4. INTRODUCTION
Raktamokshana is a unique procedure among the
Shashtra karma indicated in different diseases where
gross vitiation of Rakta is present.
Sushrutha, the father of ancient Indian surgery,
describes about physiological and pathological role of
Rakta in various disorders.
According to Acharya Vagbhata and Sushrutha,
Raktamokshana is one among the PANCHA-
SHODHANA.
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6. ‘Rakta’ means: colored, dyed, tinged, painted, Red,
crimson, blood red.
‘Mokshana’ - derived from the root ‘moksha’ means ‘to
relieve’ or ‘to let out’.
“Raktasya Mokshanam Raktasrava”
Letting out the impure blood from the body is
known as Raktamokshana.
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7. IMPORTANCE
• सिराव्यधिश्चिकित्िािं िम्पूर्णं वा धिकिश्त्ितम ्|
शल्यतन्त्रे स्मृतो यद्वद्बश्स्तिः िायधिकिश्त्िते|
(As Su 36/3)
• ते ि शीतोष्र्णाश्स्िग्िरूक्षद्ययिः िववदोषप्रतितपक्षयिः
िम्यगप्युपक्रान्त्तािः िाध्या अपप ि सिद्ध्यश्न्त्त|
ते ि रक्तप्रिोपजािः तस्मात्तेष्वत्युद्रिक्तरक्तपव्ावर्णाय
यथास्वं सिरां पवद्ध्येत ्||७||
(As.Su 36)
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19. • One Prastha is advocated as the maximum limit of
blood letting with excessively vitiated doshas.
As per Dalhana
• 1 Prastha- uttama matra(768 ml)
• ½ Prastha- madhyama matra(384 ml)
• ¼ Prastha- hina matra(192 ml)
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23. Savisha jalauka Nirvisha jalauka
Habitat- originates in
decomposed urine and fecal
matter of toads and poisonous
fish, ponds of stagnant and
turbid water.
Habitat- originates in
decomposed vegetable matter,
in the putrefied stems of
aquatic plants, clear water.
Thick in middle portion Strong and well built
Lean in both ends Strong suckers
Slow movement, less active fast
Ugly in look, unable to catch
the host
Blue colored lining in dorsal
side of body
Small quantity blood Back side – kashaya in colour
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25. Precautions
The digestive tract of the medicinal leech is colonized
by two bacterias : Aeromonas veronii and Rikenella.
Aeromonas veronii may cause wound infections and
septicaemia in humans.
These infections can be prevented by treating the
leech prior to the application with Haridra(Turmeric)
Curcuma longa.
Itching - Dushi visha vati, Bilwadi gudika
Increased pain- Dushi visha vati, Bilwadi gudika
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40. 6/30/2017 40
ALABU CUPPING
Traditional method Recent advancement
Medicinal benefit No medicinal benefit
Comparatively
difficult to perform
Easy
Difficult to clean Easy to clean
42. Procedure and
waste
Category Type of waste Treatment and
disposal option
Gloves, cotton, Category No. 6 Soiled Waste (Items
contaminated with body
fluids including cotton,
dressings, soiled plaster
casts, lines, bedding and
other materials
contaminated with blood.)
incineration/
autoclaving/ micro
waving
Needle Category No 4 Waste Sharps (Needles,
syringes, scalpels, blades,
glass, etc. that may cause
puncture and cuts. This
includes both used and
unused sharps)
Disinfecting
(chemical
treatment/
autoclaving/
micro-waving and
mutilation /
shredding
Blood Category No. 1 Human Anatomical Waste
(Human tissues, organs,
body parts)
Incineration/ deep
burial
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43. COLOUR TYPE OF WASTE
YELLOW Blood, experimental animals,
discharge from hospitals, waste
from laboratory etc
RED Microbiology & Biotechnology
waste
BLUE Needles, Syringes, Scalpels
blades, Glass etc
BLACK Chemicals, Insecticides etc
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46. • 10 patients of gridhrasi having acute pain were
selected.
• Deepana pachana with ajamodadi churna 3gm Bd
with warm water, sasneha tila yavagu in the morning
time
• Sarvanga abhyanga with Tila taila and bashpa sweda.-
for 3 days and on third day siravedha.
• It was founds that there is highly significant relief in
the symptoms of gridhrasi.
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47. • Study says that raktamokshana is considered as ardha
chikithsa and due to asraya asrayi bhava,it acts on pitta
dosha also.
• By raktamokshana, sroto sodhana is achieved which
further helps in abatement of Kushta.
