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40 bytes added ,  14:38, 1 April 2018
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The same treatment should be adopted in case of association of ''ama'' and location in ''pitta sthana'' (abdomen and middle parts of body).  
 
The same treatment should be adopted in case of association of ''ama'' and location in ''pitta sthana'' (abdomen and middle parts of body).  
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In addition, raktamokshana (blood letting) and virechana (purgation therapy) are specially indicated.  
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In addition, ''raktamokshana'' (blood letting) and ''virechana'' (purgation therapy) are specially indicated.  
If sama (with ama dosha) visarpa is arouse from vatashaya (pelvis and lower part of body) ununctuous measures are indicated in the beginning. Even in association with rakta-pitta uncting measure is not regarded as beneficial in the beginning.  
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If ''sama'' (with ''ama dosha'') ''visarpa'' is arouse from ''vatashaya'' (pelvis and lower part of body) ununctuous measures are indicated in the beginning. Even in association with ''rakta-pitta'' uncting measure is not regarded as beneficial in the beginning.  
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In vataja visarpa and paittika visarpa of mild aggravated dosha tiktaka ghritam is beneficial. But if the pitta dosha is excessively aggravated then virechana should be given.  
 
In vataja visarpa and paittika visarpa of mild aggravated dosha tiktaka ghritam is beneficial. But if the pitta dosha is excessively aggravated then virechana should be given.  
 
In the condition of excessively aggravated dosha, ghee should not be given at first which does not cause virechana. Because non purgating ghee occlude the dosha resulting in decomposed skin, flesh and blood. Hence in visarpa virechana followed by raktamokshana is recommended because the disorder is located in blood.(43-49)  
 
In the condition of excessively aggravated dosha, ghee should not be given at first which does not cause virechana. Because non purgating ghee occlude the dosha resulting in decomposed skin, flesh and blood. Hence in visarpa virechana followed by raktamokshana is recommended because the disorder is located in blood.(43-49)  
Formulations used in visarpa:
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==== Formulations used in visarpa ====
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इति वीसर्पनुत् प्रोक्तं समासेन चिकित्सितम् |  
 
इति वीसर्पनुत् प्रोक्तं समासेन चिकित्सितम् |  
 
एतदेव पुनः सर्वं व्यासतः सम्प्रवक्ष्यते ||५०||  
 
एतदेव पुनः सर्वं व्यासतः सम्प्रवक्ष्यते ||५०||  

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