The document introduces Raktamokshana, the Ayurvedic practice of bloodletting. It defines Raktamokshana as the letting out of blood and discusses its historical origins in the Vedic period. The objectives are to define key terms, review history, discuss synonyms and classifications. Raktamokshana is important for cleansing the body and reducing toxins, though it is debated whether it falls under Panchakarma. It is classified into bloodletting with cutting tools versus leeches, cups, or other anushastra methods.
2. CONTENTS
• Objectives
• Definition of Raktamokshana
• Historical review of Raktamokshana
• Synonyms of Raktamokshana
• Raktamokshana and Panchakarma
• Importance of Raktamokshana
• Classification of Raktamokshana
• Summary
• References
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3. OBJECTIVES
By the end of the presentation the students
must be able to--
1. Define Raktamokshana
2. Illustrate Historical review of
Raktamokshana
3. Quote Synonyms of Raktamokshana
4. Contraste between Raktamokshana and
Panchakarma
5. Discuss Importance of Raktamokshana
6. Classify Raktamokshana
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4. DEFINITION OF RAKTAMOKSHANA
• The term “Raktamokshana” comprises of two words, ie.,
‘Rakta’ & ‘Mokshana’
• The word ‘Rakta’ means :coloured, dyed, tinged, painted, Red, crimson, blood red.
• The word ‘Mokshana’ is derived from the root ‘moksha’ means ‘to relieve’ or ‘to let
out’.
• Therefore letting out of blood is known as Raktamokshana.
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5. HISTORICAL REVIEW OF RAKTAMOKSHANA
• Vedic period:
The process of Raktamokshana can be traced back to Vedic period
only and not beyond that. In the Koushika sutra of Athravaveda, references
of Raktamokshana by leech application are to be found .
During the period of Buddha, this process was in regular practice,
which could be easily understood from Pilindivachha, a patient of Buddha in
whom he did Raktamokshana by Shringa for parvavata.
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6. CONT…
• Samhita period :
Sushruta, Vagbhata focused on the Raktamokshana in detail. In Sushruta
Samhita and Ashtanga sangrahas, we get separate chapters on Siravyadha.
Charaka, the celebrated physician of ancient school of medicine, also gives
brief description on this topic.
Coming to Sangraha period, Bhavamishra and Sharangdhara have discussed
Siravyadha vidhi, while describing the management of various diseases.
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7. CONT…
• Bloodletting indeed represents one of the
oldest human efforts on medicinal therapy.
It is hard but a fact to believe that in 18th
century when the doctors who could do
nothing to the patients coming to them,
were just drawing blood as much as
possible from them, so that they would
feel something was being done for them
(Text book of Pathology, William Boyd
1970, p. 1097)
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9. PANCHAKARMA & RAKTAMOKSHANA
• Panchakarma is a term mainly used by Atreya sampradaya, they have not
included Raktamokshana in Panchakarma by any Samhita or commentators.
• Raktamokshana is highly associated with Shalya tantra can be considered
under shodhana as mentioned by Sushruta and Astanga hridaya (A.H.Su
14/5)
• Even later scholars such as Bhavaprakasha, Vangasena, Sharangadhara ,have
defined Panchakarma excluding Raktamokshana (Sh.Ut8/70,B.P,Pu)
• As panchakarma basically deals with shodhana of vitiated dosha
,Raktamokshana has been incorporated in this era, it in a greater sense by
Modern Ayurveda scholars.
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