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In this Procedure, blood letting is done by using Srnga(Cow Horn shaped material). This method of Raktamokshana(Blood Letting) is done in Blood Vitiated with Vata.(Vata Dushta Rakta).

Indications:- Vata Dushta Rakta, Avagad’ha tama dushta Rakta in Twak, Sukumara Pusrusha, Kandu(Itching), Suptata(Numbness), Sparsanasa.

It is used in Vata predominant rakta dushti since Srnga is having properties like Snigdada,Ushna, Madhura

Srnga Dimension:- Length 7 Angula, Moolabhaga Angushta Samana, Agrabhaga – Mudga Samana

Procedure:-

Pracchana(Pricking) should be done at the region where blood letting should be done.

The Srnga covered with a Cloth at its tip is taken and the Moolabhaga(Small end) kept on the Region where Pracchana is done.

After Keeping the tip in the pricked area, the Other end of the Srnga is sucked using mouth.

This causes Blood Letting., after proper Raktamokshana the Srnga should be removed and the wound should be bandaged using Jatyadi Ghritha.

A person having Mouth Ulcer or Bleeding gums are restricted from sucking blood with Srnga

Modern Technique:-

Now a days instead of Srnga a 5ml Syringe is kept on Pricked area and the Piston of the Syringe is pulled back so that Blood letting will happen

This type of Raktamokshana can be done as a Poorvakarma(Pre-operative procedure) in Srnga, Alabu, Ghati type of Rakta Mokshana.

In this type of Raktamokshana, bloodletting is done by Scraping the area with a Sharp Instrument.

Indications:- Uttana Rakta, Ekadesa Pindita Rakta.

Procedure:-

The Site where Pracchana is to be done should be cleaned well and a Bandhana(Ligation) is done above the site of Pracchana.

After ligating a sharp instrument is taken and the area is scrapped avoiding Snayu(Ligaments), Sandhi(Joints), Asthi(Bones), Marma(Vital Points), Sira(Veins).

The Pracchana should be done in such a manner that it should be straight, Neither too Superficial nor too deep, it should not be oblique and should not be very near to other pracchana line.

Ghati means Pot and in this procedure bloodletting is done by keeping a Pot with burning candle over the pricked body region.

Indications:-

Kapha – Vata Dushta Rakta

Procedure:-

Pracchana(Pricking) should be done at the region where blood letting should be done.

The Ghati Yantra(Pot) with a burning candle is kept over the pricked region.

This Ghatu Yantra is kept for 10 – 15 min in the pricked region, the burning candle utilizes the air inside and thus creates a Vaccum with –ve Pressure which leads to blood letting.

In this type of Raktha Mokshana, blood letting is done by using a Alabu(Laganaria Vulgaris) containing a burning candle.This Particular technique is used in Kapha Dushta Rakta.

Indications:- Kapha Dushta Rakta, Avagad’ha Tara Dushta Rakta in Twak, Sukumara Purusha, Kandu(Itching), Suptata(Numbness), Sparsanasa.

The Alabu used should be soft, white, which is neither too big nor too small.

Alabu Dimension:- Length of attached nalika 4 Angula, 8 Angula Diameter

Procedure:-

Pracchana(Pricking) should be done at the region where blood letting should be done.

The Alabu with a burning candle is kept over the pricked region.

This alabu is kept for 10 – 15 min, the burning candle utilizes the air inside and thus creates a Vaccum with –ve Pressure which leads to blood letting.

In Upanaha Sweda any local body part is made to foment by the application of warm paste of roots of Vata mitigating drugs macerated in sour medium along with Lavana(salt) and Sneha(fats).

In case of Salvana Upanaha Sweda, the paste will be rich in salt content.

Drugs used to make paste according to Dosha Predominance:-

Pittanubandha Vata:- Kakolyadi Gana Dravya, Vatahara Dravya, Amla Dravya, Ghritha, Mamsa, Lavana

Kaphanubandhi Vata:- Surasadi Gana Dravya, Vatahara Dravya, Amla Dravya, Chaturvidha Sneha, Mamsa, Lavana

Kevala Vata:- Vesavara, Vatahara Dravya, Amla Dravya, Chaturvidha Sneha, Mamsa, Lavana

Indications:- Atyanta Ruja(Excess Pain), Gatra Sankocha(Contraction of body parts), Stabda Gatrata(Stiffened body parts)

Procedure:-

The affected part of the patient’s body is applied with warm medicated oil.

A paste is made by mixing powders(Choorna) of drugs like Kakolyadi gana dravya, Vatahara dravya, Amla Dravya, Anupa Audaka mamsa, Sneha and lavana(Salt in excess)

This paste is made warm by heating and pasted over leather strap or silk cloth and is then bandaged to the affected parts.

In Upanaha Sweda, any local body part is made to foment by the application of warm paste of roots of Vata mitigating drugs macerated in sour medium along with Lavana(salt) and Sneha(fats).

According to mode of application its of 3types:-

Pradeha:- In this type of Upanaha Sweda, the warm paste is simply applied to the affected part.

Bandhana:- In this type of Upanaha Sweda, the warm paste is kept evenly in a cloth bandage and this bandage is applied to the affected part.

Pinda Sweda/Sankara Sweda:- In this type of Upanaha Sweda, the drugs of Gana’s like Kakolyadi, Elaadi, Surasadi, along with tila, atasi, sarshapa, Krisara, Utkarika, Vesavara are made into paste(Kalka) and made into a potali(Bolus). Fomentation is produced by applying this to affected part of the body.

Acharya Vagbhatta Opines that:- Warm paste prepared by mixing Lavana(Salt), Sneha(Oil), Amladravya with drugs paste like Vacha, Shatapushpa, Kushta, Devadaru, Rasna, Eranda, Mamsa when applied to the body part by binding it with a leather strap is called as Upanaha Sweda.

Indications:- Arthritis, Bursitis, Frozen Shoulder, Ankylosis, Varicosity.

Procedure:-

The affected part of the patient’s body is applied with warm medicated oil.

A paste is made by mixing powders(Choorna) like Nagaradi Choorna or Kottamchukadi Choorna with Amladravya(Sour substance), Taila(Oil), Saindhava(Salts). This Paste is made warm afterwards.

This Paste is applied on the affected part

Eranda leaves are kept over this paste

Bandaging is done over this Eranda leaf with thick woollen or cotton cloth