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Raktapitta Nidana (view source)

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~~'''~~<big>'''Nidana Sthana Chapter 2. Diagnosis and etiopathogenesis of Bleeding Disorders'''</big>'''

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<big>''' Nidana Sthana Chapter 2. Diagnosis and etiopathogenesis of Bleeding Disorders '''</big>

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<big>'''Abstract'''</big>

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<div style="text-align:justify;">This chapter deals with diagnosis of bleeding disorders (raktapitta) caused by an excess of pitta dosha vitiating blood (rakta dhatu) in the body. This leads to capillary break-down causing hemorrhage from external openings like mouth, per rectum, nose, eyes, ears, urethra. Contributing factors that increase the probability of raktapitta include consumption of incompatible food substances, consuming certain meats with alcohol, butter milk with meat of animals etc. The regular exposure to dietary and lifestyle factors with hot (ushna) properties vitiates pitta. This pitta has the same color and smell as rakta, and blends seamlessly with it. Vitiated pitta and increased rakta circulate in the channels and the resultant increased volume of the blood overflows from the bodily orifices. The pathogenesis, if associated with vitiated kapha, leads to bleeding from upper orifices, whereas if it is associated with vitiated vata, leads to bleeding from the lower orifices. The first condition is curable, and later is difficult to cure. If both kapha and vata are involved in the pathogenesis, then the complications arise and such conditions are incurable. Avoiding etiological factors enlisted in this chapter can delay the progression of hemorrhagic disorders. Therapeutic measures of emesis and purgation, along with useful medicinal formulations and attention can improve the condition of patients of hemorrhagic disorders in varying degrees. Prodromal symptoms and complications have been described in this chapter. </div>

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'''Keywords''': Etio-pathogenesis of ''raktapitta'', bleeding disorders, epistaxis, hemorrhage, hematemesis, rectal bleeding.

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</div>

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~~=== Abstract ===~~

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~~<div style="text-align:justify;">~~

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This second chapter of [[Nidana Sthana]] is about bleeding disorders (''raktapitta'') caused by an excess of ''pitta dosha'' in the body vitiating the ''rakta dhatu''. This vitiated ''rakta dhatu'' leads to tissue break-down, causing hemorrhages in the upper and lower parts of the gastrointestinal tract. Contributing factors that increase the probability of ''raktapitta'' include consumption of specific food and drug substances including consumption of incompatible food substances, consuming certain meats with alcohol, butter milk with meat of animals etc. These etiological factors are basically ''ushna'' (hot) –either in properties or in potency - which when regularly consumed by a person, vitiate ''pitta''. Vitiated ''pitta'' has the same color and smell as ''rakta'', and blends seamlessly with it to form ''raktapitta.'' Vitiated ''pitta'' and increased ''rakta'' circulate in the channels and the resultant increased volume of the blood overflows from the bodily orifices. During the pathogenesis of ''raktapitta'', if an excessive and vitiated ''kapha'' joins in the action, bleeding from upper orifices occurs while an excessive and vitiated ''vata'' leads to bleeding from the lower orifices. While the ''kapha'' condition is curable, the ''vata''-affliction is difficult to cure. Complications arise when both ''kapha'' and ''vata'' vitiations occur alongside ''raktapitta''. Such conditions are incurable. Therapeutic measures of emesis and purgation, along with useful medicinal formulations and attention may improve the condition of patients of hemorrhagic disorders in varying degrees. Prodromal symptoms and complications have been described in this chapter.

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~~'''Keywords''': Etio-pathogenesis of ''raktapitta'', bleeding disorders, epistaxis, hemorrhage, hematemesis, rectal bleeding.~~

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~~</div>~~

=== Introduction ===

Agnivesha

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