Rakta Pittam ®úHòÊ{ÉkɨÉ 1

®úHòÊ{ÉkɨÉ - ÊxɯûÊHò

1. Ê{ÉkÉäxÉ nÖù¹]Æõ®úHÆò ®úHòÊ{ÉkÉ Ê¨ÉiªÉÖSªÉiÉä 2. ®úHÆòSÉ Ê{ÉkÉÆSÉäÊiÉ ®úHòÊ{ÉkɨÉ 3. ®úHÆòSÉ iÉÎi{ÉkɨÉ ®úHòÊ{ÉkɨÉ 4. ºÉƪÉÉäMÉÉqÝù¹ÉhÉÉkÉkÉÖ ºÉɨÉÉxªÉÉnÂùMÉÆvÉ´ÉhÉǪÉÉä:

®úHòºªÉÊ{ÉkɨÉÉJªÉÉiÉÆ ®úHòÊ{ÉkÉÆ ¨ÉxÉÒʹÉʦÉ: - SÉ.ÊSÉ.4/7

®úHòÊ{ÉkɨÉ - ºÉÆ|ÉÉÎ{iÉ

1. iÉè½æþiÉÖʦÉ: ºÉ¨ÉÖÊqù¹]Æõ Ê{ÉkÉÆ ®úHÆò |É{ÉtiÉä

2. iÉtÉäÊxÉi´ÉÉiÉ |É{ÉzÉÆ ´ÉvÉÇiÉä iÉi|ÉnÚù¹ÉªÉäiÉÂ

3. iɺªÉÉ乨ÉhÉÉ pù´ÉÉä vÉÉiÉÖvÉÉÇiÉÉä: {ÉʺÉSªÉiÉä 4. κ´ÉtiɺiÉäxÉ ºÉÆ´ÉÞËrù ¦ÉڪɺiÉnùÊvÉMÉSUôÊiÉ - SÉ.ÊSÉ.4/6

5. |ÉvÉÉxɺlÉÉxÉÉnùɨɶɪÉÉ°ü{ÉÉiÉ Ê{ÉkɺªÉä½þ®úHòMɨÉxÉÆ YÉäªÉÆ ®úHòMɨÉxÉÆ SÉ Ê{ÉiɺªÉ ºÉÆ|ÉÉÎ{iɨÉʽþ¨xÉÉ ¦É´ÉÊiÉ -SÉGò{ÉÉÊhÉ

6. Ê´ÉnùMvÉÆ º´ÉMÉÖhÉè: Ê{ÉkÉÆ Ê´Énù½þiªÉɶÉÖ ¶ÉÉäÊhÉiɨÉ -ºÉÖ.=.45

7. EÖòÊ{ÉiÉÆ Ê{ÉkɱÉè: Ê{ÉkÉ¨É pù´ÉÆ ®úHÆò SÉ ¨ÉÚÌSÉiÉä - iÉäʨÉlɺiÉÖ±ªÉ°ü{Éi´É¨ÉÉMɨªÉ ´ªÉÉ{ªÉÖiɺiÉxÉ֨ɠ-+.¾þÊxÉÃ.3

®úHò´ÉhÉÇi´ÉÆ iÉÖ±ªÉMÉÖhÉÉiÉ EònùÉÊSÉrùÊ®úiÉÉÊnù ´ÉhÉÇi´É¨ÉÊ{É -

½äþ¨ÉÉÊpù

8. iÉκ¨ÉxÉ |ɨÉÉhÉÉÊiÉ´ÉÞkÉä Ê{ÉkÉÆ |ÉEÖòÊ{ÉiÉÆ ¶É®úÒ®ú¨ÉxÉÖºÉ{ÉÇtnäù´É ªÉEÞòi{±ÉÒ½þ|ɦɴÉÉhÉÉÆ ±ÉÉäʽþiɴɽþÉxÉÉÆSÉ

»ÉÉäiɺÉÉÆ ±ÉÉäʽþiÉÉʦɹªÉÆnù MÉÖ°üÊhÉ ¨ÉÖJÉÉxÉɺÉÉt

|ÉÊiɯûxvªÉÉiÉ iÉnäù´É ±ÉÉäʽþiÉÆ nÚù¹ÉªÉÊiÉ - SÉÊxÉÃ.2/

9. iÉiÉ: |É´ÉiÉÇiÉä ®úHò¨ÉÚv´ÉÇ¨É SÉÉvÉÉä ÊuùÊ´ÉvÉÉÊ{É%´ÉÉ - ºÉÖ.=.45/

10. ̈ÉÉMÉÉê{ÉÖxÉ®úºªÉuäù >ðv´ÉÈSÉÉvɶSÉ – SÉ ÊxÉÃ.2

1. Pitta Swakarana

2. (Amashayastha) Pitta prakopa (intrinsic factor of

stomach influence)

3. invades the Rakta (Blood)

