By Dr Raghuram Y.S. MD (Ay) & Dr Manasa, B.A.M.S
Grasp Charaka emphasizes the administration of Panchakarma measures within the remedy of Kushta – pores and skin problems. Since in Kushta there might be monumental accumulation of the doshas within the system, the illness and its signs might be cussed to many medicines. The treatment is not going to be complete and recurrences are doable. Due to this fact, the morbid doshas are expelled now and again i.e., repeated cleaning is important within the remedy protocol of kushta. Every remedy of Panchakarma has its personal utility in numerous stage of the illness and in case of various dosha predominance. Amongst them Raktamokshan – bloodletting too is very useful within the remedy of Kushta.
Learn – Charaka Kushta Nidana: 5th chapter
Raktamokshan – Advantages in kushta
Rakta – blood is without doubt one of the parts concerned within the pathogenesis of kushta. Due to this fact, contamination of blood and this blood afflicting the pores and skin and physique elements to an incredible extent is necessary within the causation of pores and skin problems in response to Ayurveda. From this angle bloodletting turns into an essential remedy within the remedy of kushta.
Indication for raktamokshan
Bloodletting and purgation are crucial therapies within the remedy of pittaja kushta – pores and skin problems brought on by predominant vitiation of pitta. Due to this fact, these therapies shall be most popular when pitta predominant signs are seen in kushta.
Each purgation and bloodletting are helpful together within the remedy 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 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 – 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 stricken area ought to be completed. Following this, bloodletting ought to be completed utilizing srnga – horn or alabu – gourd.
Sira vyadha – However, within the presence of aggravation of doshas in giant amount in kushta or when the doshas are deep seated in deeper tissues bloodletting ought to be completed by venesection technique.
Learn – Blood Letting Therapy – Siravyadha – Astanga Hrudaya Sutrasthana 27
Technique of Bloodletting in Kushta
In pores and skin problems whereby the lesions are fastened, exhausting and round in form, firstly sudation ought to be administered utilizing prastara (stone slab) or nadi (tubular) types of sudation. Following this, the stricken area ought to be rubbed utilizing an instrument known 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 stricken areas are supplied with sudation. For this, the meat of animals and birds dwelling within the anupa (marshy areas) and audaka (aquatic) areas ought 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 ought 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 ought 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 ought 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 may be utilized on the areas of the physique stricken 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 likewise after elimination of morbid blood via bloodletting. Solely when the medicinal pastes are utilized after the completion of those therapies, they might be extremely efficient in treating the pores and skin problems. Because of this bloodletting is without doubt one of the necessary therapies which have to be completed earlier than administration of medicinal pastes or use of anointments.
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