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Because of similarity in constitution of ''pitta'' with rakta, rakta dhatu is also vitiated by the etiological factors and has similarity in its smell and color, and is therefore called ''raktapitta''.
 
Because of similarity in constitution of ''pitta'' with rakta, rakta dhatu is also vitiated by the etiological factors and has similarity in its smell and color, and is therefore called ''raktapitta''.
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It originates in the spleen and liver which play pivotal roles in the blood physiology, including clotting. Manifestations of raktapitta depend upon vitiation and predominance of a particular dosha. There may be a combination of one, two or all the three dosha and based on dosha specific features of raktapitta may appear pale, unctuous and slimy in kapha, frothy, blackish red in vata and cane sugar like urine, shiny black, smoky and coarse-like collerium in pitta. Raktapitta associated with one dosha is curable, with two dosha is difficult to cure and incurable if all three dosha are involved.
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It originates in the spleen and liver which play pivotal roles in the blood physiology, including clotting. Manifestations of ''raktapitta'' depend upon vitiation and predominance of a particular ''dosha''. There may be a combination of one, two or all the three ''dosha'' and based on ''dosha'' specific features of ''raktapitta'' may appear pale, unctuous and slimy in ''kapha'', frothy, blackish red in ''vata'' and cane sugar like urine, shiny black, smoky and coarse-like collyrium in pitta. ''Raktapitta'' associated with one ''dosha'' is curable, with two ''dosha'' is difficult to cure and incurable if all three ''dosha'' are involved.
Movement of raktapitta may be upward or downward meaning bleeding from uppper and/or lower external orifices. This manifestation depends on etiological factors, unctuous hot factors associated with kapha has upward raktapitta however rough hot associated with vata has downward raktapitta.
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Upward raktapitta, associated with kapha dosha is treated with tarpana (nourishment therapy) and downwards raktapitta is associated with vata and peya (liquid gruel) should be used.
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Movement of ''raktapitta'' may be upward or downward meaning bleeding from upper and/or lower external orifices. This manifestation depends on etiological factors, unctuous hot factors associated with ''kapha'' has upward ''raktapitta'' however rough hot associated with ''vata'' has downward ''raktapitta''.
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Upward ''raktapitta'', associated with kapha dosha is treated with tarpana (nourishment therapy) and downwards raktapitta is associated with vata and peya (liquid gruel) should be used.
 
Their drugs mainly have madhura, tikta and sheeta guna which pacify pitta and rakta. One herb which is very important in raktapitta is vasa, which alone can check the bleeding quickly.
 
Their drugs mainly have madhura, tikta and sheeta guna which pacify pitta and rakta. One herb which is very important in raktapitta is vasa, which alone can check the bleeding quickly.
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The details regimen, priniciples of management are elaborately described in the chapter
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=== Sanskrit text, Transliteration and English Translation ===
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अथातो रक्तपित्तचिकित्सितं व्याख्यास्यामः ||१||
 
अथातो रक्तपित्तचिकित्सितं व्याख्यास्यामः ||१||
 
इति ह स्माह  भगवानात्रेयः||२||
 
इति ह स्माह  भगवानात्रेयः||२||

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