4. makes Vidagdhata of Rakta under influence of

the Ushna, Teekshna Guna of Pitta

5. Vidagdha Rakta attains Drava roopatwam

(liquefied) (compared with inability or loss of

clotting factors of clotting)

6. liquefied Rakta and Pitta mixed one to another

7. attains Tulya Roopa, Samavarnatwam (Usually

Rakta varna and occasionally harita etc)

8. swakarana – samutklista Pitta as Rakta is its

place develops and vitiates Rakta further

9. vitiated Rakta increases in quantity

10. Pitta ushma makes the Mamsadi dhatu to

produce more fluidity

11. with this Rakta Pitta further increased

12. unbounded quantity of Rakta and Pitta (Yakrut &

Pleeha) admixture spreads all over body and

obstructs the Raktavaha Srotas & Sroto mukha

13. Rakta Pitta manifests either upwards,

downwards, Both ways or Tiryakgati

(Urdhwaga (Kaphanubandha) Raktapitta from

Amashaya, Adhoga (Vatanubandha) Raktapitta from

Pakwashaya and Ubhaya (Kapha-Vatanubandha)

from both Su.Ut.45)

Rakta Pittam ®úHòÊ{ÉkɨÉ 2

Nidana Ahara – Teekshan, Ushna, Vidahi guna, Amla, Lavana Rasa,

Kshara, Kodrava, uddalaka, Viruddha Annapana

Vihara – Atapa, Vyayama, Adwagamana, Sambhoga,

Agnisevana

Manasiaka - Krodha, Shoka, Bhaya,

Anya –

Nidanardhakara vydhi - Jwara

Types of Rakta Pitta Margabheda – (Cha, AH, AS) 1)Urdhwagata RP –Mouth, 2 ears, 2 eyes, 2 nose, (7)

2) Adhogata RP – Guda, Mootramarga, (2)

3) Tiryagata RP (Romakoopa) – Antiki gati (Mrutyugati)

Dosha bheda – (Cha) 1)Shlaishmika RP – Sandra, Pandu, Sasneha, Picchila

2) Vatika RP – Shyavaruna, Phena, Tanu, Rooksha

3) Paittika RP – Kashayabha, Krushna, Gomootra/ Mechakabha,

Agaradhooma, Anjanabha

4,5,6 – Dwandwaja RP (VP, VK, KP)

7) Saniipata RP (VPK)

Poorva Roopa Annavaha Srotas Anannabhilasha

Ahara vidahata

Sukta (Amla) Udgara

Rakta (Loha) gandhata

General Daha

Swarabheda

Avayava saidhilyata

Klama

Pitika (Nanavarna)

Sheeta kameccha

Shiro gowrava

Kasa, Swasa

Bhrama

Upadrava Atisara, Swasa, Shotha, Hrutpeeda,

Trushna, Shosha, Dowrbalya, Pandu,

Shirotapa, Durgandha Nishtuta

Sadhya 1. Eka Dosha janya 2. Eka Marga (Urdhwa) Janya 3. Upadrava rahita 4. Hemanta, sishira Rutu janyam 5. Nati ativegam 6. Navan 7. Balawan

Yapya 1. Dwi Dosha janyam 2. Which moves from one to

another site of same way (marga)

3. Which subsides and re appears frequently

Asdhyata 1. Bama, Mamsa kshayee 2. Ubhaya marga gatam 3. Kapha Vata samsrustam 4. Nana Varna yuktam 5. Durgandha yuktam 6. with the stain that couldn’t be

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

Rakta Pittam ®úHòÊ{ÉkɨÉ 3Chikitsa sutra

ºÉÆiÉ{ÉÇhÉÉäilÉÆ ¤ÉʱÉxÉÉä ¤É½ÖþnùÉä¹ÉºªÉ ºÉÉvɪÉäiÉ >ðv´ÉǦÉÉMÉÆ Ê´É®äúEäòhÉ ´É¨ÉxÉäxÉi´ÉvÉÉäMÉiɨÉ - +.¾þ.ÊSÉ.2/

Chikitsa methods 1) Santarpana / Apatarpana Chikitsa

2) Mrudu, Sheetala, guna Ahara

3) Madhura, Tikta, Kashaya rasa Ahara

4) Pradeha, Parisheka, Avagaha, Samsparshana

etc, external coolants

5) Pratimargaharana Chikitsa

Brumhana Chikitsa 1) when RP is Alpa Dosha yukta 2) Apatarpana Janyam

3) Alpa Bala or Ksheena Rogi

4) Samshodhana Anarha Rogi

>ðv´ÉÇMÉÆ ¶É¨ÉxÉè: +vÉÉäMÉÆ ¤ÉÞƽþhÉè¯û{ÉÉSÉ®äúiÉ - +¯ûhÉnùkÉ

Langhana in RP 1) Ama is associated with RP & attains increase

2) Thus Langhana is done here if – Rogi is with full

fledged bala and Mamsa

Langhana is given in – Urdhwagata,

Samapittayukta, Kaphanubandhayukta, Snigdha

Ushna Nidana janita RP

Pratimargaharana Chikitsa (Shodhana) Virechana – indicated in Urdwaga Raktapitta –

