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In cases where blood comes out from both the routes, [[raktapitta]] is incurable because no effective evacuative measure is applicable. In [[raktapitta]], elimination of [[dosha]] from the opposite route is recommended. Thus, the three types (on the basis of the routes of bleeding) of [[raktapitta]] progression ([[udarka]]) have been described. [18-20]
 
In cases where blood comes out from both the routes, [[raktapitta]] is incurable because no effective evacuative measure is applicable. In [[raktapitta]], elimination of [[dosha]] from the opposite route is recommended. Thus, the three types (on the basis of the routes of bleeding) of [[raktapitta]] progression ([[udarka]]) have been described. [18-20]
 
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==== Factors affecting prognosis ====
 
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Some curable diseases do not get treated successfully because of the lack of attendants and equipment, and fault of the physician. If the disease is not treated, then it proceeds to incurability. If treated well, sometimes the incurable disease may become curable or palliable.  [21-23]
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Some curable diseases do not get treated successfully (and lead to incurability) because of following factors:
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* Not following proper treatment protocol
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* lack of attendants and equipment
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* Mischievousness and fault of the physician.  
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If the disease is not treated, then it proceeds to incurability. If treated well, sometimes the incurable disease may become curable or palliable.  [21-23]
    
=== Signs of incurable [[raktapitta]] ===
 
=== Signs of incurable [[raktapitta]] ===
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=== Correlation between Ayurvedic knowledge and Western medicine ===
 
=== Correlation between Ayurvedic knowledge and Western medicine ===
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Biomedical textbooks rarely discuss the pathophysiology of bleeding disorders in terms of diet or nutrition, unlike [[Ayurveda]]. There is, therefore, a need to research the correlation between food articles and bleeding disorders. The following food substances are etiological factors of ''raktapitta'', since these seem to act as blood thinners and can cause bleeding disorders in predisposed patients: [Cha.Sa.[[Nidhana Sthana]] 2/4]  
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Biomedical textbooks rarely discuss the pathophysiology of bleeding disorders in terms of diet or nutrition, unlike [[Ayurveda]]. There is, therefore, a need to research the correlation between food articles and bleeding disorders. The following food substances are etiological factors of ''raktapitta'', since these seem to act as blood thinners and can cause bleeding disorders in predisposed patients: [Cha.Sa.[[Nidana Sthana]] 2/4]  
    
#''Mulaka'' (Raphanus sativus Linn.), radish, Brassicaceae family  
 
#''Mulaka'' (Raphanus sativus Linn.), radish, Brassicaceae family  
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*[[Vidhishonitiya Adhyaya]]
 
*[[Vidhishonitiya Adhyaya]]
 
*[[Raktapitta Chikitsa]]
 
*[[Raktapitta Chikitsa]]
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== References ==
 
== References ==
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