Role of panchakarma in Raktha pitta

1. ROLE OF PANCHAKARMA IN
RAKTA PITTA
VIPINSHA R S
1st YEAR PG
DEPT OF PANCHAKARMA
AMRITA SCHOOL OFAYURVEDA

2. REFERENCES
• CHARAKA SAMHITA ( Ch. Ni. 2, Chi. 4 )
• SUSRUTA SAMHITA ( Su. Ut. 45 )
• ASHTANGA HRUDAYA ( AH. Ni. 3, Chi. 2 )
• MADHAVA NIDANA ( Ma. Ni. )
• BHAISHAJYA RATNAVALI ( BR. 13 )
• YOGA RATNAKARA ( Y.R. 10 )

3. NIRUKTI OF RAKTHA PITTA
• Accoding to Madhava nidana
• According to Charaka acharya ( C. Chi. 4/6 )

4. NIDANA
• AHARA
Virudha anna pana
Katu, amla, lavana, kshara, ushna, atividahi
Yavaka, uddhalaka, koradusha, Masha,
Kulatha etc
• VIHARA
Ayasa
Atisevana of Vyayama, Atapa, Vyavaya etc
• MANASIKA
Krodha
Shoka
Bhaya
• OTHER
Nidanarthakara vyadhi - Jwaram

5. POORVAROOPA
• Anannabhilasha
• Bhuktasya vidaha
• Shuktamla gandha rasa
udgara
• Swarabheda
• Gathranam sadanam
• Paridaha
• Mukhat dhoomagana
• Sheeta kamithwam
• Kanda dhoomayanam
• Vami
• Lohagandhi nishwasa

6. SAMPRAPTI GHATAKA
• DOSA : PITTA
• DOOSHYA : RASA, RAKTA, MAMSA, SIRA
• AGNI : RASA, RAKTA DHATWAGNI
• SROTAS : RAKTAVAHA
• SROTODUSHTI : VIMARGA GAMANAM
• UDBHAVA STHANA : AMASHAYA,
RAKTAVAHA SROTOMULA
• ADISHTANA : YAKRUT, PLEEHA
• VYAKTA STHANA : URDWA – ADHO BAHYA SROTAS
• ROGA MARGA : BAHYA, ABHYANTARA
• SWABHAVA : ASHUKARI

7. SAMPRAPTI
• According to Susruta acharya ( Su. Ut. 45 )

8. SAMPRAPTI
Nitya abhyasa of nidanam
Rasa dushti
Pitta pradushanam
Amashaya Pakwashaya
Vrajet urdhwam Vrajet adha
Urdhwa raktapitta Ubhaya raktapitta Adhoga raktapitta

9. SAMPRAPTI
• According to Charaka acharya ( C. Chi. 4 )

10. TYPES
• Margabhedena (A.H, Su.S, C.S )
Urdhwaga raktapitta
Adhoga raktapitta
Ubhaya raktapitta
• Doshabhedena ( C.S )
Vataja raktapitta
Pittaja raktapitta
Kaphaja raktapitta
Vata-pittaja raktapitta
Vata kaphaja raktapitta
Pitta kaphaja raktapitta

11. LAKSHANAS
VATAJA PITTAJA KAPHAJA
SYAVA
ARUNA
SA PHENAM
TANU
RUKSHAM
KASHAYABHAM
KRISHNAM
GOMUTRASANNIBHAM
MECHAKA
AGARADHOOMA
ANJANABHAM
SANDRAM
PANDU
SASNEHA
PICCHILAM

12. UPADRAVAS
• Dourbalya
• Arochaka
• Avipaka
• Swasa
• Kasa
• Jwara
• Atisara
• Shopha
• Shosha
• Pandu
• Swarabheda
• Murcha
• Kandasya bheda
• Bhukte cha anne vidaha
• Adhruti
• Shirasi cha davanam
• Puti nishteevanam

13. SADHYA - ASADHYATA
• Sadya
Eka doshanugam
Urdhwagam
Eka margam
Balavato
Na ativegam
Nava udhitham
Sukhe kale
Nirupadravam
• Yapya
Dwidosham
Adhogam
Shantam – shantam
prakupyati
Margaan – margam charet
• Asadhya
Tridosham
Manda agne
Ativega
Ksheena deha
Vriddha
Anashnata
Ubhaya margam
Samsrishta kapha
vatabhyam
Kande sajjati
Upadrava samyukta

14. ASADHYATAACCORDING TO NATURE
OF RAKTA
• Mamsa prakshalanabha
• Kardama ambhonibham
• Meda pooyasra kalpa
• Yakrut iva
• Pakwa jambhuphalabham
• Krishnam
• Neelam
• Ati kunapam
• Surapati dhanusha yacha tulyam

15. TREATMENT PRINCIPLE
Charakacharya has suggested that initially no attempts should be made to
arrest this bleeding through which vitiated Doshas are getting expelled out of
the body.
In urdhwaga raktapitta tarpana is given first and in adhoga raktapitta peya
is advised first.

