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{{#seo:
{{#seo:
|title=Raktapitta Chikitsa
|title=Raktapitta Chikitsa
|keywords=Raktapitta, Chikitsa, Mahagada, bleeding disorders, pitta aggravation, rakta vitiation, Ayurveda, charak samhita, Indian system of medicine.
|keywords=Raktapitta, Chikitsa, Mahagada, bleeding disorders, pitta aggravation, rakta vitiation, Ayurveda, charak samhita, Indian system of medicine.
|description=Chikitsa Sthana Chapter 4. Management of Bleeding Disorders
|description=Chikitsa Sthana Chapter 4. Management of Bleeding Disorders
|image=http://www.carakasamhitaonline.com/mediawiki-1.32.1/resources/assets/ogimgs.jpg
|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg
|image_alt=charak samhita
|image_alt=charak samhita
|type=article
|type=article
}}
}}
<big>'''[[Chikitsa Sthana]] Chapter 4. Management of Raktapitta (Bleeding Disorders)'''</big>
<big>'''[[Chikitsa Sthana]] Chapter 4. Management of Raktapitta (Bleeding Disorders)'''</big>
{{Infobox
{{Infobox
|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]
|data5 = [[Sutra Sthana]], [[Nidana Sthana]], [[Vimana Sthana]], [[Sharira Sthana]], [[Indriya Sthana]], [[Kalpa Sthana]], [[Siddhi Sthana]]
|label6 = Translator and commentator
|label6 = Translator and commentator
|data6 = Joshi V.K.,Ghildiyal S.
|data6 = Joshi V.K., Ghildiyal S.
|label7 = Reviewer
|label7 = Reviewer
|data7 = Chandola H.M.
|data7 = Chandola H.M.
|label8 = Editor
|label8 = Editors
|data8 = Baghel M.S.
|data8 = Baghel M.S., [[Yogesh Deole|Deole Y.S.]], [[Gopal Basisht|Basisht G.]]
|label9 = Date of publication
|label9 = Year of publication
|data9 = December 17, 2018
|data9 = 2020
|label10 = DOI
|label10 = Publisher
|data10 =
|data10 = [[Charak Samhita Research, Training and Skill Development Centre]]
|header3 =
|label11 = DOI
|data11 = [https://doi.org/10.47468/CSNE.2020.e01.s06.005 10.47468/CSNE.2020.e01.s06.005]
}}
}}
<big>'''Abstract '''</big>
<big>'''Abstract '''</big>
<div style="text-align:justify;">
<p style="text-align:justify;">''Raktapitta'' is a treatable bleeding disorder, if recognized and managed in early stage. If diagnosis is missed and disease is not managed properly, it becomes life threatening (''mahagada'').It occurs because of excessive aggravation of ''[[pitta]]'' and its affliction with ''[[rakta]]''. Before initiation of treatment, it is important to assess strength of the patient because the treatment regimen is personified for well nourished and emaciated persons. Etiology, classification, prognosis and treatment of ''raktapitta'' have been described in detail. A good number of herbal and animal preparations are given. Further, this chapter enumerates aspects that are favorable or unfavorable to ''raktapitta''. To improve the efficacy of treatment, external beneficial measures, such as ''pradeha, parisheka, sheetasnana'' and habitat are described at the end of chapter. This bleeding disorder is not described in modern medicine writings and appears to be unknown to allopathic medicine.</p>
''Raktapitta'' is a treatable bleeding disorder, if recognized and managed in early stage. If diagnosis is missed and disease is not managed properly, it becomes life threatening (''mahagada'').It occurs because of excessive aggravation of ''pitta'' and its affliction with ''rakta''. Before initiation of treatment, it is important to assess strength of the patient because the treatment regimen is personified for well nourished and emaciated persons. Etiology, classification, prognosis and treatment of ''raktapitta'' have been described in detail. A good number of herbal and animal preparations are given. Further, this chapter enumerates aspects that are favorable or unfavorable to ''raktapitta''. To improve the efficacy of treatment, external beneficial measures, such as ''pradeha, parisheka, sheetasnana'' and habitat are described at the end of chapter.This bleeding disorder is not described in modern medicine writings and appears to be unknown to allopathic medicine.</div>
'''Keywords''': ''Raktapitta, Chikitsa, Mahagada,'' bleeding disorders, ''pitta'' aggravation, ''rakta'' vitiation.
