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Certain diseases or medical conditions can also cause a deficiency of one or more blood clotting factors. The most common causes of acquired bleeding disorders are end-stage liver disease or vitamin K deficiency. According to the American Association of Clinical Chemistry (AACC), this is because most blood clotting factors are produced in the liver, and certain clotting factors are vitamin k dependent (AACC, 2011).
 
Certain diseases or medical conditions can also cause a deficiency of one or more blood clotting factors. The most common causes of acquired bleeding disorders are end-stage liver disease or vitamin K deficiency. According to the American Association of Clinical Chemistry (AACC), this is because most blood clotting factors are produced in the liver, and certain clotting factors are vitamin k dependent (AACC, 2011).
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Identification of Bleeding Disorders| Symptoms
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==== Identification of Bleeding Disorders/Symptoms ====
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The main sign of a bleeding disorder is prolonged or excessive bleeding. The bleeding is normally heavier than normal and unprovoked.  
 
The main sign of a bleeding disorder is prolonged or excessive bleeding. The bleeding is normally heavier than normal and unprovoked.  
 
Other signs of a bleeding disorder include:
 
Other signs of a bleeding disorder include:
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                                                                                  Purpura
 
                                                                                  Purpura
 
There are various bleeding disorders, some of  which  can be correlated with  
 
There are various bleeding disorders, some of  which  can be correlated with  
Raktapitta .  Bleeding disorders can occur either due to decrease in coagulation factor in blood or due to increase in bleeding factor. When patient has bleeding from anus (guda) or vagina(yoni), then it is difficult to differentiate whether the disease is adhoga raktapitta or raktarsha or raktatisara or pradara.There are major similarities in causes , signs, doshas involved but also minor differences. And that minor differences need to be studied to capture the right link of disease, which can be done only when one has, the deep knowledge of  ayurvedic diagnostic tool i.e.nidanpanchaka. The profound cognizance of  nidana panchaka as a diagnostic tool can enhance the treatment modalities of ayurvedic management of diseases in coming years.  
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Raktapitta .  Bleeding disorders can occur either due to decrease in coagulation factor in blood or due to increase in bleeding factor. When patient has bleeding from anus (guda) or vagina(yoni), then it is difficult to differentiate whether the disease is adhoga raktapitta or raktarsha or raktatisara or pradara.There are major similarities in causes , signs, doshas involved but also minor differences. And that minor differences need to be studied to capture the right link of disease, which can be done only when one has, the deep knowledge of  ayurvedic diagnostic tool i.e.nidanpanchaka. The profound cognizance of  nidana panchaka as a diagnostic tool can enhance the treatment modalities of ayurvedic management of diseases in coming years.
    
==== Commonly used medicines in rakta-pitta ====
 
==== Commonly used medicines in rakta-pitta ====

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