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#Without surgical instruments (ashastra)
 
#Without surgical instruments (ashastra)
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Bloodletting with surgical instruments is of two types[Su.Sa.Sutra Sthana.14/25]<ref name=Susruta/>
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Bloodletting with surgical instruments is of two types [Su.Sa.Sutra Sthana.14/25]<ref name=Susruta/>
 
*Puncturing (pracchana)
 
*Puncturing (pracchana)
 
*Venesection (siravyadha)
 
*Venesection (siravyadha)
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*Application of pot like instrument (ghatiavacharana)
 
*Application of pot like instrument (ghatiavacharana)
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Nowadays, indigenous methods like using animal horns (shringaavacharana), gourd (alabuavacharana) and pot (ghati) are rarely used in practice. These might have been prevalent during ancient times. [Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.H.Sutra Sthana.26/53-55]<ref name=Hridaya/> In current times, the most common methods for bloodletting are puncturing, leech therapy and venesection. These three methods are described in details.
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Nowadays, indigenous methods like using animal horns (shringaavacharana), gourd (alabuavacharana) and pot (ghati) are rarely used in practice. These might have been prevalent during ancient times. [Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.Hr.Sutra Sthana.26/53-55]<ref name=Hridaya/> In current times, the most common methods for bloodletting are puncturing, leech therapy and venesection. These three methods are described in details.
    
===Puncturing (pracchana)===
 
===Puncturing (pracchana)===
 
   
 
   
Pracchana is indicated in patients with good strength and if blood is accumulated locally or in clotted state.[Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.H.Sutra Sthana.26/53-55]<ref name=Hridaya/>
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Pracchana is indicated in patients with good strength and if blood is accumulated locally or in clotted state.[Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.Hr.Sutra Sthana.26/53-55]<ref name=Hridaya/>
    
====Procedure====
 
====Procedure====
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===Venesection (siravyadha)===
 
===Venesection (siravyadha)===
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Siravyadha is indicated in the following conditions [Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.H.Sutra Sthana.26/53-55]<ref name=Hridaya/>
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Siravyadha is indicated in the following conditions [Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.Hr.Sutra Sthana.26/53-55]<ref name=Hridaya/>
 
*If there is generalized vitiation of blood.  
 
*If there is generalized vitiation of blood.  
 
*In patients with good physical and mental strength.  
 
*In patients with good physical and mental strength.  
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*In patients with poor mental and physical strength.
 
*In patients with poor mental and physical strength.
 
*In the conditions of burning and pricking sensation.  
 
*In the conditions of burning and pricking sensation.  
*[[Pitta]] [[dosha]] vitiation in blood ([[rakta]])[Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.H.Sutra Sthana.26/53-55]<ref name=Hridaya/>
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*[[Pitta]] [[dosha]] vitiation in blood ([[rakta]])[Su.Sa.Sharira Sthana.8/25-26]<ref name=Susruta/>, [Dalhana on Su.Sa.Sutra Sthana.13/3]<ref name=Susruta/>, [A.Hr.Sutra Sthana.26/53-55]<ref name=Hridaya/>
    
====Procedure====
 
====Procedure====
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