1. Rakta Pittam ®úHòÊ{ÉkɨÉ 1
®úHòÊ{ÉkɨÉ - ÊxɯûÊHò 1. Pitta Swakarana
1. Ê{ÉkÉäxÉ nÖù¹]Æõ®úHÆò ®úHòÊ{ÉkÉ Ê¨ÉiªÉÖSªÉiÉä 2. (Amashayastha) Pitta prakopa (intrinsic factor of
2. ®úHÆòSÉ Ê{ÉkÉÆSÉäÊiÉ ®úHòÊ{ÉkɨÉ stomach influence)
3. invades the Rakta (Blood)
3. ®úHÆòSÉ iÉÎi{ÉkɨÉ ®úHòÊ{ÉkɨÉÂ
4. makes Vidagdhata of Rakta under influence of
4. ºÉƪÉÉäMÉÉqÝù¹ÉhÉÉkÉkÉÖ ºÉɨÉÉxªÉÉnÂùMÉÆvÉ´ÉhÉǪÉÉä:
the Ushna, Teekshna Guna of Pitta
®úHòºªÉÊ{ÉkɨÉÉJªÉÉiÉÆ ®úHòÊ{ÉkÉÆ ¨ÉxÉÒʹÉʦÉ: - SÉ.ÊSÉ.4/7
5. Vidagdha Rakta attains Drava roopatwam
®úHòÊ{ÉkɨÉ - ºÉÆ|ÉÉÎ{iÉ
(liquefied) (compared with inability or loss of
1. iÉè½æþiÉÖʦÉ: ºÉ¨ÉÖÊqù¹]Æõ Ê{ÉkÉÆ ®úHÆò |É{ÉtiÉä
clotting factors of clotting)
2. iÉtÉäÊxÉi´ÉÉiÉ |É{ÉzÉÆ ´ÉvÉÇiÉä iÉi|ÉnÚù¹ÉªÉäiÉÂ
6. liquefied Rakta and Pitta mixed one to another
3. iɺªÉÉ乨ÉhÉÉ pù´ÉÉä vÉÉiÉÖvÉÉÇiÉÉä: {ÉʺÉSªÉiÉä
7. attains Tulya Roopa, Samavarnatwam (Usually
4. κ´ÉtiɺiÉäxÉ ºÉÆ´ÉÞËrù ¦ÉڪɺiÉnùÊvÉMÉSUôÊiÉ - SÉ.ÊSÉ.4/6
Rakta varna and occasionally harita etc)
5. |ÉvÉÉxɺlÉÉxÉÉnùɨɶɪÉÉ°ü{ÉÉiÉ Ê{ÉkɺªÉä½þ®úHòMɨÉxÉÆ YÉäªÉÆ
8. swakarana – samutklista Pitta as Rakta is its
®úHòMɨÉxÉÆ SÉ Ê{ÉiɺªÉ ºÉÆ|ÉÉÎ{iɨÉʽþ¨xÉÉ ¦É´ÉÊiÉ -SÉGò{ÉÉÊhÉ
place develops and vitiates Rakta further
6. Ê´ÉnùMvÉÆ º´ÉMÉÖhÉè: Ê{ÉkÉÆ Ê´Énù½þiªÉɶÉÖ ¶ÉÉäÊhÉiɨÉ -ºÉÖ.=.45 9. vitiated Rakta increases in quantity
7. EÖòÊ{ÉiÉÆ Ê{ÉkɱÉè: Ê{ÉkÉ¨É pù´ÉÆ ®úHÆò SÉ ¨ÉÚÌSÉiÉä - 10. Pitta ushma makes the Mamsadi dhatu to
iÉäʨÉlɺiÉÖ±ªÉ°ü{Éi´É¨ÉÉMɨªÉ ´ªÉÉ{ªÉÖiɺiÉxÉ֨ɠ-+.¾þÊxÉÃ.3 produce more fluidity
®úHò´ÉhÉÇi´ÉÆ iÉÖ±ªÉMÉÖhÉÉiÉ EònùÉÊSÉrùÊ®úiÉÉÊnù ´ÉhÉÇi´É¨ÉÊ{É - 11. with this Rakta Pitta further increased
½äþ¨ÉÉÊpù 12. unbounded quantity of Rakta and Pitta (Yakrut &
8. iÉκ¨ÉxÉ |ɨÉÉhÉÉÊiÉ´ÉÞkÉä Ê{ÉkÉÆ |ÉEÖòÊ{ÉiÉÆ Pleeha) admixture spreads all over body and
¶É®úÒ®ú¨ÉxÉÖºÉ{ÉÇtnäù´É ªÉEÞòi{±ÉÒ½þ|ɦɴÉÉhÉÉÆ ±ÉÉäʽþiɴɽþÉxÉÉÆSÉ obstructs the Raktavaha Srotas & Sroto mukha
»ÉÉäiɺÉÉÆ ±ÉÉäʽþiÉÉʦɹªÉÆnù MÉÖ°üÊhÉ ¨ÉÖJÉÉxÉɺÉÉt 13. Rakta Pitta manifests either upwards,
|ÉÊiɯûxvªÉÉiÉ iÉnäù´É ±ÉÉäʽþiÉÆ nÚù¹ÉªÉÊiÉ - SÉÊxÉÃ.2/ downwards, Both ways or Tiryakgati
9. iÉiÉ: |É´ÉiÉÇiÉä ®úHò¨ÉÚv´ÉÇ¨É SÉÉvÉÉä ÊuùÊ´ÉvÉÉÊ{É%´ÉÉ - (Urdhwaga (Kaphanubandha) Raktapitta from
ºÉÖ.=.45/ Amashaya, Adhoga (Vatanubandha) Raktapitta from
