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|title=Raktapitta Nidana

|title=Raktapitta Nidana

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<big>''' Nidana Sthana Chapter 2. Diagnosis and etiopathogenesis of Bleeding Disorders '''</big>

<big>''' Nidana Sthana Chapter 2. Diagnosis and etiopathogenesis of Bleeding Disorders '''</big>

{{Infobox

{{Infobox

|data11  = [https://doi.org/10.47468/CSNE.2020.e01.s02.003 10.47468/CSNE.2020.e01.s02.003]

|data11  = [https://doi.org/10.47468/CSNE.2020.e01.s02.003 10.47468/CSNE.2020.e01.s02.003]

}}

}}

<big>'''Abstract'''</big>

<big>'''Abstract'''</big>

 

<p style="text-align:justify;">This chapter deals with diagnosis of bleeding disorders ([[raktapitta]]) caused by an excess of [[pitta dosha]] vitiating blood tissue ([[rakta dhatu]]) in the body. This leads to capillary break-down causing hemorrhage from external openings like mouth, per rectum, nose, eyes, ears, urethra. Contributing factors that increase the probability of [[raktapitta]] include consumption of incompatible food substances, consuming certain meats with alcohol, butter milk with meat of animals etc. The regular exposure to dietary and lifestyle factors with hot (ushna) properties vitiates [[pitta dosha]]. This [[pitta dosha]] has the same color and smell as [[rakta dhatu]], and blends seamlessly with it. Vitiated [[pitta dosha]] and increased [[rakta dhatu]] circulate in the channels and the resultant increased volume of the blood overflows from the bodily orifices. The pathogenesis, if associated with vitiated [[kapha dosha]], leads to bleeding from upper orifices; whereas if it is associated with vitiated [[vata dosha]], leads to bleeding from the lower orifices. The first condition is curable, and later is difficult to cure. If both [[kapha]] and [[Vata dosha|vata]] are involved in the pathogenesis, then the complications arise and such conditions are incurable. Avoiding etiological factors enlisted in this chapter can delay the progression of hemorrhagic disorders. Therapeutic measures of [[emesis]] and [[purgation]], conservative therapy with medicinal formulations and proper attention can improve the condition of patients of hemorrhagic disorders in varying degrees. Prodromal symptoms and complications are described in this chapter. </p>

<div style="text-align:justify;">This chapter deals with diagnosis of bleeding disorders ([[raktapitta]]) caused by an excess of [[pitta dosha]] vitiating blood tissue ([[rakta dhatu]]) in the body. This leads to capillary break-down causing hemorrhage from external openings like mouth, per rectum, nose, eyes, ears, urethra. Contributing factors that increase the probability of [[raktapitta]] include consumption of incompatible food substances, consuming certain meats with alcohol, butter milk with meat of animals etc. The regular exposure to dietary and lifestyle factors with hot (ushna) properties vitiates [[pitta dosha]]. This [[pitta dosha]] has the same color and smell as [[rakta dhatu]], and blends seamlessly with it. Vitiated [[pitta dosha]] and increased [[rakta dhatu]] circulate in the channels and the resultant increased volume of the blood overflows from the bodily orifices. The pathogenesis, if associated with vitiated [[kapha dosha]], leads to bleeding from upper orifices; whereas if it is associated with vitiated [[vata dosha]], leads to bleeding from the lower orifices. The first condition is curable, and later is difficult to cure. If both [[kapha]] and [[Vata dosha|vata]] are involved in the pathogenesis, then the complications arise and such conditions are incurable. Avoiding etiological factors enlisted in this chapter can delay the progression of hemorrhagic disorders. Therapeutic measures of [[emesis]] and [[purgation]], conservative therapy with medicinal formulations and proper attention can improve the condition of patients of hemorrhagic disorders in varying degrees. Prodromal symptoms and complications are described in this chapter. </div>

'''Keywords''': Etiopathogenesis of [[raktapitta]], bleeding disorders, epistaxis, hemorrhage, hematemesis, rectal bleeding.

'''Keywords''': Etiopathogenesis of [[raktapitta]], bleeding disorders, epistaxis, hemorrhage, hematemesis, rectal bleeding.

== Introduction ==

== Introduction ==

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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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]

Some curable diseases do not get treated successfully (and lead to incurability) because of following factors:

 

* lack of attendants and equipment

* Mischievousness 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]

=== Signs of incurable [[raktapitta]] ===

=== Signs of incurable [[raktapitta]] ===

=== Correlation between Ayurvedic knowledge and Western medicine ===

=== Correlation between Ayurvedic knowledge and Western medicine ===

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]  

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  

*[[Vidhishonitiya Adhyaya]]

*[[Vidhishonitiya Adhyaya]]

*[[Raktapitta Chikitsa]]

*[[Raktapitta Chikitsa]]

== References ==

== References ==