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Rakta pitta

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Rakta pitta

  1. 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{ÉkɨÉ 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 of1. iÉè½æþiÉÖʦÉ: ºÉ¨ÉÖÊqù¹]Æõ Ê{ÉkÉÆ ®úHÆò |É{ÉtiÉä clotting factors of clotting)2. iÉtÉäÊxÉi´ÉÉiÉ |É{ÉzÉÆ ´ÉvÉÇiÉä iÉi|ÉnÚù¹ÉªÉäiÉ 6. liquefied Rakta and Pitta mixed one to another3. iɺªÉÉ乨ÉhÉÉ pù´ÉÉä vÉÉiÉÖvÉÉÇiÉÉä: {ÉʺÉSªÉiÉä 7. attains Tulya Roopa, Samavarnatwam (Usually4. 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 further6. Ê´ÉnùMvÉÆ º´ÉMÉÖhÉè: Ê{ÉkÉÆ Ê´Énù½þiªÉɶÉÖ ¶ÉÉäÊhÉiɨÉ -ºÉÖ.=.45 9. vitiated Rakta increases in quantity7. 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 Tiryakgati9. iÉiÉ: |É´ÉiÉÇiÉä ®úHò¨ÉÚv´ÉÇ¨É SÉÉvÉÉä ÊuùÊ´ÉvÉÉÊ{É%´ÉÉ - (Urdhwaga (Kaphanubandha) Raktapitta from ºÉÖ.=.45/ Amashaya, Adhoga (Vatanubandha) Raktapitta from10. ¨ÉÉMÉÉê{ÉÖxÉ®úºªÉuäù >ðv´ÉÈSÉÉvɶSÉ – SÉ ÊxÉÃ.2 Pakwashaya and Ubhaya (Kapha-Vatanubandha) from both Su.Ut.45)
  2. 2. Rakta Pittam ®úHòÊ{ÉkɨÉ 2Nidana Poorva RoopaAhara – Teekshan, Ushna, Vidahi guna, Amla, Lavana Rasa, Annavaha SrotasKshara, Kodrava, uddalaka, Viruddha Annapana AnannabhilashaVihara – Atapa, Vyayama, Adwagamana, Sambhoga, Ahara vidahataAgnisevana Sukta (Amla) UdgaraManasiaka - Krodha, Shoka, Bhaya, Rakta (Loha) gandhataAnya – GeneralNidanardhakara vydhi - Jwara Daha Types of Rakta Pitta SwarabhedaMargabheda – (Cha, AH, AS) Avayava saidhilyata1)Urdhwagata RP –Mouth, 2 ears, 2 eyes, 2 nose, (7) Klama2) Adhogata RP – Guda, Mootramarga, (2) Pitika (Nanavarna)3) Tiryagata RP (Romakoopa) – Antiki gati (Mrutyugati) Sheeta kamecchaDosha bheda – (Cha) Shiro gowrava1)Shlaishmika RP – Sandra, Pandu, Sasneha, Picchila Kasa, Swasa2) Vatika RP – Shyavaruna, Phena, Tanu, Rooksha Bhrama3) Paittika RP – Kashayabha, Krushna, Gomootra/ Mechakabha, UpadravaAgaradhooma, 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 Asdhyata1. Eka Dosha janya 1. Dwi Dosha janyam 1. Bama, Mamsa kshayee2. Eka Marga (Urdhwa) Janya 2. Which moves from one to 2. Ubhaya marga gatam3. Upadrava rahita another site of same way 3. Kapha Vata samsrustam4. Hemanta, sishira Rutu janyam (marga) 4. Nana Varna yuktam5. Nati ativegam 3. Which subsides and re 5. Durgandha yuktam6. Navan appears frequently 6. with the stain that couldn’t be7. 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. 3. Rakta Pittam ®úHòÊ{ÉkɨÉ 3 Chikitsa sutra ºÉÆiÉ{ÉÇhÉÉäilÉÆ ¤ÉʱÉxÉÉä ¤É½ÖþnùÉä¹ÉºªÉ ºÉÉvɪÉäiÉ >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.41) Ama is associated with RP & attains increase Vasti in RP2) Thus Langhana is done here if – Rogi is with full Drakshadi Mantham, Peya etc as food fledged bala and Mamsa Vidari gandhadi gana siddha KsheeraLanghana is given in – Urdhwagata, AstapanavastiSamapittayukta, Kaphanubandhayukta, Snigdha Draksha, Madhu, Sharkara, Ghruta siddhaUshna Nidana janita RP Anuvasana vasti (Su.Ut.45) Tarpana in RPTarpana is indicated in Adhomargagata RP, Vatanubandha RP, Rooksha Ushan Nidana janya RPFor Tarpana – 1) Kharjura, Draksha, Amla etc shrutasheeta jalam 2) Usheera, Parpataka, Musta, jalam, or3) Peya, Pachana, Lehya (Shobhanjana Lehya) , Ghruta (Vasa Ghruta), etc. are given StahmbhanaStambhana is not immediately indicated in the RP. Because the RP is with Asuddha Rakta, Utklista, UdriktaDosha 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 Rogilooses the strength, Alpashana or Anashana of Rogi or when Rakta Kshaya lakshana are observed
  4. 4. Rakta Pittam ®úHòÊ{ÉkɨÉ 4Samshamana Chikitsa is indicated – Gross treatment methods included are –1. Bala Mamsa Vyadhi ksheena Kshata ksheena2. krusha with – Bharavahana, Adhwagamana Raktatisara3. Agni, Surya santapta Drug of choice – Vasa4. Garbhini, vruddha and children 1) ´ÉÞ¹É: ºÉtÉä VɪÉiªÉ»ÉÆ ºÉ½þºªÉ {É®ú¨ÉÉè¹ÉvɨÉ - +.¾þ.ÊSÉ. 25. Rooksha, Alpa, Pramita Bhojana sheeli 2) ´ÉɺÉɪÉÉÆ Ê´Ét¨ÉÉxÉɪÉɨÉɶɪÉÉÆ VÉÒÊ´ÉiɺªÉ SÉ ®úHòÊ{ÉkÉ IɪÉÒ6. 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

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