10. ¨ÉÉMÉÉê{ÉÖxÉ®úºªÉuäù >ðv´ÉÈSÉÉvɶSÉ – SÉ ÊxÉÃ.2 Pakwashaya and Ubhaya (Kapha-Vatanubandha)
from both Su.Ut.45)

2. Rakta Pittam ®úHòÊ{ÉkɨÉ 2
Nidana Poorva Roopa
Ahara – Teekshan, Ushna, Vidahi guna, Amla, Lavana Rasa, Annavaha Srotas
Kshara, Kodrava, uddalaka, Viruddha Annapana Anannabhilasha
Vihara – Atapa, Vyayama, Adwagamana, Sambhoga, Ahara vidahata
Agnisevana Sukta (Amla) Udgara
Manasiaka - Krodha, Shoka, Bhaya, Rakta (Loha) gandhata
Anya – General
Nidanardhakara vydhi - Jwara Daha
Types of Rakta Pitta Swarabheda
Margabheda – (Cha, AH, AS) Avayava saidhilyata
1)Urdhwagata RP –Mouth, 2 ears, 2 eyes, 2 nose, (7) Klama
2) Adhogata RP – Guda, Mootramarga, (2) Pitika (Nanavarna)
3) Tiryagata RP (Romakoopa) – Antiki gati (Mrutyugati) Sheeta kameccha
Dosha bheda – (Cha) Shiro gowrava
1)Shlaishmika RP – Sandra, Pandu, Sasneha, Picchila Kasa, Swasa
2) Vatika RP – Shyavaruna, Phena, Tanu, Rooksha Bhrama
3) Paittika RP – Kashayabha, Krushna, Gomootra/ Mechakabha, Upadrava
Agaradhooma, Anjanabha Atisara, Swasa, Shotha, Hrutpeeda,
4,5,6 – Dwandwaja RP (VP, VK, KP) Trushna, Shosha, Dowrbalya, Pandu,
7) Saniipata RP (VPK) Shirotapa, Durgandha Nishtuta
Sadhya Yapya Asdhyata
1. Eka Dosha janya 1. Dwi Dosha janyam 1. Bama, Mamsa kshayee
2. Eka Marga (Urdhwa) Janya 2. Which moves from one to 2. Ubhaya marga gatam
3. Upadrava rahita another site of same way 3. Kapha Vata samsrustam
4. Hemanta, sishira Rutu janyam (marga) 4. Nana Varna yuktam
5. Nati ativegam 3. Which subsides and re 5. Durgandha yuktam
6. Navan appears frequently 6. with the stain that couldn’t be
7. Balawan washed
7. Upadrava yuktam
Diagnostic tools
1) Clinical diagnosis – conforming the bleeding site, type, colour, consistency, co-morbid factors,
abdominal palpation for Liver and Spleen
2) Minimum investigations –
1. Hb% - to determine the oxygenated blood quantity
2. CBP – for blood anomalies and infectious organisms like Ebola Virus
3. ESR – to know the prognosis
4. Platelet count, Bleeding time and Clotting time – to know the efficiency of clotting
5. Blood Sugar for estimating the strength of the patient and hereditary disease of DM

3. Rakta Pittam ®úHòÊ{ÉkɨÉ 3