'''Keywords''': ''Raktapitta, Chikitsa, Mahagada,'' bleeding disorders, ''[[pitta]]'' aggravation, ''[[rakta]]'' vitiation.
== Introduction ==
== Introduction ==
<div style="text-align:justify;">
<div style="text-align:justify;">
''Raktapitta'' is a serious disease caused due to vitiation of ''rakta'' by aggravated ''pitta''. This chapter is placed after ''jwara'', because ''raktapitta'' can occur due to the increased heat in the body produced after ''jwara''. Prompt management is necessary for this dreadful disease. This disease develops due to ''pitta'' aggravation as a result of consumption of ''ushna, teekshna, agneya dravya'' and excessive exposure to sunlight.
''Raktapitta'' is a serious disease caused due to vitiation of ''[[rakta]]'' by aggravated ''[[pitta]]''. This chapter is placed after ''jwara'', because ''raktapitta'' can occur due to the increased heat in the body produced after ''jwara''. Prompt management is necessary for this dreadful disease. This disease develops due to ''[[pitta]]'' aggravation as a result of consumption of ''ushna, teekshna, agneya dravya'' and excessive exposure to sunlight.
Because of similarity in constitution of ''pitta'' with ''rakta, rakta dhatu'' is also vitiated by the etiological factors and has similarity in its smell and color, and is therefore called ''raktapitta''.
Because of similarity in constitution of ''[[pitta]]'' with ''[[rakta]], [[rakta dhatu]]'' is also vitiated by the etiological factors and has similarity in its smell and color, and is therefore called ''raktapitta''.
It originates in the spleen and liver which play pivotal roles in the blood physiology, including clotting. Manifestations of ''raktapitta'' depend upon vitiation and predominance of a particular ''dosha''. There may be a combination of one, two or all the three ''dosha''. Based on ''dosha'' specific features, the blood of the patient of ''raktapitta'' may appear pale, unctuous and slimy in ''kapha'', frothy, blackish red in ''vata'' and cane sugar like cow urine, shiny black, smoky and coarse-like collerium in ''pitta''. ''Raktapitta'' associated with one ''dosha'' is curable, with two ''dosha'' is difficult to cure and incurable if all three ''dosha'' are involved.
It originates in the spleen and liver which play pivotal roles in the blood physiology, including clotting. Manifestations of ''raktapitta'' depend upon vitiation and predominance of a particular ''[[dosha]]''. There may be a combination of one, two or all the three ''[[dosha]]''. Based on ''[[dosha]]'' specific features, the blood of the patient of ''raktapitta'' may appear pale, unctuous and slimy in ''[[kapha]]'', frothy, blackish red in ''[[vata]]'' and cane sugar like cow urine, shiny black, smoky and coarse-like collerium in ''[[pitta]]''. ''Raktapitta'' associated with one ''[[dosha]]'' is curable, with two ''[[dosha]]'' is difficult to cure and incurable if all three ''[[dosha]]'' are involved.
Movement of ''raktapitta'' may be upward or downward meaning bleeding from upper and/or lower external orifices. This manifestation depends on etiological factors, unctuous hot factors associated with ''kapha'' has upward ''raktapitta'' however rough hot associated with ''vata'' has downward ''raktapitta''.
Movement of ''raktapitta'' may be upward or downward meaning bleeding from upper and/or lower external orifices. This manifestation depends on etiological factors, unctuous hot factors associated with ''[[kapha]]'' has upward ''raktapitta'' however rough hot associated with ''[[vata]]'' has downward ''raktapitta''.
