Background: Raktamok?a?a (therapeutic bloodletting) is an ancient para-surgical procedure described in Ayurveda for the elimination of vitiated Rakta(blood) and Do?as from the body. The therapy is one of the five purification measures under Sodhana and holds significant importance in managing disorders of Pitta and Rakta du??i.Objective: This article aims to understand the Ayurvedic perspective of Raktamok?a?a, its generalized mechanism of action, and to analyze modern safety precautions, contraindications, and the scientific rationale supporting its controlled clinical use.Methodology: A review of classical Ayurvedic texts including Sushruta Samhita, Charaka Samhita, and Ashtanga Hridaya was undertaken, alongside modern literature and indexed journal references discussing the safety and physiological mechanisms of bloodletting and related therapeutic modalities.Results: Raktamok?a?a is described to purify Rakta and maintain homeostasis by eliminating pathogenic toxins and improving tissue perfusion. Modern interpretations equate its mechanism to controlled removal of blood to reduce venous congestion, decrease inflammatory mediators, and modulate immune responses.Conclusion: When performed with appropriate technique and under aseptic conditions, Raktamok?a?a is a safe and effective para-surgical procedure that bridges traditional wisdom with modern therapeutic rationale. However, knowledge of contraindications and adherence to safety guidelines are crucial for preventing complications.
Raktamok?a?a, Bloodletting, Ayurveda, Safety precautions, Para-surgical procedure, Do?a–Dhatu balance.
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