An Observational Study on the Therapeutic Application of Raktamokshana by Ayurvedic Practitioners in Pune City

Background- Raktamokshana, a classical Ayurvedic therapeutic bloodletting procedure, is a vital part of Panchakarma used to treat various disorders caused by vitiated blood (Raktadushti). While its methods and benefits are well-documented in classical texts like Sushruta Samhita and Ashtanga Sangraha, there is limited documentation of its contemporary clinical application. This observational study aimed to explore current practices of Raktamokshana among 50 Ayurvedic practitioners in Pune, India. Data were collected through a validated, questionnaire-based interview. Findings revealed that Jalaukavacharana (67.6%) and Siravedh (60.8%) are the most frequently used techniques, whereas traditional methods such as Shrunga and Alabu are rarely practiced. The quantity of blood removed was customized according to the patient’s condition, with practitioners adhering to classical Purvakarma (pre-procedure) and Paschatkarma (post-procedure) protocols, including specific dietary and medicinal regimens. Raktamokshana was predominantly employed for skin diseases (Kushtha), inflammatory conditions, and gynecological disorders.While practitioners demonstrated effective management of procedural complications (Vyapada) using Ayurvedic guidelines, the study observed limited integration of modern monitoring, such as vital sign checks and blood investigations. These findings highlight the ongoing reliance on traditional methods while emphasizing the need to incorporate modern safety measures and scientific validation to enhance the effectiveness and safety of Raktamokshana in current clinical practice.