Chikitsa sutra
ºÉÆiÉ{ÉÇhÉÉäilÉÆ ¤ÉʱÉxÉÉä ¤É½ÖþnùÉä¹ÉºªÉ ºÉÉvɪÉäiÉÂ
>ðv´ÉǦÉÉMÉÆ Ê´É®äúEäòhÉ ´É¨ÉxÉäxÉi´ÉvÉÉäMÉiɨÉ - +.¾þ.ÊSÉ.2/
Chikitsa methods Pratimargaharana Chikitsa (Shodhana)
1) Santarpana / Apatarpana Chikitsa Virechana – indicated in Urdwaga Raktapitta –
2) Mrudu, Sheetala, guna Ahara Trivrut, Hareetaki, Aragwadha, individually or
3) Madhura, Tikta, Kashaya rasa Ahara Trivrut Avaleha
4) Pradeha, Parisheka, Avagaha, Samsparshana Vamana - in Adhoga RP - Madanaphala yoga
etc, external coolants Vamana Panchakam
5) Pratimargaharana Chikitsa 1. Madana + Madhu, Sharkara,
Brumhana Chikitsa 2. Madana + Ksheera
1) when RP is Alpa Dosha yukta 3. Madana + Sharkara, Jalam
2) Apatarpana Janyam 4. Madana + Ikshu rasam
3) Alpa Bala or Ksheena Rogi 5. Madana + Madhukodakam (Yastimadhu
4) Samshodhana Anarha Rogi kwadham)
>ðv´ÉÇMÉÆ ¶É¨ÉxÉè: +vÉÉäMÉÆ ¤ÉÞƽþhÉè¯û{ÉÉSÉ®äúiÉ - +¯ûhÉnùkÉ >ðv´ÉÇMÉä ¶ÉÖrùEòÉä¹]õºªÉ iÉ{ÉÇhÉÉÊnù: Gò¨ÉÉä¨ÉiÉ:
Langhana in RP +vÉÉäMÉiÉä ªÉ´ÉÉM´ÉÉÊnùxÉÇSÉäiºªÉÉx¨ÉɯûiÉÉä ¤É±ÉÒ - SÉ.ÊSÉ.4
1) Ama is associated with RP & attains increase
Vasti in RP
2) Thus Langhana is done here if – Rogi is with full
Drakshadi Mantham, Peya etc as food
fledged bala and Mamsa
Vidari gandhadi gana siddha Ksheera
Langhana is given in – Urdhwagata,
Astapanavasti
Samapittayukta, Kaphanubandhayukta, Snigdha
Draksha, Madhu, Sharkara, Ghruta siddha
Ushna Nidana janita RP
Anuvasana vasti (Su.Ut.45)
Tarpana in RP
Tarpana is indicated in Adhomargagata RP, Vatanubandha RP, Rooksha Ushan Nidana janya RP
For Tarpana – 1) Kharjura, Draksha, Amla etc shrutasheeta jalam 2) Usheera, Parpataka, Musta, jalam, or
3) Peya, Pachana, Lehya (Shobhanjana Lehya) , Ghruta (Vasa Ghruta), etc. are given
Stahmbhana
Stambhana is not immediately indicated in the RP. Because the RP is with Asuddha Rakta, Utklista, Udrikta
Dosha Dusti associated. If stambhana is done at inappropriate timings it give rise – Moorcha, Jwara,
Gulma, Anaha, Pleeha vruddhi, Kilasa, Kusta, Pandu, Grahani, etc. (Cha.Chi.4, Su.Ut.45)
Stambhana indicated in – Heena Dosha associated, ,When suddha Rakta is coming out, When Rogi
looses the strength, Alpashana or Anashana of Rogi or when Rakta Kshaya lakshana are observed

