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→Classification
#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)
*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====
===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.
*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====