Upward ''raktapitta'', associated with ''kapha dosha'' is treated with ''tarpana'' (nourishment therapy) and downwards ''raktapitta'' is associated with ''vata'' and ''peya'' (liquid gruel) should be used.
Upward ''raktapitta'', associated with ''[[kapha dosha]]'' is treated with ''tarpana'' (nourishment therapy) and downwards ''raktapitta'' is associated with ''[[vata]]'' and ''peya'' (liquid gruel) should be used.
Their drugs mainly have ''madhura, tikta'' and ''sheeta guna'' which pacify ''pitta'' and ''rakta''. One herb which is very important in ''raktapitta'' is ''vasa'', which alone can check the bleeding quickly.
Their drugs mainly have ''madhura, tikta'' and ''sheeta guna'' which pacify ''[[pitta]]'' and ''[[rakta]]''. One herb which is very important in ''raktapitta'' is ''vasa'', which alone can check the bleeding quickly.
</div>
</div>
== Sanskrit text, Transliteration and English Translation ==
== Sanskrit text, Transliteration and English Translation ==
</div></div>
</div></div>
''Pitta'' aggravated by these causes vitiates ''rakta''. Due to similarity in constitution (of ''rakta'' and ''pitta''), the pathogenesis develops furthermore to vitiate ''rakta''. Due to heat of ''pitta'', the fluid portion from all the fomented ''dhatus'' oozes out, which additionally leads to aggravation of ''rakta'' and ''pitta''. [7-8]
''[[Pitta]]'' aggravated by these causes vitiates ''[[rakta]]''. Due to similarity in constitution (of ''[[rakta]]'' and ''[[pitta]]''), the pathogenesis develops furthermore to vitiate ''[[rakta]]''. Due to heat of ''[[pitta]]'', the fluid portion from all the fomented ''[[dhatu]]s'' oozes out, which additionally leads to aggravation of ''[[rakta]]'' and ''[[pitta]]''. [7-8]
=== Derivation ===
=== Derivation ===
</div></div>
</div></div>
The ''pitta'' (''raktapitta'') stays located in spleen and liver, because in persons the blood vessels originate from them. [10]
The ''[[pitta]]'' (''raktapitta'') stays located in spleen and liver, because in persons the blood vessels originate from them. [10]
=== Characteristics of ''dosha'' vitiation ===
=== Characteristics of ''[[dosha]]'' vitiation ===
<div class="mw-collapsible mw-collapsed">
<div class="mw-collapsible mw-collapsed">
</div></div>
</div></div>
Viscous, pale, unctuous and slimy (in blood coming out) indicates affliction by ''kapha''. Blackish, reddish, frothy, thin and roughness in blood indicates affliction by ''vata''. That having ochre-like, black, cow-urine-like, shining black, smoky and collerium-like color indicates ''pitta'' affliction. Due to combination of two ''doshas'' the symptoms of the concerned ones are combined. ''Raktapitta'' caused by ''sannipata'' has symptoms of all the three ''doshas''. [11-12]
Viscous, pale, unctuous and slimy (in blood coming out) indicates affliction by ''[[kapha]]''. Blackish, reddish, frothy, thin and roughness in blood indicates affliction by ''[[vata]]''. That having ochre-like, black, cow-urine-like, shining black, smoky and collerium-like color indicates ''[[pitta]]'' affliction. Due to combination of two ''[[dosha]]s'' the symptoms of the concerned ones are combined. ''Raktapitta'' caused by ''sannipata'' has symptoms of all the three ''[[dosha]]s''. [11-12]
=== Prognosis ===
=== Prognosis ===
</div></div>
</div></div>
''Raktapitta'' associated with one ''dosha'' is curable; that with two ''doshas'' is palliable while that caused by three ''doshas'' is incurable. It is also incurable if it is severely forceful and invading the person who has poor digestion, is emaciated due to diseases, old and under-nourished. [13-14]
''Raktapitta'' associated with one ''[[dosha]]'' is curable; that with two ''[[dosha]]s'' is palliable while that caused by three ''[[dosha]]s'' is incurable. It is also incurable if it is severely forceful and invading the person who has poor digestion, is emaciated due to diseases, old and under-nourished. [13-14]
=== ''Gati'' (direction of flow) and prognosis ===
=== ''Gati'' (direction of flow) and prognosis ===
Movement of ''raktapitta'' is directed upwards and downwards, the former through seven orifices and the latter through two orifices. There are seven orifices in head and two below. That coming from upper passages is curable, the one coming downwards is palliable and that which comes both ways is incurable. When it flows out from all the orifices including the hair follicles it is known as with innumerable movements which is fatal.
