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 issues. Since in Kushta there will likely be monumental accumulation of the doshas within the system, the illness and its signs will likely be cussed to many medicines. The treatment is not going to be complete and recurrences are doable. Subsequently, the morbid doshas are expelled every so often i.e., repeated cleaning is critical 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 extremely useful within the therapy of Kushta.
Learn – Charaka Kushta Nidana: fifth chapter
Raktamokshan – Advantages in kushta
Rakta – blood is likely one of the components concerned within the pathogenesis of kushta. Subsequently, contamination of blood and this blood afflicting the pores and skin and physique components to an incredible extent is obligatory within the causation of pores and skin issues in accordance with Ayurveda. From this angle bloodletting turns into an vital remedy within the therapy of kushta.
Indication for raktamokshan
Bloodletting and purgation are a very powerful therapies within the therapy of pittaja kushta – pores and skin issues attributable to 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 positioned within the blood. Vitiation of pitta would possibly trigger vitiation of blood and vice versa. That is additionally the explanation for administering bloodletting in pitta predominant kushta. Aside from Vatarakta, Kushta is one other situation whereby grasp Charaka has detailed the administration of bloodletting.
Learn – Charak Samhita Kushta Chikitsa – seventh 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 bothered area must be completed. Following this, bloodletting must be completed 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 must be completed by venesection methodology.
Learn – Blood Letting Remedy – Siravyadha – Astanga Hrudaya Sutrasthana 27
Technique of Bloodletting in Kushta
In pores and skin issues whereby the lesions are fastened, laborious and round in form, firstly sudation must be administered utilizing prastara (stone slab) or nadi (tubular) types of sudation. Following this, the bothered area must 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 issues get subsided. Following this, the bothered areas are supplied with sudation. For this, the meat of animals and birds dwelling within the anupa (marshy areas) and audaka (aquatic) areas must 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 must be scraped utilizing sharp devices. Alternatively when the doctor learns that doshas are aggravated in lesser proportions and are positioned superficially, the kushta space must be scraped and the morbid blood eliminated utilizing horn or gourd. When the doshas are aggravated in bigger proportions and positioned in deeper tissues venesection must be most popular for bloodletting.
Learn – Raktamokshana Advantages, Varieties, Process, Indications
Lepa after Raktamokshana
Grasp Charaka explains completely different sorts of lepa i.e. medicinal pastes which might be utilized on the areas of the physique bothered by kushta instantly after raktamokshana. Grasp Charaka additionally supplies us with guidelines for software 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 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 issues. Because of this bloodletting is likely one of the obligatory therapies which have to be completed earlier than administration of medicinal pastes or use of anointments.
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