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The hemorrhagic disorder which does not get pacified by the said various extracts after digestive fire being kindled and ''kapha'' being overcome, there may be association of ''vayu'' which should be treated thereafter.

The hemorrhagic disorder which does not get pacified by the said various extracts after digestive fire being kindled and ''[[kapha]]'' being overcome, there may be association of ''vayu'' which should be treated thereafter.

Goat milk is the excellent remedy for that. Cow milk boiled with:  

Goat milk is the excellent remedy for that. Cow milk boiled with:  

#''jivaka'' and ''rishabhaka'' added with ghee and sugar. [82-84]

#''jivaka'' and ''rishabhaka'' added with ghee and sugar. [82-84]

=== Treatment of hematuria and per rectal bleeding ===

=== Treatment of hematuria ===

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Particularly in haemorrhage from rectum milk boiled with ''mocharasa'', or hanging roots or leaf-buds of ''vata'' or ''hribera, nilotpala'' and ''nagara'' (''musta'') should be taken. After taking the medicinal extracts with milk the patient should take ghee cooked with these extracts. [85-87]

Particularly in haemorrhage from rectum milk boiled with ''mocharasa'', or hanging roots or leaf-buds of ''[[vata]]'' or ''hribera, nilotpala'' and ''nagara'' (''musta'') should be taken. After taking the medicinal extracts with milk the patient should take ghee cooked with these extracts. [85-87]

=== ''Vasa'' ghee ===

=== ''Vasa'' ghee ===

All measures which are prescribed for the treatment of ''pattika'' fever such as massage, sprinkling, baths, beds, room/coverings, cooling methods or enema should be applied in hemorrhagic disorder considering the season and dose. ''Sarpirguda'' (the formulation of jaggery and ghee) prescribed for the patients of ''kshata'' (chest injury) control the hemorrhagic disorder quickly. [91-92]

All measures which are prescribed for the treatment of ''pattika'' fever such as massage, sprinkling, baths, beds, room/coverings, cooling methods or enema should be applied in hemorrhagic disorder considering the season and dose. ''Sarpirguda'' (the formulation of jaggery and ghee) prescribed for the patients of ''kshata'' (chest injury) control the hemorrhagic disorder quickly. [91-92]

=== Treatment of ''raktapitta'' with associated ''kapha'' ===

=== Treatment of ''raktapitta'' with associated ''[[kapha]]'' ===

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In case of ''raktapitta'' if there is association of ''kapha'' and blood reaching the throat is adherent, alkali of the stalk of water lily mixed with honey and ghee should be used. In the same way, alkali of lotus stalk, lotus, water lily, ''nagakeshara, palasha, priyangu, madhuka'' and asana should be used. [93-94]

In case of ''raktapitta'' if there is association of ''[[kapha]]'' and blood reaching the throat is adherent, alkali of the stalk of water lily mixed with honey and ghee should be used. In the same way, alkali of lotus stalk, lotus, water lily, ''nagakeshara, palasha, priyangu, madhuka'' and asana should be used. [93-94]

=== ''Shatavaryadi'' ghee ===

=== ''Shatavaryadi'' ghee ===

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The hemorrhagic disorder coming out of the nose should be treated with the above decoctive drugs in the form of ''avapida'' (nasal errhines with juice) when the vitiated ''doshas'' are eliminated, otherwise if the affected ''rakta'' is checked by juice-snuffing it produces obstinate coryza, head diseases, blood with pus and corpse-like smell, loss of smell sensation and maggots.

The hemorrhagic disorder coming out of the nose should be treated with the above decoctive drugs in the form of ''avapida'' (nasal errhines with juice) when the vitiated ''[[dosha]]s'' are eliminated, otherwise if the affected ''[[rakta]]'' is checked by juice-snuffing it produces obstinate coryza, head diseases, blood with pus and corpse-like smell, loss of smell sensation and maggots.

In this condition snuffing with:

In this condition snuffing with:

*The causes of ''raktapitta'' include excess consumption of food with hot potency and ingredients with sharp, sour, pungent and salty taste, exposure to the sun and foods that cause burning sensations.

*The causes of ''raktapitta'' include excess consumption of food with hot potency and ingredients with sharp, sour, pungent and salty taste, exposure to the sun and foods that cause burning sensations.

*''Pitta dosha'' and ''rakta'' have similar properties in terms of vitiation, odor, color and origin. Therefore, anything affecting ''pitta'' will affect ''rakta'' and vice versa.  

*''[[Pitta dosha]]'' and ''[[rakta]]'' have similar properties in terms of vitiation, odor, color and origin. Therefore, anything affecting ''[[pitta]]'' will affect ''[[rakta]]'' and vice versa.  

*The ''pitta'' and ''rakta'' (blood) including blood vessels originate from spleen and liver.  

*The ''[[pitta]]'' and ''[[rakta]]'' (blood) including blood vessels originate from spleen and liver.  

*Affliction by ''kapha'' in ''rakta'' can be observed by appearance of viscous, pale, unctuous and slimy blood (in blood coming out).  

*Affliction by ''[[kapha]]'' in ''[[rakta]]'' can be observed by appearance of viscous, pale, unctuous and slimy blood (in blood coming out).  

*Blackish, reddish, frothy, thin and roughness in blood indicates affliction by ''vata''.  

*Blackish, reddish, frothy, thin and roughness in blood indicates affliction by ''[[vata]]''.  