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48. CASE
NAME : XX
AGE : 32
SEX : Male
RELIGION : Hindu
MARITAL STATTUS: Unmarried
OCCUPATION : Driver
ADDRESS : Channarayapattan,
Hassan
D.O.A : 11/3/17
D.O.D :19/3/17
OP NO:027301
IP NO : 18723
49. CHIEF COMPLAINTS:
Pain in low back region radiating to left lower
limb since 1 year.
ASSOCIATED COMPLAINTS
Feeling of heaviness in the left leg
54. Day Treatment
11/3/17 1.Sar udwarthana followed by sarvanga
parisheka with dhanyamla and DMQ
2.Sthanika pinda sweda with lavana and
chinch (danyamla dipping)
3.Anuvasana basti with pipplyadi taila
12/3/17 Same above
4.Erandamooladi niruha basti
13/3/17 Same above
Basti - NB and AB
6/30/2017 54
55. Day Treatment
14/3/17 1.Sar abynga with dhanvantara taila follwed by
jambeera pinda sweda
2.Sthanika pinda sweda with lavana and chinch
(danyamla dipping)
3.Basti – NB and AB
15/3/17 1.Sar abynga with dhanvantara taila follwed by
jambeera pinda sweda
2.Sthanika pinda sweda with lavana and chinch
(danyamla dipping)
3.Basti – NB and AB
16/3/17 Same above
4.Upanaha with kolakulathadi churna +rsna
+saindhava+dhanvantara taila over left knee joint
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56. Day Treatment
17/3/17 1.Sar abynga with dhanvantara tailafollwed by SSPS
2.Sthanika pinda sweda with lavana and chinch
(danyamla dipping)
3.Basti NB and AB
4.Siravedha over left leg
18/3/17 1.Sar abynga with dhanvantara tailafollwed by SSPS
2.Upanaha with kola kulathadi churna +rasna
+saindhava+dhanvantara taila over left knee joint
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57. Day Treatment
19/3/17
1.Sar abynga with dhanvantara tailafollwed by SSPS
2.Upanaha with kola kulathadi churna +rasna
+saindhava+dhanvantara taila over left knee joint
6/30/2017 57
59. MODE OF ACTION OF RAKTAMOKSHANA
In Raktamokshana dushita rakta along with vitiated
doshas are removed.
The susceptibility of Rakta towards impurity is too
much versatile.
Therefore Dushita (vitiated) Rakta from the related
Siras (veins) should be let out to protect the health or
to manage the disease.
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60. Raktamokshana is indicated in disease of Raktaavrita
vata. It is said to have artihara property and produces
quick relief from symptoms.
By the Raktamokshana, probably there may be
breaking down of obstruction (Avarana) which helps
in normal movement of Vata, there by restoring the
normal circulation and function of Vata.
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61. Dushitha dosha nirharana improves the quality of
rakta.
It acts on kandara, sira, mamsa, snaayu and corrects
the dhatu nirmanakrama by the act of srotoshodhana.
It also cures the vatika symptoms along with
symptoms produced by kapha dosha.
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62. CONCLUSION
• If there is no significant improvement even after
panchakarma treatment, it has to be understood that
underlying pathology is raktavrutha vata .
• There comes the importance of Raktamokshana.
Which gives fast and better relief from the
symptoms.
• Raktamoksha is a simple procedure and can be
practiced even in OPD levels.
6/30/2017 62
In classical, Susrutha and vagbhata clearly mentions the pancha sodhana as vamana, virechana, basthi, nasya, raktamokshana
For charaka, Chathushprakara samsudhi
Kayachikithsa - basthi – ardha chikithsa : Salya – rakthamokshana – ardha chikithsa
Involvement of raktha is there in underlying pathology
HONEY- anti bacterial, anti oxidant, antibiotic
blood in drony – contagious diseases
We will be carriers for transmission of desorder
we cut those alabus evenly. Removed seeds and all from inside.
Aceptic precautions are very important
Am not going to explain this in detail, bcz in cuming up cluster from our deptmt presentation will be there regarding this topic
Discard after single use
Glass- sterilization
Follow the rules strictly to avoid contamination
Hydrogen peroxide
Sewage treatment plan
Few article regarding raktamokshana
Bragards s
schobers
On the same day pt complained bleeding per rectum, so she refferd to shalya dep.she was prescribed to use following medicines
ते च शीतोष्णास्निग्धरूक्षद्यैः सर्वदोषप्रतिपक्षैः
सम्यगप्युपक्रान्ताः साध्या अपि न सिद्ध्यन्ति|