The father of Ayurvedic internal medicine Charaka describes the five Panchakarma procedures as Vamana (Therapeutic emesis), Nasya (Nasal medication), Virechana (Therapeutic purgation) and two types of Basti (Therapeutic enema). Another great Ayurvedic surgeon Sushruta combined the two types of basti into one category and added Raktamokshana (The therapeutic withdrawal of blood from the body) as one of the Panchakarma therapy. Although Raktamokshana is the most limited of the five major procedures, it provides a rapid and sometimes dramatic reduction of symptoms in certain acute disorders, especially where time is a critical factor. When Pitta dosha is vitiated they get lodged in the blood. In acute conditions when you need quick relief, and there is no time for the various phases of Panchakarma like Purvakarma (Preparation for Panchakarma), etc. Raktamokshana can be helpful. Raktamokshana gives relief from acute symptoms very quickly. After that Panchakarma
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