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The disease is acute in nature and becomes critical very quickly, spreading like bush fire. Hence its treatment should be done immediately with saturating or de-saturating soft, sweet, cold, bitter and astringent diet and pastes, baths, emesis etc. after due consideration of dose, place and time. [11]
 
The disease is acute in nature and becomes critical very quickly, spreading like bush fire. Hence its treatment should be done immediately with saturating or de-saturating soft, sweet, cold, bitter and astringent diet and pastes, baths, emesis etc. after due consideration of dose, place and time. [11]
 
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==== [[Virechana]] (therapeutic purgation) in [[raktapitta]] ====
 
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भवन्ति  चात्र- साध्यं लोहितपित्तं तद्यदूर्ध्वं प्रतिपद्यते|  
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भवन्ति  चात्र-  
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साध्यं लोहितपित्तं तद्यदूर्ध्वं प्रतिपद्यते|  
    
विरेचनस्य योगित्वाद्बहुत्वाद्भेषजस्य  च||१२||
 
विरेचनस्य योगित्वाद्बहुत्वाद्भेषजस्य  च||१२||
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The “upward” variety of ''raktapitta'' is curable because of applicability of purgation and abundance of useful drugs. Purgation is the best remedy for alleviation of ''pitta'' and ambivalence to ''kapha''. Sweet drugs are also applicable in this case. Hence, bleeding from the upper part is curable. [12-14]  
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The upward variety of [[raktapitta]] is curable because of applicability of [[purgation]] and abundance of useful drugs. [[Purgation]] is the best remedy for alleviation of [[pitta]] and ambivalence to [[kapha]]. Sweet drugs are also applicable in this case. Hence, bleeding from the upper part is curable. [12-14]  
 
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==== [[Vamana]] (therapeutic emesis) in [[raktapitta]] ====
 
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Hemorrhage from the lower parts is decidedly palliable because emesis has limited efficacy here and effective drugs are also a few. Emesis is not so efficacious for elimination of ''pitta'' and it is also ineffective in alleviation of ''vata'' responsible for the downward flow. Moreover, astringents and bitter drugs are not applicable there. Hence hemorrhage from the lower parts is considered palliable. [15-17]   
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Hemorrhage from the lower parts is decidedly palliable because [[emesis]] has limited efficacy here and effective drugs are also a few. [[Emesis]] is not so efficacious for elimination of [[pitta]] and it is also ineffective in alleviation of [[vata]] responsible for the downward flow. Moreover, astringents and bitter drugs are not applicable there. Hence hemorrhage from the lower parts is considered palliable. [15-17]   
 
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==== Poor prognosis in severe bleeding ====
 
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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 taken by ''rakta'') of ''raktapitta'' progression (''udarka'') have been described. [18-20]
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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]
 
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Some curable diseases do not get treated successfully because of the lack of attendants and equipments, uncontrolled self 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 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]
    
=== Signs of incurable ''raktapitta'' ===
 
=== Signs of incurable ''raktapitta'' ===

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