Movement of ''raktapitta'' is directed upwards and downwards, the former through seven orifices and the latter through two orifices. There are seven orifices in head and two below. That coming from upper passages is curable, the one coming downwards is palliable and that which comes both ways is incurable. When it flows out from all the orifices including the hair follicles it is known as with innumerable movements which is fatal.
''Raktapitta'' passing out excessively through both the passages, having corpselike smell, exceedingly red or black, associated with ''kapha'' and ''vata'', adhering in throat, having all the complications mentioned earlier, possessing deep yellow, blue, green or coppery color and is in emaciated and coughing patient is incurable.
''Raktapitta'' passing out excessively through both the passages, having corpselike smell, exceedingly red or black, associated with ''[[kapha]]'' and ''[[vata]]'', adhering in throat, having all the complications mentioned earlier, possessing deep yellow, blue, green or coppery color and is in emaciated and coughing patient is incurable.
That ''raktapitta'' is palliable which is associated with two ''doshas'', which aggravates again and again after subsiding and shifts from one passage to another. [15-21]
That ''raktapitta'' is palliable which is associated with two ''[[dosha]]s'', which aggravates again and again after subsiding and shifts from one passage to another. [15-21]
=== Characteristics of curable ''raktapitta'' ===
=== Characteristics of curable ''raktapitta'' ===
</div></div>
</div></div>
''Raktapitta'' is caused by food having predominantly unctuous-hot and rough-hot properties. The former often gives rise to the upward movement and the latter to the downward movement of ''raktapitta''. The upward movement in ''raktapitta'' is associated with ''kapha'', the downward one with ''vata'' and that from both the passages is associated with both ''kapha'' and ''vata''. [23-24]
''Raktapitta'' is caused by food having predominantly unctuous-hot and rough-hot properties. The former often gives rise to the upward movement and the latter to the downward movement of ''raktapitta''. The upward movement in ''raktapitta'' is associated with ''[[kapha]]'', the downward one with ''[[vata]]'' and that from both the passages is associated with both ''[[kapha]]'' and ''[[vata]]''. [23-24]
=== Consequneces of styptic therapy in ''rakta-pitta'' ===
=== Consequneces of styptic therapy in ''rakta-pitta'' ===
</div></div>
</div></div>
''Stambhana'' (styptic therapy) should not be given at first in hemorrhagic disorders having excessive impurities, aggravated ''doshas'' and in a person who is not emaciated and weak and originated from excess nourishment. If checked at the very start, it produces throat congestion, fetid smell from the nose, fainting, anorexia, fever, ''gulma'', spleen enlargement, hardness of bowels, leucoderma, dysuria, skin disorders, piles, erysipelas, loss of complexion, fistula-in-ano, obstruction to intellect and senses.
''[[Stambhana]]'' (styptic therapy) should not be given at first in hemorrhagic disorders having excessive impurities, aggravated ''[[dosha]]s'' and in a person who is not emaciated and weak and originated from excess nourishment. If checked at the very start, it produces throat congestion, fetid smell from the nose, fainting, anorexia, fever, ''gulma'', spleen enlargement, hardness of bowels, leucoderma, dysuria, skin disorders, piles, erysipelas, loss of complexion, fistula-in-ano, obstruction to intellect and senses.
