Rakta pitta

1. Rakta Pittam ®úHòÊ{ÉkɨÉ 1
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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)

2. 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

3. Rakta Pittam ®úHòÊ{ÉkɨÉ 3
Chikitsa sutra
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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
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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)
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Vasti in RP
À Drakshadi Mantham, Peya etc as food
À Vidari gandhadi gana siddha Ksheera
Astapanavasti
À 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

4. 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
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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