Raktamoksha therapy is one of the Panchakarmas of Ayurveda. Literally meaning Blood Letting, Raktamoksha is performed to eliminate the toxins from the bloodstream through the gastrointestinal tract. It is a safe, painless and highly effective form of Panchakarma.
Raktamoksha entails the refinement of blood, hence administered to treat disorders pertaining to skin, such as urticaria, rash, eczema, acne, scabies, leucoderma, chronic itching and hives. Enlarged liver, spleen, hemochromatosis and gout can also be cured by applying the blood letting therapy.
Raktamokshana is one of the essential procedures among five Penta- bio purificatory procedures as per Sushruta School. It is the important non-pharmacological intervention through which vitiated Rakta Dosha, along with Pitta, is eliminated through the body by using different techniques such as Sira vedha, Jaoukavacharna, Shringa, or Prachhana.
Though it seems to be invasive, due to miraculous results, it is highly expected to adopt in complex clinical conditions where there occurs no relief with the use of specific Doshahara Chikitsa. It is considered as the half treatment in surgical diseases, according to Sushruta
Selected cow's horn is collected which is open at both end. Superficial multiple small incisions are made over the affected area which is cleaned priorly with antiseptic solution. The larger open end is kept over the incised area and blood is sucked through other end.
Patient is also mentally and physically prepared by this pre-procedure. It is the procedure of consuming a given amount of Medicated Ghruta in the morning ( Abhyantar Snehan) and whole body massage & Steaming in a clinic (Bahya Snehan - Swedan)
Alabu (Blood letting through pitcher guard) Medium sized selected pitcher is opened at the top to remove pulp and seed, dried under sun till it is hard. Affected part is cleaned with antiseptic solution, multiple vertical incisions made over the site. An ignited wick is kept straight over the area and closed with the pitcher guard, the fire extinguishes creating the vacuum inside the pitcher which drains out the blood which gets collected at margins of pitcher.
Prachana (Blood letting by puncturing) A tourniquet is applied slight above the affected area. Using a sharp instrumemt, multiple incisions are made avoiding vital structures. Incisions are made in upward direction, not very deep nor superficial, not very closely placed, should not be done transversely and made very quickly.
Siravedha (Venepuncture) Venepuncture is considered superior. Just as bunds of channels in the fields break off, the standing grains are destroyed from its roots completely similarly, this procedure is able to destroy the diseases from its roots completely. In Shalya Tantra, Venepuncture is considered as half complete therapy for numerous diseases, as blood bieng the pathogenic factor in most of the diseases.