16. CHIKITSA
In aggravated dosha condition:
Vamana is indicated for person with adhoga raktapitta
Virechana is indicated for person with urdhwaga raktapitta
In conditions like loss of strength, emaciation, pregnant lady, old age, etc
Vamana and Virechana is not advised. In such conditions Shamana chikitsa
is advised.

17. SAMANA OUSHADI
• Kashaya
Vasakadi kwatha
Padmakadi kwatha
Atarushadi kwatha
• Churna
Laksha churna
Usheeradi churna
Priyanguadi churna
Atarushadi churna
• Asava
Draksharishta
Patrangasava
Lodhrasava
Usheerasava
• Ghrita
Vasa ghrita
Shatavari ghrita
Palasha ghrita
Trayamana ghrita
Vatsaka ghrita
Audumbara ghrita
• Avaleha
Khanda kushmanda avaleha
Sharkaradhya loha
Samasharkara loha
Vasa khanda
Raktapittantaka loha
• Rasa oushadi
Arkeshwara rasa
Raktapitta kulakantana rasa
Raktapittantaka rasa
Kapardako rasa
Bola parpati
Gairika bhasma
Shanka bhasma
Pravala bhasma
Pravala pishti
Pravala panchamrita

18. SAMANA OUSHADI
• Ksharas
Utpalanala kshara
Padmaka kesara kshara
Mrunala nala kshara
Utpala kesara kshara
Palasha kshara
Priyangu kshara
Madhooka kshara
Asana kshara
• Gutika
Eladi gutika
• Some patent medicines available in
market
Cap point (Ayulabs)
Cap pilonil (Dindayal)
Cap mebarid (Phyto pharma)
Cap bilva (Vitalcare)
Tab caparin (Avp)
Tab posex forte (Charak)
Tab pilex (Himalaya)
Tab pilorid (Nag)
Tab peptilin (Avp)
Tab diarex (Himalaya)
Tab arshonyt (Charak)
Tab kutajadi (Pavaman)

19. CHIKITSA
According to Vagbhata acharya, using sheeta varga drugs padeha and
abhyanga is advised.
According to charaka acharya, Kashaya, taila and ghrita prepared with
udumbara, aswatha, madhuka, lodra and sheetavarga drugs can be used
for pradeha, parisheka, and awagaha

20. PANCHAKARMAS IN
RAKTHAPITTA
• Vamana
• Virechana
• Niruha vasti
• Anuvasana vasti
• Uttara vasti
• Nasya

21. VAMANAM
• Indicated in Adhoga raktapitta
• Madanaphala yogas
• Vamana panchaka
Madanaphala + madhu and sita
Madanaphala + ksheera
Madanaphala + sita and jala
Madanaphala + kshaudra
Madanaphala + madhukodakam

22. VIRECHANAM
• Trivrit, Shyama Kashaya with sharkara
• Trivritadi modaka (trivrit, triphala, shyama, pippali, sharkara,
madhu )
• Trivrit avaleha

23. NIRUHA VASTI
• Indicated in gudamarga raktapitta (A.H)
• Vidarigandhadi gana siddha ksheera asthapana vasti (A.S)

24. ANUVASANA VASTI
• Indicated in gudamarga raktapitta
• Yastimadhu ghritha
• Draksha, madhu, sharkara siddha ghrita (Su. Ut)

25. UTTARA VASTI
• Indicated in mootra marga gata raktapitta
• Shatavari ksheera
• Raktapittahara dravya yukta

26. NASYAM
• Indicated on nasagata raktapitta ( A.H. Chi. 2 )
Any one of previously mentioned Kashaya ( Vasakadi kwatha,
Padmakadi kwatha, Palashavalkala kwatha, etc) + ksheera + ikshurasa
• Ksheera+sama sita+ jala
• Kevala seeta jala
• Dadimapushpa rasa
• Shalmali pushpa rasa

27. PATHYAS
• Shaka rupa pathyas
Patola
Nimba
Vetragra
Plaksha
Vetasapallava
Kiratatikta
Gandira
Kovidarasya pushpa
Kashmarya pushpa
Shalmali pushpa
• Anna rupa pathyas
Shali
Shastika
Neevara
Koradusha
Prashantika
Syamaka
Priyangu
• Supa-yusha rupa pathyas
Mudga
Masura
Chanaka
Mukushta
Adaki phala
• Mamsarasa rupa pathyas
Paravata
Kapota
Lava
Raktaksha
Vartaka
Shasha
Kapinjala
Ena
Harina
Kalapuchhakan

28. APATHYAS
• Shaka Varga
Rasona
Vartaka
• Shimbi
Tila
Masha
Sarshapa
Kulattha
• Dugdha
Dadhi
Dadhimanda
• Other
Guda
Tambula
Viruddhanna
Matsya
Kshara
Lavan
Taila bharjita
Pishtanna
• Vihara
Ativyayama
Ativyavaya
Adhwagamana
Ati atapa sevana
Krodha
Mutra and purisha vega
dharana