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−
#Without surgical instruments (ashastra)
#Without surgical instruments (ashastra)
−Bloodletting with surgical instruments is of two types[Su.Sa.Sutra Sthana.14/25]<ref name=Susruta/>
+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)
−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.
+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/>
+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)===
−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/>
+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/>
+*[[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====