Prakaara Paribhaashaa:

Asra Visruti / S`hon`ita Nirharan`a / Asra Visraavan`a

  • The process in which vitiated blood, Vaata, Pitta and Kapha are allowed to come out of the body through Siraa is termed as Raktamokshan`a. It’s is one of the eightS`hastrakarma described by Sus`hruta.
  • It’s a procedure in which entrapped Vaayu is drained through Viddha (puncture) in the skin. This also helps to let out entrapped circulation in blood vessels.

 

Types:

Two main types

  1. S`hastrakrit
  • Prachchhaana
  • Siraavedha

 

  1. S`hastra Rahita i.e. blood letting done with the help of Anus`hastra.
  • Jalaukaavacharan`a
  • Alaabu
  • S`hringa
  • Ghat`iyantra

 

Poorvakarma (Prerequisites):

Patient preparation:

  • Oleation and fomentation therapy should be administered locally for Siraavedha S`hringa Karma and Alaabu Karma. It produces anaesthesia and reduces pain during prick. As Dosha are S`haakhaagata (i.e. in Siraa). No internal oleation or fomentation is required as Dosha are not to be brought in Kosht`ha as in Vamana andVirechana.

 

Pradhaanakarma:

  • Quantity of blood letting should be 540 ml according to Samhitaa. But now a days 250 ml of blood is the maximum quantity accepted all over for a healthy person and 40 to 100 ml for a diseased person (as emergency measure).
  • Still if patient develops the signs of Raktakshaya blood letting should be stopped immediately.

 

Pas`hchaatkarma:

  • The patient should be advised to consume diet having following properties

o       Laghu (easy to digest)

o       Agnideepana (stimulating the digestive power)

o       Raktavardhaka (facilitating blood formation)

o       Na Ati Ushn`a Na Ati S`heeta (should not be very hot or cold in potency)

 

Chikitsaa Karma (Benefits):

  • Raktamokshan`a in the surgical branch of clinical medicine is as important as Basti in internal medicine. It is equally potent and effective in controlling pathology
  • The importance of Asravisruti is equally important in chronic diseases as well as acute disorders. The modality being vene puncture.
  • The role of Rakta flowing in its normal channels is to facilitate all movements, fill the vessels and provide unfailing perception of touch.
  • Siraa always carry all Dosha along with Rakta. Vedanaa indicates deranged or Vikrita Vaayu and this is an ideal indication for Raktamokshan`a.
  • Balya
  • Tusht`i
  • Relieves pain and severity of the condition.
  • If there is no relief from pain by Snehana and Svedana, Raktamokshan`a should be carried out which should be followed by Agni karma.
  • S`hoola Pras`hamana
  • Prasanna Varnendriyam Indriyaarthaanichchhantam                     C. Su. 24/24
  • Prasanna Varn`ya
  • Prasanna Indriya
  • Indriyaarthaan Ichchhantam Avyaahatam
  • Agnideepana
  • Sukhakara
  • Vran`a Paaka S`hamana

 

 

Other Description:

  • One must have full knowledge about Indrabasti, S`hankha, Sthapani, S`hringaat`aka and Kshipramarma as they are the landmarks for selection of place on body for puncture.
  • Raktamokshan` should be done in Vaataja Gulma if all other measures indicated for Vaataja Gulma fail.
  • Kusht`ha which are stable, hard and rounded should be fomented by Prasthara and Naadi types of Svedana and then rubbed with Kurcha.
  • In elevated patches of Kusht`ha fomentation should be done by Pot`t`ali containing meat of aquatic animals.
  • If the patches are numb and anaesthetic, absence of perspiration and itching, then they should be rubbed with Kurcha or with steams of DantiTrivritKaranja,Karaveera and Kut`aja, Leaves of JaatiArka and Nimba or with sharp instruments or with Samudraphena or dried cow dung.
  • The Pittaja Gulma becomes Chhinnamoola and suppuration is also avoided due to Raktamokshan`a.
  • In Kritamoola, Mahaavaastu, Kat`hina, Stimita and Guru Kaphaja Gulma Agnikarma should be done after blood letting.

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