4. Rakta Pittam ®úHòÊ{ÉkɨÉ 4
Samshamana Chikitsa is indicated – Gross treatment methods included are –
1. Bala Mamsa Vyadhi ksheena Kshata ksheena
2. krusha with – Bharavahana, Adhwagamana Raktatisara
3. Agni, Surya santapta Drug of choice – Vasa
4. Garbhini, vruddha and children 1) ´ÉÞ¹É: ºÉtÉä VɪÉiªÉ»ÉÆ ºÉ½þºªÉ {É®ú¨ÉÉè¹ÉvɨÉ - +.¾þ.ÊSÉ. 2
5. Rooksha, Alpa, Pramita Bhojana sheeli 2) ´ÉɺÉɪÉÉÆ Ê´Ét¨ÉÉxÉɪÉɨÉɶɪÉÉÆ VÉÒÊ´ÉiɺªÉ SÉ ®úHòÊ{ÉkÉ IɪÉÒ
6. Avamya, Avirechya EòɺÉÒÊEò¨ÉnÇù¨É´ÉºÉÒnùÊiÉ: - ¦ÉÉ.|É.; ªÉÉä.®ú.
Avastika Chikitsa Churna – Usheeradi churna (CC)
1) Gradhita Rakta – kapota vista with honey Kiraatatiktadi Churna (CC)
2) Kapha anubandha gradhita rakta – Utpala Chandanadi churna(YR)
Nala kshara with madhu + ghruta Asava – Usheerasava (BR)
3) Agni deepti with Kapha nasha – a) Aja Guti vati – Eladi Guti (YR)
Dugdha b) Go Dugdha with 5times water c) Avaleha - Kushmandavalehya (YR)
Vidarigandhadi Gana sheetala Dugdha d) Shatavari paka (YR)
Jeevaka Rushabhaka dugdgam Vasa khandam (BR)
4) Nasa gata Rakta – nasya after the Lakshavalehya (BR)
conformation of Dusta Rakta sruti with a) Ghruta – Vasaghruta (CC)
Usheera Lodhradi kwatha b)Pathya Shatavaryadi ghruta (CC)
Ataroosha kwatha c) Go ksheera d) Amrasti Doorvadi ghruta (BP)
mocharasaadi jalam, e) draksha rasa + Shanapushpadi ghruta (YR)
sharkara, f) sugarcane juice and – Rasa Aushadhi – Raktapittantaka rasa (BR)
APr= pakwa Udumbara with Jaggary Raktapitta kulakuthara rasa (YR)
5) Mootra marga gata – a) shatavari ksheera Bola parpati (YR)
b) Raktapitta hara Dravya yukta Uttaravasti Sudhanidhi rasa (YR)
6) Shastra Kshata – Priyangu, Lodhra, Anjana Kapardaka rasa (BR)
Aavachurna Samasharkara loha (BR)
7) Gudagata – Mocharasa + dugdha, Khandakadya loha (BR)
Watasrunaga dugdha, Madhuka Anjana Apathya – katu, Amla, Vidahi padartha,
Manjista etc Astapana Vasti, Yastimadhu Kulutha, Guda, Tila, Masha, Sarshapa,
Ghruta Anuvasana vasti Lashuna, Madyam, Tamboolam, vyayama,
8) Bahya prayoga – sheetala Dravya pralepa, adhwagamana, vegadharana, dhoomapana,
pradeha, parisheka, avagaha, shayana, maidhuna, krodha, etc
Asana, Dhara gruha Pathya – shetala Ahara pana Vihara