Hence for successful management, one should at first ignore (should not give styptic therapy) the hemorrhagic disorder after assessing the strength and condition or morbidity in a strong patient. [25-28]
Hence for successful management, one should at first ignore (should not give styptic therapy) the hemorrhagic disorder after assessing the strength and condition or morbidity in a strong patient. [25-28]
</div></div>
</div></div>
Mostly the ''raktapitta'' is aggravated by ''amadosha'', hence patient should be managed with lightening measures. The physician should apply in the beginning of ''raktapitta'', lightening or nourishing measure according to passage, association of ''dosha'' and etiology. [29-30]
Mostly the ''raktapitta'' is aggravated by ''amadosha'', hence patient should be managed with lightening measures. The physician should apply in the beginning of ''raktapitta'', lightening or nourishing measure according to passage, association of ''[[dosha]]'' and etiology. [29-30]
=== Nourishment regimen ===
=== Nourishment regimen ===
The patients of ''raktapitta'' should take meal consisting of the cereals of ''shali, shashtika, nivara, koradusha, prashantika, shyamaka'' and ''priyangu''. For them gram, lentils, green grams, ''makustha'' (kidney beans), and ''adhaki'' are recommended for the pulse-soup. The vegetables useful in ''raktapitta'' are ''patola, nimba,'' tip of ''vetra'', tender leaves of ''plaksha'' and ''vetasa'', ''kiratatikta, gandira'' and ''kathillaka''. The flowers of ''kovidara, kashmarya'' and ''shalmali'' are also used and vegetable should be prepared by boiling or frying with ghee or like soup and given to the vegetarian patients.
The patients of ''raktapitta'' should take meal consisting of the cereals of ''shali, shashtika, nivara, koradusha, prashantika, shyamaka'' and ''priyangu''. For them gram, lentils, green grams, ''makustha'' (kidney beans), and ''adhaki'' are recommended for the pulse-soup. The vegetables useful in ''raktapitta'' are ''patola, nimba,'' tip of ''vetra'', tender leaves of ''plaksha'' and ''vetasa'', ''kiratatikta, gandira'' and ''kathillaka''. The flowers of ''kovidara, kashmarya'' and ''shalmali'' are also used and vegetable should be prepared by boiling or frying with ghee or like soup and given to the vegetarian patients.
The flesh of dove, pigeon, common quail, ''raktaksha'' (crane), ''vartaka'' (a quail), grey partridge, ''ena, harina'' and ''kalapucchaka'' (species of deer) are wholesome in ''raktapitta''. Their soup is used in sour or in-soured form, fried with ghee and added sugar. In (''raktapitta'') associated with ''kapha'' vegetable soup and in that with ''vata'' meat-soup is prescribed. Now for ''raktapitta'', preparations of gruel will be described. [36-43]
The flesh of dove, pigeon, common quail, ''raktaksha'' (crane), ''vartaka'' (a quail), grey partridge, ''ena, harina'' and ''kalapucchaka'' (species of deer) are wholesome in ''raktapitta''. Their soup is used in sour or in-soured form, fried with ghee and added sugar. In (''raktapitta'') associated with ''[[kapha]]'' vegetable soup and in that with ''[[vata]]'' meat-soup is prescribed. Now for ''raktapitta'', preparations of gruel will be described. [36-43]
=== Medicated gruels in ''raktapitta'' ===
=== Medicated gruels in ''raktapitta'' ===
</div></div>
</div></div>
In the patient of ''raktapitta'' if there is constipation due to aggravated ''vata'', the following preparations are useful:
In the patient of ''raktapitta'' if there is constipation due to aggravated ''[[vata]]'', the following preparations are useful:
#rabbit cooked with ''vastuka'',
#rabbit cooked with ''vastuka'',
#partridge cooked in decoction of ''udumbara'',
#partridge cooked in decoction of ''udumbara'',
</div></div>
</div></div>
Water should be given to the thirsty patient up to complete satisfaction of thirst or in small quantity considering the associated ''doshas'', strength as well as diet (of the patient). [52]
Water should be given to the thirsty patient up to complete satisfaction of thirst or in small quantity considering the associated ''[[dosha]]s'', strength as well as diet (of the patient). [52]
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<div class="mw-collapsible mw-collapsed">
</div></div>
</div></div>
Now the management of strong patients having plenty of ''doshas'' will be explained further:
Now the management of strong patients having plenty of ''[[dosha]]s'' will be explained further:
''Raktapitta'', due to excess nutrition in a strong patient with aggravated ''doshas'', who do not have emaciation, debility and complications, should be treated with purification therapy by purgation in upward type and emesis in lower movement of ''raktapitta''.
