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D R . K A U S H A L S I N H A
2 N D Y E A R P G S C H O L A R
D E P T O F P A N C H A K A R M A
Raktamokshana in Gridhrasi
Introduction
 Shodhana chikitsa is one of the most important
treatment modality in ayurveda.
 raktamokshana is one among...
Gridhrasi
 One of the Nanatmaja vikaras.
 Characterised by piercing pain, stiffness,cramps
beginning from the sphik radi...
Types
1. Vataja Gidhrasi
2. Vata-kaphaja Gridhrasi
 Vataja Gridhrasi: Curved posture (altered gait) due
to pain(pain duri...
Sciatica
 Pain in the leg generally unilaterally caused by
irritation of sciatic nerve.
 There may be numbness, difficul...
Hetu
 Ruksha, Sita, Alpa, Laghu, Tikta,Katu, Kashaya Anna
sevana.
 Atimaithuna.
 Ativyayama .
 Excessive sitting on a ...
Causes of sciatica according to the modern
knowledge:
 Bulging disc or herniated disc.
 Degenerative disc disease.
 Pir...
Disc bulge
Herniated Disc
Piriformis syndrome
Spinal Stenosis
Spondylolisthesis
Spinal Tumor
Definition of Raktamokshana
 “Raktasya Mokshanam Raktasrava”
letting out the impure blood from the body is
known as Rakta...
Types of Raktamokshana
Types of Raktamokshana Indications
shringa Vata Dushta Rakta, Avagada tama
Dushta,
Rakta in twak, S...
Treatment stated by Acharya charaka in Gridhrasi
are
 Siravedha
 Bastikarma
 Agnikarma
Treatment stated by Acharya Sush...
Sites of Raktamokshana
 4 angula above or below from Janu
Sandhi(sushrutha)
 4 angula above from Gulf (haritha)
 In bet...
Procedure of siravyadha
Purva karma
 Sambhara sangraga
 Atura cayana
 Atura siddhata
Pradhana karma
 Siravyadhanartha ...
Amount of blood to be collected
 One Prastha is advocated as the maximum limit of
blood letting with excessively vitiated...
Probable Mode of Action of Raktamokshana
 Kandara is the upadhatu of Rakta and kandara is the
Dusya in Gridhrasi.
 Gridh...
Discussion
Sciatica
How is TNF
related ?
Whether
chemicals in
the blood called
Cytokines
influence pain ?
What is
Chemical...
Conclusion
 Raktamokshana can cure the disease when other
treatment do not have the effect on disease/ when
other treatme...
Thankyou…
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Raktamokshana in gridhrasi

  1. 1. D R . K A U S H A L S I N H A 2 N D Y E A R P G S C H O L A R D E P T O F P A N C H A K A R M A Raktamokshana in Gridhrasi
  2. 2. Introduction  Shodhana chikitsa is one of the most important treatment modality in ayurveda.  raktamokshana is one among the panchashodhana.
  3. 3. Gridhrasi  One of the Nanatmaja vikaras.  Characterised by piercing pain, stiffness,cramps beginning from the sphik radiates upto the pada through the posterior aspect of kati, prusta, janu ,jangha.  Leading disability in walking.
  4. 4. Types 1. Vataja Gidhrasi 2. Vata-kaphaja Gridhrasi  Vataja Gridhrasi: Curved posture (altered gait) due to pain(pain during lateral bending), severe stiffness, pulsation in back, hip, thigh, knee and foreleg.  Vata-kaphaja Gridrasi: Along with the above features, indigestion, drowsiness, nausea, anorexia, heaviness of the leg and freezing sensation in the lower limbs are complained
  5. 5. Sciatica  Pain in the leg generally unilaterally caused by irritation of sciatic nerve.  There may be numbness, difficulty in moving or controlling the leg.  Pain, generally travel from back of thigh to back of calf and may also extends upwards to the hips and downwards to the foot. so comparitively sciatica resembles with the Gridhrasi described in Ayurvedic science.
  6. 6. Hetu  Ruksha, Sita, Alpa, Laghu, Tikta,Katu, Kashaya Anna sevana.  Atimaithuna.  Ativyayama .  Excessive sitting on a chair for a longer time  Excessive standing for longer time.  Amotpatti.  Dhatukshaya etc.
  7. 7. Causes of sciatica according to the modern knowledge:  Bulging disc or herniated disc.  Degenerative disc disease.  Piriformis syndrome.  Pregnancy.  Spinal stenosis.  Spinal tumors and spinal infections.  Spondylolisthesis.  Trauma.
  8. 8. Disc bulge
  9. 9. Herniated Disc
  10. 10. Piriformis syndrome
  11. 11. Spinal Stenosis
  12. 12. Spondylolisthesis
  13. 13. Spinal Tumor
  14. 14. Definition of Raktamokshana  “Raktasya Mokshanam Raktasrava” letting out the impure blood from the body is known as Raktamokshana.
  15. 15. Types of Raktamokshana Types of Raktamokshana Indications shringa Vata Dushta Rakta, Avagada tama Dushta, Rakta in twak, Sukumara purusha,Kandu,Suptata,Sparshanasha Jalouka Pitta Dushta Rakta,grathita Rakta, Avagada Dushta Rakta in twak, Sukumara purusha, Toda, Daha Alabu Kapha Dushta Rakta, Avagada tara Dushta, Sukumara purusha, Kandu, Suptata Siravyadha Tridoshaja Rakta Dushti, Sarvanga Gata Dushti pracchana Uttana Rakta, Ekadesha Pindita Rakta Ghati Yantra Kapha-Vata Dushta Rakta
  16. 16. Treatment stated by Acharya charaka in Gridhrasi are  Siravedha  Bastikarma  Agnikarma Treatment stated by Acharya Sushrutha is  Siravedha treatment stated by Acharya Bhela are  Snehana  Swedana  Basti  Raktamokshana
  17. 17. Sites of Raktamokshana  4 angula above or below from Janu Sandhi(sushrutha)  4 angula above from Gulf (haritha)  In between the Kandara and Gulf (charaka)
  18. 18. Procedure of siravyadha Purva karma  Sambhara sangraga  Atura cayana  Atura siddhata Pradhana karma  Siravyadhanartha aasana  Siravyadha and Nirikshana Paschat karma  Atura paricharya  Pariharya vishaya  Shamana chikitsa
  19. 19. Amount of blood to be collected  One Prastha is advocated as the maximum limit of blood letting with excessively vitiated doshas. As per Dalhana  1 Prastha- uttama matra  ½ Prastha- madhyama matra  ¼ Prastha- hina matra
  20. 20. Probable Mode of Action of Raktamokshana  Kandara is the upadhatu of Rakta and kandara is the Dusya in Gridhrasi.  Gridhrasi is the Rakta vata as stated by Harita.  Gridhrasi is due to Vyana Vayu Prakopa ant this Vyana Vayu is related to blood circulation.  Elimination of Ama by Siravyadha which obstructs the srotas or channels and vayu gets anoloma.
  21. 21. Discussion Sciatica How is TNF related ? Whether chemicals in the blood called Cytokines influence pain ? What is Chemical Radiculitis?
  22. 22. Conclusion  Raktamokshana can cure the disease when other treatment do not have the effect on disease/ when other treatment fails.  It gives immediate relief in pain of Gridhrasi.  The symptoms of samyak siravedha are Laghavam, Vedanashanti , visravit rakta , it means the pain arising from a disease condition get subsided followed by decrease in the symptoms of the disease so siravedha can be used in pain predominant diseases.
  23. 23. Thankyou…
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Raktamokshana in gridhrasi

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