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 might be huge accumulation of the doshas within the system, the illness and its signs might be cussed to many medicines. The treatment won’t be complete and recurrences are doable. Subsequently, the morbid doshas are expelled infrequently 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 extremely useful within the therapy 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. Subsequently, contamination of blood and this blood afflicting the pores and skin and physique components to an excellent extent is obligatory within the causation of pores and skin issues based on Ayurveda. From this angle 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 issues brought on by predominant vitiation of pitta. Subsequently, these therapies shall be most well-liked 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. 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 stricken 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 giant amount in kushta or when the doshas are deep seated in deeper tissues bloodletting needs to be carried out by venesection methodology.
Learn – Blood Letting Therapy – Siravyadha – Astanga Hrudaya Sutrasthana 27
Technique of Bloodletting in Kushta
In pores and skin issues whereby the lesions are fastened, arduous and round in form, firstly sudation needs to be administered utilizing prastara (stone slab) or nadi (tubular) types of sudation. Following this, the stricken area needs 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 issues get subsided. Following this, the stricken 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 positioned 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 positioned in deeper tissues venesection needs to be most well-liked 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 stricken by kushta instantly after raktamokshana. Grasp Charaka additionally supplies 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 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 issues. Which means bloodletting is without doubt one of the obligatory therapies which must be carried out earlier than administration of medicinal pastes or use of anointments.
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