''Raktapitta'', due to excess nutrition in a strong patient with aggravated ''[[dosha]]s'', who do not have emaciation, debility and complications, should be treated with purification therapy by purgation in upward type and emesis in lower movement of ''raktapitta''.
Purgation should be administered with (the decoction) of ''trivrita, haritaki,'' fruit of ''aragavadha, trayamana, indrayana'' (roots) or ''amalaka'' (fruits) mixed with plenty of honey and sugar. Their decoction is efficacious particularly in ''raktapitta''.
Purgation should be administered with (the decoction) of ''trivrita, haritaki,'' fruit of ''aragavadha, trayamana, indrayana'' (roots) or ''amalaka'' (fruits) mixed with plenty of honey and sugar. Their decoction is efficacious particularly in ''raktapitta''.
#sugarcane juice, or ''indrayava, musta, madana, madhuka'' and honey – all mixed together make an excellent emetic.
#sugarcane juice, or ''indrayava, musta, madana, madhuka'' and honey – all mixed together make an excellent emetic.
After purification, in the case of upward type, the dietetic regimen starts with saturating drink while in that of downward type, it starts with gruel subjected to the condition that ''vata'' is not dominant. [54-61]
After purification, in the case of upward type, the dietetic regimen starts with saturating drink while in that of downward type, it starts with gruel subjected to the condition that ''[[vata]]'' is not dominant. [54-61]
=== Pacification therapy ===
=== Pacification therapy ===
</div></div>
</div></div>
The hemorrhagic disorder which does not get pacified by the said various extracts after digestive fire being kindled and ''kapha'' being overcome, there may be association of ''vayu'' which should be treated thereafter.
The hemorrhagic disorder which does not get pacified by the said various extracts after digestive fire being kindled and ''[[kapha]]'' being overcome, there may be association of ''vayu'' which should be treated thereafter.
Goat milk is the excellent remedy for that. Cow milk boiled with:
Goat milk is the excellent remedy for that. Cow milk boiled with:
#''jivaka'' and ''rishabhaka'' added with ghee and sugar. [82-84]
#''jivaka'' and ''rishabhaka'' added with ghee and sugar. [82-84]
=== Treatment of hematuria and per rectal bleeding ===
=== Treatment of hematuria ===
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<div class="mw-collapsible mw-collapsed">
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Particularly in haemorrhage from rectum milk boiled with ''mocharasa'', or hanging roots or leaf-buds of ''vata'' or ''hribera, nilotpala'' and ''nagara'' (''musta'') should be taken. After taking the medicinal extracts with milk the patient should take ghee cooked with these extracts. [85-87]
Particularly in haemorrhage from rectum milk boiled with ''mocharasa'', or hanging roots or leaf-buds of ''[[vata]]'' or ''hribera, nilotpala'' and ''nagara'' (''musta'') should be taken. After taking the medicinal extracts with milk the patient should take ghee cooked with these extracts. [85-87]
=== ''Vasa'' ghee ===
=== ''Vasa'' ghee ===
All measures which are prescribed for the treatment of ''pattika'' fever such as massage, sprinkling, baths, beds, room/coverings, cooling methods or enema should be applied in hemorrhagic disorder considering the season and dose. ''Sarpirguda'' (the formulation of jaggery and ghee) prescribed for the patients of ''kshata'' (chest injury) control the hemorrhagic disorder quickly. [91-92]
All measures which are prescribed for the treatment of ''pattika'' fever such as massage, sprinkling, baths, beds, room/coverings, cooling methods or enema should be applied in hemorrhagic disorder considering the season and dose. ''Sarpirguda'' (the formulation of jaggery and ghee) prescribed for the patients of ''kshata'' (chest injury) control the hemorrhagic disorder quickly. [91-92]