*Blood having ochre-like, black, cow-urine-like, shining black, smoky and collyrium-like color indicates ''pitta'' affliction. Due to combination of two ''doshas'' the symptoms of both manifest. ''Raktapitta'' caused by ''sannipata'' has symptoms of all the three ''doshas''.

*Blood having ochre-like, black, cow-urine-like, shining black, smoky and collyrium-like color indicates ''[[pitta]]'' affliction. Due to combination of two ''[[dosha]]s'' the symptoms of both manifest. ''Raktapitta'' caused by ''sannipata'' has symptoms of all the three ''[[dosha]]s''.

*The prognosis and treatment of ''raktapitta'' depend upon movement of vitiated ''rakta'', direction of its flow, origin, severity of disease, strength of patient.  

*The prognosis and treatment of ''raktapitta'' depend upon movement of vitiated ''[[rakta]]'', direction of its flow, origin, severity of disease, strength of patient.  

*''Raktapitta'' is caused by food having predominantly unctuous-hot and rough-hot properties. The former often gives rise to the upward movement and the latter to the downward movement of ''raktapitta''.  

*''Raktapitta'' is caused by food having predominantly unctuous-hot and rough-hot properties. The former often gives rise to the upward movement and the latter to the downward movement of ''raktapitta''.  

*The upward movement in ''raktapitta'' is associated with ''kapha'', the downward one with ''vata'' and that from both the passages is associated with both ''kapha'' and ''vata''.

*The upward movement in ''raktapitta'' is associated with ''[[kapha]]'', the downward one with ''[[vata]]'' and that from both the passages is associated with both ''[[kapha]]'' and ''[[vata]]''.

*''Stambhana'' (styptic therapy) should not be given at first in hemorrhagic disorders having excessive impurities, aggravated ''doshas'', over-nourished and in a person who is not emaciated and weak.

*''[[Stambhana]]'' (styptic therapy) should not be given at first in hemorrhagic disorders having excessive impurities, aggravated ''[[dosha]]s'', over-nourished and in a person who is not emaciated and weak.

*Mostly the ''raktapitta'' is aggravated by ''amadosha'', hence patient should be managed with ''langhana'' (lightening measures). In the beginning stage of ''raktapitta'', lightening or nourishing measure according to passage, association of ''dosha'' and etiology shall be applied.

*Mostly the ''raktapitta'' is aggravated by ''amadosha'', hence patient should be managed with ''[[langhana]]'' (lightening measures). In the beginning stage of ''raktapitta'', lightening or nourishing measure according to passage, association of ''[[dosha]]'' and etiology shall be applied.

*''Raktapitta'', due to excess nutrition in a strong patient with aggravated ''doshas'', who don’t have emaciation, debility and complications, should be treated with purification therapy by purgation in upward type and emesis in lower movement of ''raktapitta''.

*''Raktapitta'', due to excess nutrition in a strong patient with aggravated ''[[[dosha]]s'', who don’t have emaciation, debility and complications, should be treated with purification therapy by purgation in upward type and emesis in lower movement of ''raktapitta''.

*After purification, in the case of upward type, the dietetic regimen starts with saturating drinks. In that of downward type, it starts with gruel subjected to the condition that ''vata'' is not dominant.

*After purification, in the case of upward type, the dietetic regimen starts with saturating drinks. In that of downward type, it starts with gruel subjected to the condition that ''[[vata]]'' is not dominant.

*All types of sweet, bitter, astringent medicines with cold potency are indicated in diet and medicinal management. In lifestyle management, the cold measures and avoiding exposure to excess heat are applied in treatment of hemorrhagic disorders.

*All types of sweet, bitter, astringent medicines with cold potency are indicated in diet and medicinal management. In lifestyle management, the cold measures and avoiding exposure to excess heat are applied in treatment of hemorrhagic disorders.

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There are various bleeding disorders, some of  which  can be correlated with ''raktapitta''. Bleeding disorders can occur either due to decrease in coagulation factor in blood or due to increase in bleeding factor. When patient has bleeding from anus (''guda'') or vagina(''yoni''), then it is difficult to differentiate whether the disease is ''adhoga raktapitta'' or ''raktarsha'' or ''raktatisara'' or ''pradara''. There are major similarities in causes, signs, ''doshas'' involved but also minor differences. And that minor differences need to be studied to capture the right link of disease, which can be done only when one has, the deep knowledge of Ayurvedic diagnostic tool i.e. ''nidanpanchaka''. The profound cognizance of  ''nidanapanchaka'' as a diagnostic tool can enhance the treatment modalities of Ayurvedic management of diseases in coming years.

There are various bleeding disorders, some of  which  can be correlated with ''raktapitta''. Bleeding disorders can occur either due to decrease in coagulation factor in blood or due to increase in bleeding factor. When patient has bleeding from anus (''guda'') or vagina(''yoni''), then it is difficult to differentiate whether the disease is ''adhoga raktapitta'' or ''raktarsha'' or ''raktatisara'' or ''pradara''. There are major similarities in causes, signs, ''[[dosha]]s'' involved but also minor differences. And that minor differences need to be studied to capture the right link of disease, which can be done only when one has, the deep knowledge of Ayurvedic diagnostic tool i.e. ''nidanpanchaka''. The profound cognizance of  ''nidanapanchaka'' as a diagnostic tool can enhance the treatment modalities of Ayurvedic management of diseases in coming years.

=== Commonly used medicines in ''raktapitta'' ===

=== Commonly used medicines in ''raktapitta'' ===

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