By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Grasp Charaka emphasizes the administration of Panchakarma measures within the therapy of Kushta – pores and skin problems. Since in Kushta there can be monumental accumulation of the doshas within the system, the illness and its signs can be cussed to many medicines. The treatment won’t be complete and recurrences are potential. Subsequently, the morbid doshas are expelled sometimes i.e., repeated cleaning is important within the therapy protocol of kushta. Every remedy of Panchakarma has its personal utility in several stage of the illness and in case of various dosha predominance. Amongst them Raktamokshan – bloodletting too is very useful within the therapy of Kushta.
Learn – Charaka Kushta Nidana: 5th chapter

Raktamokshan – Advantages in kushta

Rakta – blood is among the parts concerned within the pathogenesis of kushta. Subsequently, contamination of blood and this blood afflicting the pores and skin and physique elements to an amazing extent is obligatory within the causation of pores and skin problems in accordance with Ayurveda. From this attitude bloodletting turns into an necessary remedy within the therapy of kushta.

Indication for raktamokshan

Bloodletting and purgation are crucial therapies within the therapy of pittaja kushta – pores and skin problems brought on by predominant vitiation of pitta. Subsequently, these therapies shall be most popular when pitta predominant signs are seen in kushta.

Each purgation and bloodletting are helpful together within the therapy of pittaja kushta or selectively administered i.e. both purgation or bloodletting as and when wanted, relying on the choice of the doctor.

Blood and pitta are having residence-resident relationship. Pitta is situated within the blood. Vitiation of pitta may trigger vitiation of blood and vice versa. That is additionally the rationale for administering bloodletting in pitta predominant kushta. Other than Vatarakta, Kushta is one other situation whereby grasp Charaka has detailed the administration of bloodletting.
Learn – Charak Samhita Kushta Chikitsa – 7th Chapter

Raktamokshanam in Kushta

Prachanna – Within the presence of aggravation of doshas in small amount in kushta or when the doshas are seated in superficial tissues prachanna i.e. scraping of the area needs to be carried out. Following this, bloodletting needs to be carried out utilizing srnga – horn or alabu – gourd.
Sira vyadha – However, within the presence of aggravation of doshas in massive amount in kushta or when the doshas are deep seated in deeper tissues bloodletting needs to be carried out by venesection technique.
Learn – Blood Letting Therapy – Siravyadha – Astanga Hrudaya Sutrasthana 27

Methodology of Bloodletting in Kushta

In pores and skin problems whereby the lesions are mounted, onerous and round in form, firstly sudation needs to be administered utilizing prastara (stone slab) or nadi (tubular) types of sudation. Following this, the area needs to be rubbed utilizing an instrument referred to as kurcha. Kurcha is a brush formed instrument having sharp and pointed bristles used for rubbing.

After rubbing, the contaminated blood shall be faraway from these areas of kushta. As soon as the contaminated blood has been expelled from the area of kushta the problems get subsided. Following this, the areas are supplied with sudation. For this, the meat of animals and birds residing within the anupa (marshy areas) and audaka (aquatic) areas needs to be boiled, tied in a bolus and used for offering sudation over the kushta areas.

Following this, to take away the contaminated blood the areas needs to be scraped utilizing sharp devices. Alternatively when the doctor learns that doshas are aggravated in lesser proportions and are situated superficially, the kushta space needs to be scraped and the morbid blood eliminated utilizing horn or gourd. When the doshas are aggravated in bigger proportions and situated in deeper tissues venesection needs to be most popular for bloodletting.
Learn – Raktamokshana Benefits, Types, Procedure, Indications

Lepa after Raktamokshana

Grasp Charaka explains totally different sorts of lepa i.e. medicinal pastes which could be utilized on the areas of the physique by kushta instantly after raktamokshana. Grasp Charaka additionally offers us with guidelines for utility of lepas. Lepas shall be utilized after having cleansed the affected person by administration of therapeutic emesis and purgation and in addition after removing of morbid blood by means of bloodletting. Solely when the medicinal pastes are utilized after the completion of those therapies, they’d be extremely efficient in treating the pores and skin problems. Which means that bloodletting is among the obligatory therapies which have to be carried out earlier than administration of medicinal pastes or use of anointments.
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