Trivrut, Hareetaki, Aragwadha, individually or

Trivrut Avaleha

Vamana - in Adhoga RP - Madanaphala yoga

Vamana Panchakam 1. Madana + Madhu, Sharkara,

2. Madana + Ksheera

3. Madana + Sharkara, Jalam

4. Madana + Ikshu rasam

5. Madana + Madhukodakam (Yastimadhu

kwadham)

>ðv´ÉÇMÉä ¶ÉÖrùEòÉä¹]õºªÉ iÉ{ÉÇhÉÉÊnù: Gò¨ÉÉä¨ÉiÉ:

+vÉÉäMÉiÉä ªÉ´ÉÉM´ÉÉÊnùxÉÇSÉäiºªÉÉx¨ÉɯûiÉÉä ¤É±ÉÒ - SÉ.ÊSÉ.4

Vasti in RP Drakshadi Mantham, Peya etc as food

Vidari gandhadi gana siddha Ksheera

Astapanavasti

Draksha, Madhu, Sharkara, Ghruta siddha

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

Rakta Pittam ®úHòÊ{ÉkɨÉ 4

Samshamana Chikitsa is indicated –

1. Bala Mamsa Vyadhi ksheena

2. krusha with – Bharavahana, Adhwagamana

3. Agni, Surya santapta

4. Garbhini, vruddha and children

5. Rooksha, Alpa, Pramita Bhojana sheeli

6. Avamya, Avirechya

Gross treatment methods included are –

Kshata ksheena

Raktatisara

Drug of choice – Vasa 1) ´ÉÞ¹É: ºÉtÉä VɪÉiªÉ»ÉÆ ºÉ½þºªÉ {É®ú¨ÉÉè¹ÉvɨÉ - +.¾þ.ÊSÉ. 2

2) ´ÉɺÉɪÉÉÆ Ê´Ét¨ÉÉxÉɪÉɨÉɶɪÉÉÆ VÉÒÊ´ÉiɺªÉ SÉ ®úHòÊ{ÉkÉ IɪÉÒ

EòɺÉÒÊEò¨ÉnÇù¨É´ÉºÉÒnùÊiÉ: - ¦ÉÉ.|É.; ªÉÉä.®ú.

Avastika Chikitsa 1) Gradhita Rakta – kapota vista with honey

2) Kapha anubandha gradhita rakta – Utpala

Nala kshara with madhu + ghruta

3) Agni deepti with Kapha nasha – a) Aja

Dugdha b) Go Dugdha with 5times water c)

Vidarigandhadi Gana sheetala Dugdha d)

Jeevaka Rushabhaka dugdgam

4) Nasa gata Rakta – nasya after the

conformation of Dusta Rakta sruti with a)

Usheera Lodhradi kwatha b)Pathya

Ataroosha kwatha c) Go ksheera d) Amrasti

mocharasaadi jalam, e) draksha rasa +

sharkara, f) sugarcane juice and –

APr= pakwa Udumbara with Jaggary

5) Mootra marga gata – a) shatavari ksheera

b) Raktapitta hara Dravya yukta Uttaravasti

6) Shastra Kshata – Priyangu, Lodhra, Anjana

Aavachurna

7) Gudagata – Mocharasa + dugdha,

Watasrunaga dugdha, Madhuka Anjana

Manjista etc Astapana Vasti, Yastimadhu

Ghruta Anuvasana vasti

8) Bahya prayoga – sheetala Dravya pralepa,

pradeha, parisheka, avagaha, shayana,

Asana, Dhara gruha

Churna – Usheeradi churna (CC)

Kiraatatiktadi Churna (CC)

Chandanadi churna(YR)

Asava – Usheerasava (BR)

Guti vati – Eladi Guti (YR)

Avaleha - Kushmandavalehya (YR)

Shatavari paka (YR)

Vasa khandam (BR)

Lakshavalehya (BR)

Ghruta – Vasaghruta (CC)

Shatavaryadi ghruta (CC)

Doorvadi ghruta (BP)

Shanapushpadi ghruta (YR)

Rasa Aushadhi – Raktapittantaka rasa (BR)

Raktapitta kulakuthara rasa (YR)

Bola parpati (YR)

Sudhanidhi rasa (YR)

Kapardaka rasa (BR)

Samasharkara loha (BR)

Khandakadya loha (BR)

Apathya – katu, Amla, Vidahi padartha,

Kulutha, Guda, Tila, Masha, Sarshapa,

Lashuna, Madyam, Tamboolam, vyayama,

adhwagamana, vegadharana, dhoomapana,

maidhuna, krodha, etc

Pathya – shetala Ahara pana Vihara