Thursday 6 June 2019

Rakta Vamana ( Hematemesis )

Rakta Vamana ( Hematemesis )

Hematemesis is the Vomiting of blood . Which may be obviously red or have an appearance similar to coffee grounds.

Causes

Enlarged veins in the walls of the lower part of the esophagus. and sometimes the stomach .may begin to bleed . These veins are present in people with severe liver damage.

1 Bleeding ulcer in the stomach . Frist part of the small intestine . Or esophagus.

2 Defects in the blood vessels of the G.I tract.

3 Swelling irritation or inflammation of the esophagus lining ( esophagitis) or the stomach lining ( gastritis )

4 Swallowing blood ( for example after a nosebleed )

5Tumors of the stomach or esophagus.

Different Diagnosis

Urdhvaga Raktapitta and Rakta Stheevana.

Featured.*       

1 Bleeding

2 Quantity.

3 Nature of Rakta.

4 Precipitation factors

5 pH of blood .

*Urdhvanga Raktapitta ( Hematemesis )

1 Through mouth . Nose

2 more

3 Dooshita

4 Pitta prakopaka

5 Acidic

* Rakta Stheevana ( Haemoptysis )

1 Blood mixed sputum.

2 Less

3 jeeva

4 Cough

5 Alkaline

Principal of Treatment

1 Urdhvanga Raktapitta Samana Chikitsa

2 Stambhna

3 Greeshma Ritucharaya palana.

Shamana Chikitsa

1 Drakshadi Kashaya 20 ml Hourly

2 Ikshu svarasa - Frequently

3 Vasa Svarasa - 5ml with Honey Frequently.

4 Avipattikara Churna 1 gm 1/2 hourly

5 Shatavari Leha 5 gm 1/2 hourly

6 Kamadugha with mukta 2 vati TID before meals

7 Sativa Sheeta Kashaya 20 ml Hourly.

8 Chandana . Usheera .Sariva .Guduchi Sheeta Kashaya -- 20 ml Hourly.

Diet and lifestyle

Pathya ( Indications )

1 Pomegranate juice

2 orange juice

3 Corn soup

4 lime juice

5 coconut water

6 Liquid Foods

7 Cold ( Ice-cream )

Apthya ( Contraindications )

1 Heavy . Hard  Foods

2 Hot . Spicy.and  Oily Foods Products.


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