Raktha mokshanam
Raktamokshanam is considered one among Shodhana procedures. Raktamokshanam means letting of blood which is mainly indicated in certain disease state especially when there is Raktadushti
In this procedure, blood letting is done by very light incisions taken on the skin with the help of scalpel. It is used to drain the accumulated blood from a particular point of the body. Prachchana is done on the body. Silky cloth is applied on that surface and a syringe is pressed at that point. The piston should be pulled very slowly. It creates vacuum and blood is collected in the syringe.
Sringa means horn. In ancient times, horns were used to aspirate the vitiated blood from the body, hence named so. Small incision used to be made at the spot selected for aspiration and blood aspirated from the tip of horn with mouth. Now days, the procedure can be carried out by a syringe cut at its mouth.
Alabu karma
Blood vitiated by kapha dosha can be removed by alabu karma. For this, alabu is used hence named.
In this type jalouka / leech is used as a part of raktmoksham. It is used in blood vitiated by pitta dosha.
The Vein is cut at required spots such that some amount blood is let out. It is used in tridosha aggravation. It can purify the entire body.
Area Covered
Application of Sringa can bring out blood from an area of ten angulis around Jalauka can suck from an area of one hasta. Alabu from an area of twelve anguli. Pracchanna from an area of one anguli. Siravyadha can purify the entire body. In deep seated pathology, Jalauka is preferable, in pindita rakta - Pracchanna is useful, in case of generalized vitiation of rakta - Siravyadha is advised and Sringa, Alabu if pathology is superficial/utthana.

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