Chapter 2.2: Hemorrhagic Disorders Diagnosis (Raktapitta Nidana / रक्तपित्त निदान)
This chapter deals with diagnosis of bleeding disorders (raktapitta) caused by an excess of pitta dosha vitiating blood tissue (rakta dhatu) in the body. This leads to capillary break-down causing hemorrhage from external openings like mouth, per rectum, nose, eyes, ears, urethra. Contributing factors that increase the probability of raktapitta include consumption of incompatible food substances, consuming certain meats with alcohol, butter milk with meat of animals etc. The regular exposure to
Source: Astanga Hridaya Sutrasthan by Vagbhata
Nidana Sthana Chapter 2. Diagnosis and etiopathogenesis of Bleeding Disorders This chapter deals with diagnosis of bleeding disorders (raktapitta) caused by an excess of pitta dosha vitiating blood tissue (rakta dhatu) in the body. This leads to capillary break-down causing hemorrhage from external openings like mouth, per rectum, nose, eyes, ears, urethra. Contributing factors that increase the probability of raktapitta include consumption of incompatible food substances, consuming certain meats with alcohol, butter milk with meat of animals etc. The regular exposure to dietary and lifestyle factors with hot (ushna) properties vitiates pitta dosha. This pitta dosha has the same color and smell as rakta dhatu, and blends seamlessly with it. Vitiated pitta dosha and increased rakta dhatu circulate in the channels and the resultant increased volume of the blood overflows from the bodily orifices. The pathogenesis, if associated with vitiated kapha dosha, leads to bleeding from upper orifices; whereas if it is associated with vitiated vata dosha, leads to bleeding from the lower orifices. The first condition is curable, and later is difficult to cure. If both kapha and vata are involved in the pathogenesis, then the complications arise and such conditions are incurable. Avoiding etiological factors enlisted in this chapter can delay the progression of hemorrhagic disorders. Therapeutic measures of emesis and purgation, conservative therapy with medicinal formulations and proper attention can improve the condition of patients of hemorrhagic disorders in varying degrees. Prodromal symptoms and complications are described in this chapter. Keywords: Etiopathogenesis of raktapitta, bleeding disorders, epistaxis, hemorrhage, hematemesis, rectal bleeding. तत्र श्लोकौ- कारणं नामनिर्वृत्तिं पूर्वरूपाण्युपद्रवान्| nidānē raktapittasya vyājahāra punarvasuḥ| tatra shlokau- kAraNaM nAmanirvRuttiM pUrvarUpANyupadravAn| nidAne raktapittasya vyAjahAra punarvasuH|