sometimes the incurable disease may become curable or palliable.  [21-23]
    
=== Signs of incurable [[raktapitta]] ===
 
=== Signs of incurable [[raktapitta]] ===