Raktamokshan: an imperative procedure of panchakarma in rakta pradoshaj vyadhi

In Ayurveda there are different types of Shodhan therapies has been mentioned like Vamana,
Virechana, Raktamokshana etc. out of which Raktamokshana is considered as best therapy for Pitta
and Rakta Pradoshaj vyadhi. Many Acharya consider Rakta Dusti as one of the prime causes of Pittaj
and Raktaj Vyadhi. So Raktamokshana by different modalities is much more effective in resolving
pathogenesis in these diseases. There are many historical evidences where Raktamokshana was
extensively practiced. During the procedure preoperatively, indication and contraindication are
analyzed. Instruments are collected depending on the wisdom of the surgeon, site, disease and
availability instruments.
Acharya Sushruta who was expert of Rachana Sharir, has been explained different sites of Sira for
Vyadhana According to the diseases and their Adhisthana. In classics, it has been advocated that the
bloodletting should be done when environment should not be too cold or too hot; because
environmental stimuli can cause Heena-Mithya-Ati Srava of Rakta. As per classics, one Prastha has
been advocated which is Uttama Shodhana. Automatic stoppage of blood after certain time is an
indication of Samyak Siravyadha, associated with patient feels light and severity of illness is
decreased. So due to the wide spectrum, much prevalence in society and lack of effective
management of Rakta Pradoshaj Vyadhi, it is necessary to understand the concept of Raktamokshana
in scientific way in the light of modern science and develop this therapy as safe and effective
treatment modalities for the management of Rakta Pradoshaj Vyadhi in present era.