Wednesday 2 December 2015

Raktamokshan ( Therapeutic Blood Letting ) -Indications & Contraindications

Raktamokshan  ( Therapeutic Blood Letting )  –

Part 2 on 2 Dec 15, Wednesday

Indications for blood letting

      All disease which are caused by impure blood e.g. skin diseases

      Acne, rash, urticaria, eczema ,specially wet Eczema, scabies ,leucoderma, chronic itching, baldness ( Indralupta) ,Abscess

      Musculo Skeletal problems ,having Pitta vitiation & Rakta is Dushya like Vatarakta ( gout & Rhrumatoid Arthritis also )

      Digestive complaints ,where Pitta is vitiated Dosha & Rakta is Dushya Hepato & splenomegaly ( Both are Raktasyaya) ,Cirrhosis of Liver ,Repeated Apthous ulcers, piles, Dacrocystitis.

      Cardiovascular System problems due to Pitta & Rakta like Hypertension ,In CCF ,to reduce preload

      Neurological problems like Migraine,  Headache of other types
      Psychological problems like Hot Temper ( Of course it will need other Pschological management like Councelling,Yoga methods like Pranayam practice,Meditation )

      In Ayurveda Rakta Pradoshaja Diseases are described at Cha Sutra 24 /11 to 16 ,Ashtang Hrudaya Sutra 27/2,3;Cha Sutra 28/24 to 27 ,Su Sutra 25/ 12 to 15 ;Harit Chaturtha Cha 5

Contraindication for blood letting ( Ref Su Sutra 14/19 & Su Sharir 8/2)

      As blood is eliminated in this procedure, it should not be children, old age, in very weak patients ,pregnant women ,Exhausted due to heavy physical work like excess exercise or walking ,after Vaman, Virechan, Asthapana and Anuvasana, rainy season, cough, asthma, and High fever, Hemiplegia, Impotency, Low weight ,Giddiness, undernourished ,Oedema all over body i.e Anasarca  are the contraindicated situations.

      As this is Invasive procedure ,it should be done after written consent only.BT CT & Prothrombin time of each patient before Raktamokshan ,to avoid Medicolegal complications

      Disorder related with bleeding time, clotting time, prothrombin time should be very carefully handled. Prolonged B.T., C.T., P.T. are contraindicated. Diases like Haemophilia ,Thalassemia ,Severe Anaemia are contraindications

      Patients on anti platelet, anticoagulant ( Post stroke or MI) are the high risk cases. So better should be avoided

Suitable Time for Raktmokshan
      Summer-Morning / Evening
      Rainy-In absence of cloud
      Autumn-Suitable for both diseased and healthy persons
      Winter-Midday

      Prof.Dr.R.R.Deshpande --- 9226810630
      Dr.Sachin Sarpotdar -------- 9822795363
      Dr,Mayura Shinde ---------- 7276866831



1 comment:

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