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→Origin of raktapitta
*Grains such as barley (yavaka), Kodo millet or [https://en.wikipedia.org/wiki/Paspalum_scrobiculatum Paspalum scrobiculatum (uddalaka)], and [http://www.agrisources.com/herbs/paspalumscrobiculatum.html Ditch Millet (koradusha)], in excess quantities, with other food items that are hot (ushna) and sharply acting (tikshna) such as legumes of Dolichos lablab Linn. (nishpaava), black gram (masha), horse gram (kulaththa) and alkali (kshara) , or with curd, whey, buttermilk, sour buttermilk or sour gruel
*Grains such as barley (yavaka), Kodo millet or [https://en.wikipedia.org/wiki/Paspalum_scrobiculatum Paspalum scrobiculatum (uddalaka)], and [http://www.agrisources.com/herbs/paspalumscrobiculatum.html Ditch Millet (koradusha)], in excess quantities, with other food items that are hot (ushna) and sharply acting (tikshna) such as legumes of Dolichos lablab Linn. (nishpaava), black gram (masha), horse gram (kulaththa) and alkali (kshara) , or with curd, whey, buttermilk, sour buttermilk or sour gruel
*Meat of pig, buffalo, sheep, fish and cow,
*Meat of pig, buffalo, sheep, fish and cow,
*Vegetables of oil cake, ''pindalu'' (a tuber) and dried potherbs
*Vegetables of oil cake, pindalu (a tuber) and dried potherbs
*''Upadamsha'' (chutney or salad) of radish, mustard, garlic, ''karanja, shigru, madhu shigru, kharabusa, bhustruna, sumukha, surasa, kutheraka, gandira, kalamala, parnasa, kshavaka'' and ''phanijzaka''
*Upadamsha (chutney or salad) of radish (mulaka), mustard (sarshapa), garlic (lashuna), fruits of indian beech tree (Pongamia Glabra) (karanja), drumsticks (Moringa oleifera) (shigru), its sweet variety (madhu shigru) , muskmelon (kharabusa), lemongrass(bhustruna), sumukha, surasa, kutheraka, gandira, kalamala, parnasa, kshavaka and phanijzaka
*Drink of ''sura'' (wine), ''sauvira, tushodaka'' (types of vinegar), ''maireya, medaka, madhulaka'' (fermented beverages), ''shukta'' (sour beverage), sour preparations of ''kuvala'' and ''badara'' (types of jujube)
*Drink of sura (wine), sauvira, tushodaka (types of vinegar), maireya, medaka, madhulaka (fermented beverages), shukta (sour beverage), sour preparations of kuvala and badara (types of jujube)
*Preparations of (rice) flour in excess after meals
*Preparations of (rice) flour in excess after meals
*Excessive quantities of ''pishtanna'' (triturated grains)
*Excessive quantities of pishtanna (triturated grains)
*Unboiled milk in excessive quantity or frequently, especially after exposure to intense heat, or when recovering from a heat-stroke
*Unboiled milk in excessive quantity or frequently, especially after exposure to intense heat, or when recovering from a heat-stroke
*''Rohini'' (vegetable) along with milk
*Rohini (vegetable) along with milk
*''Kanakapota'' (a type of pigeon) cooked with mustard oil and alkali
*Kanakapota (a type of pigeon) cooked with mustard oil and alkali
*Milk along with sour beverages cooked with horse gram, oil cake, fruits or ''jambu'' and ''lakucha'', when taken after exposure to intense heat.
*Milk along with sour beverages cooked with horse gram, oil cake, fruits or jambu and lakucha, when taken after exposure to intense heat.
With such food articles, a person’s ''pitta'' gets vitiated and the quantity of blood in his body exceeds its normal quantity. Along with the increased quantity of vitiated blood in the system, vitiated ''pitta'' gets into the circulation and reaches ''raktavaha srotas'' and its organs like liver and spleen. Due to ''abhishyandi'' and guru qualities of ''rakta'', obstructions in the channels occur leading to morbidity in ''rakta''. [4]
With such food articles, a person’s pitta gets vitiated and the quantity of blood in his body exceeds its normal quantity. Along with the increased quantity of vitiated blood in the system, vitiated pitta gets into the circulation and reaches raktavaha srotas and its organs like liver and spleen. Due to abhishyandi and guru qualities of rakta, obstructions in the channels occur leading to morbidity in rakta. [4]
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[[Pitta dosha|Pitta]] gets the name [[Raktapitta|lohitapitta]] because after mixing with blood it acquires the color and smell of blood. [5]
=== Prodromal symptoms ===
=== Prodromal symptoms ===
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The prodromal symptoms of ''raktapitta'' include aversion to food, hot eructation just after meal, belches with smell and aftertaste of sour gruel, frequent vomiting, ugliness of vomitus, hoarseness of voice, malaise, radiating burning sensation, emittance of smoke from the mouth, smell of metal, blood, or fish , mucus in the mouth, appearance of red, green or yellow spots in body parts, feces, urine, sweat, saliva, nose-secretion, excreta from mouth and ear and boils, bodyache, and frequent vision of red, blue, yellow, blackish and brilliant objects in dreams. [6]
The prodromal symptoms of [[raktapitta]] include aversion to food, hot eructation just after meal, belches with smell and aftertaste of sour gruel, frequent vomiting, ugliness of vomitus, hoarseness of voice, malaise, radiating burning sensation, emittance of smoke from the mouth, smell of metal, blood, or fish , mucus in the mouth, appearance of red, green or yellow spots in body parts, feces, urine, sweat, saliva, nose-secretion, excreta from mouth and ear and boils, bodyache, and frequent vision of red, blue, yellow, blackish and brilliant objects in dreams. [6]
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=== Complications ===
=== Complications ===
Amongst these, that which comes out of the upper orifices is curable and is treatable by purgation due to availability of plenty of drugs for the purpose. That coming out from the lower orifices is palliable because of being amenable to emesis and availability of lesser number of drugs for the purpose. That coming out from both the routes is incurable because of non-applicability of both emesis and purgation and in want of suitable drugs. (9)
Amongst these, that which comes out of the upper orifices is curable and is treatable by purgation due to availability of plenty of drugs for the purpose. That coming out from the lower orifices is palliable because of being amenable to emesis and availability of lesser number of drugs for the purpose. That coming out from both the routes is incurable because of non-applicability of both emesis and purgation and in want of suitable drugs. (9)
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=== Origin of ''raktapitta'' ===
=== Origin of raktapitta ===
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Hystorically, ''raktapitta'' occured after ''jwara'' because of Rudra’s anger pervaded the human being at the time of destruction of Daksha's sacrifice. [10]
Hystorically, [[raktapitta]] occured after [[jwara]] because of Rudra’s anger pervaded the human being at the time of destruction of Daksha's sacrifice. [10]
=== General principles of management ===
=== General principles of management ===
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The disease is acute in nature and becomes critical very quickly, spreading like bush fire. Hence its treatment should be done immediately with saturating or de-saturating soft, sweet, cold, bitter and astringent diet and pastes, baths, emesis etc. after due consideration of dose, place and time. [11]
The disease is acute in nature and becomes critical very quickly, by spreading like bush fire. Hence its treatment should be done immediately with saturating or de-saturating soft, sweet, cold, bitter and astringent diet and pastes, baths, emesis etc. after due consideration of dose, place and time. [11]
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==== [[Virechana]] (therapeutic purgation) in [[raktapitta]] ====
==== [[Virechana]] (therapeutic purgation) in [[raktapitta]] ====