Raktamokshana

Introduction

Raktamokshana is a specialized Ayurvedic purification therapy designed to remove vitiated blood (dushta rakta) from the body. It is one of the five main Panchakarma procedures and plays a vital role in treating disorders caused by the vitiation of Pitta dosha and Rakta dhatu (blood tissue). This therapy helps in maintaining healthy blood circulation, removing toxins, and balancing the doshas for overall well-being.

Types of Raktamokshana

Shring

Bloodletting using cow horns or modern suction cups to draw out impure blood from a localized area.

Siravedha

Controlled puncturing of a vein using a sterile needle or blade to let out impure blood. It is effective for deeper blood-related disorders.

Prachanna

Superficial pricking or scratching of the skin using sterile instruments to release toxins through small incisions.

Jalaukavacharana

Medicinal leeches are applied to suck vitiated blood naturally. It is safe, gentle, and widely used for sensitive patients.

Causes of Raktamokshana

Clinical features of Raktamokshana

Skin Disorders & Discoloration

Impure blood leads to skin problems like eczema, acne, itching, and pigmentation, indicating the need for detoxification through Raktamokshana therapy.

Burning Sensation& Heat in the Body

Excessive Pitta in blood causes heat, burning, and redness in the skin, which are relieved effectively after purification therapy.

Inflammatory Swelling & Pain

Localized inflammation, swelling, and tenderness in joints or muscles occur due to vitiated blood requiring Raktamokshana for relief.

Frequent Headache & Dizziness

Impure blood circulation affects brain function, leading to heaviness, dizziness, and recurring headaches that improve after treatment.

Non-Healing Wounds & Ulcers

Toxins in blood delay wound healing and cause recurrent ulcers; Raktamokshana helps cleanse the system and promote regeneration.

Symptoms associated with Raktamokshana

  • After Raktamokshana, the body feels light, clean, and energized with improved vitality.
  • Skin becomes clear, glowing, and healthy as toxins are effectively removed from blood.
  • Burning sensations and itching reduce, bringing soothing relief and bodily comfort overall.
  • Inflammation decreases, promoting joint flexibility, pain reduction, and improved body movement.
  • Circulation improves, enhancing oxygen flow, tissue nourishment, and overall cellular rejuvenation.
  • Digestion strengthens, reducing bloating, acidity, and heaviness caused by impure blood.
  • Mind feels calm and focused, reducing stress, anger, and emotional instability effectively.
  • Sleep becomes deeper and more refreshing due to balanced doshas and purified blood.

     
     

Investigations in Raktamokshana

  • A detailed assessment of the patient’s lifestyle, diet, and medical history is conducted to identify causes of blood impurity and select suitable treatment methods.
  • The physician examines the balance of Vata, Pitta, and Kapha doshas along with Rakta dhatu to determine the exact nature of imbalance.

  • Affected regions such as skin, joints, or veins are inspected for signs of inflammation, discoloration, or swelling to decide the precise therapy site.

  • Basic blood tests and vital checks like blood pressure, pulse, and temperature are done to ensure the patient’s stability before performing Raktamokshana.

  • Before using leeches or herbal medications, sensitivity tests are performed to rule out any allergic or adverse reactions to treatment substances.

  • The body is prepared with medicated oil massage (Snehana) and steam therapy (Swedana) to mobilize toxins and ease bloodlettin

  • The appropriate technique—leech therapy, venesection, or scarification—is chosen based on disease type, patient strength, and affected body part.

  • Throughout the process, the patient’s vital signs, bleeding rate, and comfort are continuously monitored to ensure safety and therapeutic effectiveness.

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