Published 11-12-2023

The Comprehensive Guide to Raktamokshana Therapy in Ayurveda


The Comprehensive Guide to Raktamokshana Therapy in Ayurveda

Dr. Shivani Nautiyal

Dr. Shivani Nautiyal is a renowned Ayurvedic physician, Panchakarma therapies specialist, and detox expert who has made significant contributions to the field of natural holistic healing and wellness. With her profound knowledge, expertise, and compassionate approach, she has transformed the lives of countless individuals seeking holistic health solutions. She is a Panchakarma expert, which are ancient detoxification and rejuvenation techniques. She believes in the power of Ayurveda to restore balance and harmony to the body, mind, and spirit.

Raktamokshana, an ancient therapeutic blood purification procedure in Ayurveda, holds the key to addressing a myriad of health issues related to blood impurities, inflammation, and imbalances in Pitta dosha. Derived from Sanskrit words meaning 'blood' and 'letting out,' Raktamokshana is a subset of Panchakarma, focusing on the liberation of excess or vitiated blood from the body. There are various types and methods of Raktamokshana, each serving specific purposes.

Types and Methods of Raktamokshan


1. Jalaukaavacharana (Leech Therapy): The first description of leech therapy is available in Sushruta Samhita, which was written in 800 B.C. Leech therapy has been used to treat various diseases through Raktmokshan. 

  • Method: Medicinal leeches naturally extract blood, offering therapeutic benefits.
  • Purpose: Effective for blood circulation issues, skin diseases, arthritis, venous congestion, vascular diseases, and inflammation.

Also read: Raktamokshana: Ayurveda's Secret to Blood Purity & Holistic Wellness

2. Siravedha (Venesection): Venesection is an integral part of treatment protocols prescribed under Unani, Ayurveda, and traditional Chinese & Hildegard medicine. Siravedha combats different types of diseases; to date, many clinical studies claim a reduction in pain and numbness, with cases like sciatica, migraine, low backache, rheumatic conditions, and many more. 

  • Method: Controlled puncturing of a vein using surgical instruments.
  • Purpose: Addresses conditions associated with excess Pitta dosha and improves blood circulation.

3. Aushadha (Medicinal): The roots of Aushadha in Raktamokshana can be traced back to classical Ayurvedic texts such as the Charaka Samhita and Sushruta Samhita, where formulations with blood-purifying properties were detailed. 

  • Method: Ayurvedic herbs or formulations inducing therapeutic bleeding.
  • Purpose: Detoxification and treatment of specific disorders.

4. Pracchanna (Inadvertent): In ancient times, when medical knowledge was rudimentary, injuries often led to bloodletting. It was believed that allowing blood to flow from wounds could release harmful substances and promote healing. The accidental nature of Pracchanna was a prevalent occurrence, shaping early medical practices across various civilizations.  

  • Method: This involves bloodletting through an accidental wound, injury, or during a surgical procedure.
  • Purpose: It is not a therapeutic method but is mentioned for completeness.

5. Vyaghravyadha (Tiger's Fang): Over the centuries, Ayurvedic practitioners have refined and adapted the Vyaghravyadha technique. Ghati Yantra is the tool that is used in this technique.   

  • Method: A mild form of bloodletting where a non-poisonous thorn or needle is used to pierce the skin.
  • Purpose: Helps in conditions where the blood needs to be purified.

6. Alabu (Cupping): Cupping therapy, known as Alabu in Ayurveda, has a rich history that dates back thousands of years. Its origins can be traced to ancient Egyptian, Chinese, and Middle Eastern cultures. In Ayurveda, the concept of cupping has been present since the Vedic period, with references found in classical Ayurvedic texts like the Charaka Samhita. Alabu is associated with several health benefits, such as pain relief, detoxification, and muscle recovery.   

  • Method: Negative pressure is created by placing a cup on the skin drawing a small amount of blood into the cup.
  • Purpose: Enhancing blood circulation and treating localized pain.

Impact of Raktamokshana Therapy on Blood 

 Impact of Raktamokshana Therapy on Blood


1. Detoxification: Removes impurities, purifying the blood and eliminating accumulated toxins.

2. Prevention of Blood-Related Disorders: Reduces the risk of disorders such as blood clots, thrombosis, and circulatory issues.  