=== Treatment of ''raktapitta'' with associated ''kapha'' ===
=== Treatment of ''raktapitta'' with associated ''[[kapha]]'' ===
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In case of ''raktapitta'' if there is association of ''kapha'' and blood reaching the throat is adherent, alkali of the stalk of water lily mixed with honey and ghee should be used. In the same way, alkali of lotus stalk, lotus, water lily, ''nagakeshara, palasha, priyangu, madhuka'' and asana should be used. [93-94]
In case of ''raktapitta'' if there is association of ''[[kapha]]'' and blood reaching the throat is adherent, alkali of the stalk of water lily mixed with honey and ghee should be used. In the same way, alkali of lotus stalk, lotus, water lily, ''nagakeshara, palasha, priyangu, madhuka'' and asana should be used. [93-94]
=== ''Shatavaryadi'' ghee ===
=== ''Shatavaryadi'' ghee ===
</div></div>
</div></div>
The hemorrhagic disorder coming out of the nose should be treated with the above decoctive drugs in the form of ''avapida'' (nasal errhines with juice) when the vitiated ''doshas'' are eliminated, otherwise if the affected ''rakta'' is checked by juice-snuffing it produces obstinate coryza, head diseases, blood with pus and corpse-like smell, loss of smell sensation and maggots.
The hemorrhagic disorder coming out of the nose should be treated with the above decoctive drugs in the form of ''avapida'' (nasal errhines with juice) when the vitiated ''[[dosha]]s'' are eliminated, otherwise if the affected ''[[rakta]]'' is checked by juice-snuffing it produces obstinate coryza, head diseases, blood with pus and corpse-like smell, loss of smell sensation and maggots.
In this condition snuffing with:
In this condition snuffing with:
*The causes of ''raktapitta'' include excess consumption of food with hot potency and ingredients with sharp, sour, pungent and salty taste, exposure to the sun and foods that cause burning sensations.
*The causes of ''raktapitta'' include excess consumption of food with hot potency and ingredients with sharp, sour, pungent and salty taste, exposure to the sun and foods that cause burning sensations.
*''Pitta dosha'' and ''rakta'' have similar properties in terms of vitiation, odor, color and origin. Therefore, anything affecting ''pitta'' will affect ''rakta'' and vice versa.
*''[[Pitta dosha]]'' and ''[[rakta]]'' have similar properties in terms of vitiation, odor, color and origin. Therefore, anything affecting ''[[pitta]]'' will affect ''[[rakta]]'' and vice versa.
*The ''pitta'' and ''rakta'' (blood) including blood vessels originate from spleen and liver.
*The ''[[pitta]]'' and ''[[rakta]]'' (blood) including blood vessels originate from spleen and liver.
*Affliction by ''kapha'' in ''rakta'' can be observed by appearance of viscous, pale, unctuous and slimy blood (in blood coming out).
*Affliction by ''[[kapha]]'' in ''[[rakta]]'' can be observed by appearance of viscous, pale, unctuous and slimy blood (in blood coming out).
*Blackish, reddish, frothy, thin and roughness in blood indicates affliction by ''vata''.
*Blackish, reddish, frothy, thin and roughness in blood indicates affliction by ''[[vata]]''.
*Blood having ochre-like, black, cow-urine-like, shining black, smoky and collyrium-like color indicates ''pitta'' affliction. Due to combination of two ''doshas'' the symptoms of both manifest. ''Raktapitta'' caused by ''sannipata'' has symptoms of all the three ''doshas''.
*Blood having ochre-like, black, cow-urine-like, shining black, smoky and collyrium-like color indicates ''[[pitta]]'' affliction. Due to combination of two ''[[dosha]]s'' the symptoms of both manifest. ''Raktapitta'' caused by ''sannipata'' has symptoms of all the three ''[[dosha]]s''.
