Raktamokshan ( Therapeutic Blood Letting ) –
Part
4 on 4 Dec 15, Friday
•
Types of raktamokshna
•
By Shastra prayoga (
Sharp Instruments)
1. Siravedhana
& 2. Prachchana
1. Siravedhana
(Venupuncture)
This procedure , proper training
& practice .
As this is invasive training
, prior written consent of patient is required.
This procedure should be
done with delicate people ,low weight people ,alcoholic, small children, old
people ,alcoholic ,debilated ,patient of Asthama ,Kasa,Hiccough
•
It includes removal of blood through vein by
using syringe with the needle.
•
Venupuncture is done ,when there is not too
cold,too hot,sky is clean .In rainy season,when there is clear sky,In summer in
morning time,& in winter at noon
•
Pretreatment
•
Snehan – Medicated Ghees like Tiktak
Ghruta,Mahataktak Gruta or Khadiradi Ghruta are commonly used .For external Oiling
Bala Taila or Seasame oil is used .Rakta dushtijanya Twak cikar – Use Vrana
shodhan taila,Marichydi or Bruhan marichydi oil or paribhadra oil are also
useful
•
Swedan – Water vapor ( Bashpa sweda) is
useful .For local fomentation use Tapa sweda like with hot towel
•
Before Venu puncture at least 4 hour before
do not do local Snehan .Full body oil application & fomentation is done 1
day prior Venupuncture
•
Liquid ,snigdha ,sweet Diet is given .( Because Blood
letting can cause Vata Prakop
Main Procedure
•
Vein in front of elbow joint is more commonly
subjected to the procedure. Tourniquet is tied above the elbow joint. Patient
is asked to keep fist closed, by which this
veins get dilated, predominant and can
be seen easily. Area is sterilized with the spirit & needle is inserted
horizontally to the blood vessel.
•
This method of bloodletting is used in
conditions in which impure blood circulates throughout the body.
•
Remove blood very slowly and in proper
quantity, depending upon the extent of impurity (dosha bala) and strength of
the patient. Otherwise, adverse effects may be produced.
•
In day today practice 50 to 100 ml blood is
removed in one time.
•
Blood can be removed by disposable Syringe
& needle of 20 number
•
Scalp vein set can also be used ,instead of
syringe & needle
After treatment
•
Shamana chikitsa
• If
any complications are observed, then those are treated on priority basis .
• Prachhana
( Synonym –Shastrapad or pad )
•
In this procedure, bloodletting is done by
very light superficial incisions taken on the skin with the help of scalpel. It
is used to drain the accumulated blood from a particular point of the body.
•
Prachhana is done on the body. Silky cloth is
applied on that surface and a syringe is pressed at that point. The piston
should be pulled very slowly. It creates vacuum and blood is collected in the
syringe.
•
Pracchan should be avoided at snyayu ,Sandhi
i.e bony joints,Asthi or bone & Marma or vital points
•
Pracchan should be done in Pratilom direction
& should be in parallel way
Shringa karma (Sringavacharanam)
•
Shringa means horn. In ancient times, horns
were used to aspirate the vitiated blood from the body, hence named so. Small
incision used to be made at the spot selected for aspiration and blood
aspirated from the tip of horn with mouth.
•
Now days, the procedure can be carried out by
a syringe cut at its mouth.
•
Shrunga is unctuous,slimy ,ushna & sweet
in properties .So used for removing rakta ,vitiated by Vata
Alabu karma
•
Blood vitiated by Kapha dosha can be removed
by Alabu karma.
•
For
this, Alabu (tumbi / bitter dudhi / bottle gourd) is used hence named so.Alabu
is Ruksha & Bitter .It is used for Kapha Dushit Rakta
•
Fresh gourd is taken .Pulp is removed .It is
applied ,after doing Pracchan karma .Keeping burning candle ,gourd is covered
on it .By sucking action ,blood is drained out from cuts & raktamokshan
takes place .
•
Jatyadi taila or Ghruta is used for dressing
& bandaging the wound.
•
Now a days ,Shrunga ,Alabu are rarely used
for Blood letting
•
Prof.Dr.R.R.Deshpande
--- 9226810630
•
Dr.Sachin
Sarpotdar -------- 9822795363
•
Dr,Mayura
Shinde ---------- 7276866831
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