3. Improved Blood Circulation: Enhances overall cardiovascular health, ensuring better oxygenation and nutrient delivery.

4. Prevention of Blood-Related Disorders: Reduces the risk of disorders such as blood clots, thrombosis, and circulatory issues. 

5. Enhanced Nutrient Transport: Clearing impurities aids in the efficient transport of nutrients through the bloodstream. Organs and tissues receive adequate nutrition, promoting their optimal function. 

Impact of Raktamokshana Therapy on Pitta Dosha 

Impact of Raktamokshana Therapy on Pitta Dosha

1. Pitta Dosha Regulation: Effectively balances Pitta dosha, managing conditions associated with heat, inflammation, and skin disorders.  

2. Cooling Effect: Alleviates symptoms like hot flashes, acidity, and inflammatory conditions.  

3. Reduction of Inflammatory Markers: Contributes to reducing inflammatory substances, beneficial for conditions like arthritis and skin inflammations.  

4. Improved Mental Clarity: By balancing Pitta dosha, individuals may experience improved cognitive function, reduced irritability, and better focus.   

Diseases Treatable by Raktamokshan Therapy 

Raktamokshana therapy in Ayurveda is primarily employed to treat conditions related to vitiated blood and imbalances in Pitta dosha. Some of the diseases and conditions that can be treated or benefit from Raktamokshana therapy include: 

1. Skin Disorders: Various skin issues arise from impurities in the blood, like Psoriasis, eczema, acne, dermatitis, and other skin inflammations.   

2. Blood-Related Disorders: Conditions associated with impure or vitiated blood, like Hemochromatosis, polycythemia, and other blood-related disorders.   

3. Inflammatory Conditions: Conditions characterized by inflammation and excess Pitta dosha like Arthritis, gout, inflammatory bowel diseases (IBD), and other inflammatory disorders.  

4. Pitta-Related Disorders: Conditions where Pitta dosha is aggravated, like hyperacidity, ulcers, liver disorders, and other Pitta-related ailments.   

5. Blood Clotting Disorders: Conditions where blood clotting is abnormal, like deep vein thrombosis (DVT), thrombophilia, and other clotting disorders.  

6. High Blood Pressure: According to the Centers for Disease Control and Prevention, nearly half of adults have hypertension (48.1%, 119.9 million). Conditions associated with elevated blood pressure, like hypertension and related cardiovascular issues, are treatable with Raktamokshana therapies.   

7. Gynecological Disorders: Conditions related to menstrual disorders and reproductive health that can affect female reproductive organs.   

8. Headaches and Migraines: Conditions linked to excess heat or Pitta in the head, like migraines, tension headaches, and other types of headaches.  

9. Liver Disorders: Issues impacting liver function, such as fatty liver disease, liver congestion, and similar hepatic ailments.

When is the Best Time to do Raktamokshana? 

The ideal timing for Raktamokshana in Ayurveda is often determined by individual constitutions and the nature of the health condition being addressed. Generally, it is recommended during the transitional seasons of spring and autumn when the body's natural detoxification processes are more active. The specific time of day can also play a role, with mornings considered auspicious for this therapy. However, the practitioner takes into account various factors, including the patient's overall health, prevailing doshic imbalances, and astrological considerations, to determine the most suitable time for Raktamokshana.  


While Raktamokshana is considered a safe and beneficial therapeutic procedure when performed by skilled practitioners, it is essential to be aware of potential side effects. Common side effects may include temporary bruising, swelling, or tenderness at the site where bloodletting occurred. In some cases, individuals might experience mild dizziness or fatigue after the procedure. It is crucial to consult with a qualified Ayurvedic practitioner like Dr Ajay Kumar Saxenawho can assess individual health conditions and ensure that Raktamokshana is administered safely and tailored to the specific needs of the patient. For severe cases like psoriasis, inflammatory disorders, reproductive health issue one can also take Ayurvedic medications only after consultation with the expert.  

By integrating ancient wisdom with modern convenience, platforms like HealthyBazar contribute to the accessibility and effectiveness of Ayurvedic practices like Raktamokshana, empowering individuals to embark on a transformative journey towards optimal health and balance. 

Last Updated: Feb 28, 2024

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