*The prognosis and treatment of ''raktapitta'' depend upon movement of vitiated ''rakta'', direction of its flow, origin, severity of disease, strength of patient.
*The prognosis and treatment of ''raktapitta'' depend upon movement of vitiated ''[[rakta]]'', direction of its flow, origin, severity of disease, strength of patient.
*''Raktapitta'' is caused by food having predominantly unctuous-hot and rough-hot properties. The former often gives rise to the upward movement and the latter to the downward movement of ''raktapitta''.
*''Raktapitta'' is caused by food having predominantly unctuous-hot and rough-hot properties. The former often gives rise to the upward movement and the latter to the downward movement of ''raktapitta''.
*The upward movement in ''raktapitta'' is associated with ''kapha'', the downward one with ''vata'' and that from both the passages is associated with both ''kapha'' and ''vata''.
*The upward movement in ''raktapitta'' is associated with ''[[kapha]]'', the downward one with ''[[vata]]'' and that from both the passages is associated with both ''[[kapha]]'' and ''[[vata]]''.
*''Stambhana'' (styptic therapy) should not be given at first in hemorrhagic disorders having excessive impurities, aggravated ''doshas'', over-nourished and in a person who is not emaciated and weak.
*''[[Stambhana]]'' (styptic therapy) should not be given at first in hemorrhagic disorders having excessive impurities, aggravated ''[[dosha]]s'', over-nourished and in a person who is not emaciated and weak.
*Mostly the ''raktapitta'' is aggravated by ''amadosha'', hence patient should be managed with ''langhana'' (lightening measures). In the beginning stage of ''raktapitta'', lightening or nourishing measure according to passage, association of ''dosha'' and etiology shall be applied.
*Mostly the ''raktapitta'' is aggravated by ''amadosha'', hence patient should be managed with ''[[langhana]]'' (lightening measures). In the beginning stage of ''raktapitta'', lightening or nourishing measure according to passage, association of ''[[dosha]]'' and etiology shall be applied.
*''Raktapitta'', due to excess nutrition in a strong patient with aggravated ''doshas'', who don’t have emaciation, debility and complications, should be treated with purification therapy by purgation in upward type and emesis in lower movement of ''raktapitta''.
*''Raktapitta'', due to excess nutrition in a strong patient with aggravated ''[[[dosha]]s'', who don’t have emaciation, debility and complications, should be treated with purification therapy by purgation in upward type and emesis in lower movement of ''raktapitta''.
*After purification, in the case of upward type, the dietetic regimen starts with saturating drinks. In that of downward type, it starts with gruel subjected to the condition that ''vata'' is not dominant.
*After purification, in the case of upward type, the dietetic regimen starts with saturating drinks. In that of downward type, it starts with gruel subjected to the condition that ''[[vata]]'' is not dominant.
*All types of sweet, bitter, astringent medicines with cold potency are indicated in diet and medicinal management. In lifestyle management, the cold measures and avoiding exposure to excess heat are applied in treatment of hemorrhagic disorders.
*All types of sweet, bitter, astringent medicines with cold potency are indicated in diet and medicinal management. In lifestyle management, the cold measures and avoiding exposure to excess heat are applied in treatment of hemorrhagic disorders.
| rowspan="3"|''Urdhvaga''
| rowspan="3"|''Urdhvaga''
| ''Nasa''
| ''Nasa''
| Epitaxis
| Epistaxis
|-
|-
| ''Mukha''
| ''Mukha''
|}
|}
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 ''nidanapanchaka'' as a diagnostic tool can enhance the treatment modalities of Ayurvedic management of diseases in coming years.
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, ''[[dosha]]s'' 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 ''nidanapanchaka'' as a diagnostic tool can enhance the treatment modalities of Ayurvedic management of diseases in coming years.
=== Commonly used medicines in ''raktapitta'' ===
=== Commonly used medicines in ''raktapitta'' ===
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