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Disease & Treatment
Bhavesh Wagh

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Comparing Raktamokshana with Conventional Treatments for Skin Conditions

Raktamokshana is one of the essential part of Panchakarma according to the Father of surgery,Sushruta. He described its importance by referring it as the Ardhachikitsa (half treatment) of the surgery. It is an essential therapy of bloodletting through which vitiated Rakta Dosha, along with Pitta, is eliminated through the body by using different techniques such as Sira vedha, Jaoukavacharna, Shringa, or Prachhana. It is highly valued for its remarkable results in promoting clear, glowing and overall skin health.

How It Works Better Than Conventional Treatment Methods

Raktamokshana offers a unique approach to managing skin conditions by addressing root causes rather than merely alleviating symptoms. Unlike conventional treatments that often rely on topical applications or systemic medications to manage inflammation and infection, Raktamokshana detoxifies the blood, balances doshas, and promotes natural healing. This method can provide long-term relief and improve the skin health, offering benefits that conventional treatments might not fully achieve.


Skin conditions such as psoriasis, eczema, acne, urticaria, and vitiligo affect millions worldwide, causing physical discomfort and impacting quality of life. Conventional treatments, including corticosteroids, antihistamines, and immunosuppressants, often provide temporary relief but come with potential side effects and do not always address the underlying causes.

 Raktamokshana, on the other hand, presents an alternative by focusing on detoxification and dosha balance, aiming for natural healing.

Efficacy in Treating Skin Conditions


Psoriasis is characterised by rapid skin cell turnover, resulting in thick, scaly patches. helps by reducing inflammation and normalising skin cell production. Studies suggest that detoxifying the blood and balancing Pitta can significantly reduce the severity and frequency of psoriasis flare-ups.


Eczema, marked by itchy, red, and inflamed skin, can be effectively managed with Raktamokshana. The therapy reduces Pitta-induced inflammation and Kapha-induced oozing, offering relief from itching and irritation. Patients often report a decrease in flare-ups and improved skin condition.


Acne results from clogged pores and bacterial infection, often linked to Pitta and Kapha imbalances. Raktamokshana helps by detoxifying the blood and balancing these doshas, leading to fewer breakouts and less severe acne symptoms. The therapy’s ability to enhance circulation also aids in faster healing of acne lesions.

Urticaria (Hives)

Urticaria presents as itchy, raised welts on the skin, usually due to allergic reactions. By purifying the blood and reducing Pitta, Raktamokshana alleviates itching and swelling. Regular sessions can decrease the frequency and severity of hives, offering a preventive approach rather than just symptomatic relief.


Vitiligo involves the loss of skin pigment, leading to white patches. Balancing Vata, Pitta, and Kapha through Raktamokshana can slow down the progression of pigment loss. Improved circulation and detoxification support the skin’s natural repigmentation process, providing a holistic approach to managing this condition.

Case Studies and Clinical Evidence

Several case studies and clinical trials have highlighted the efficacy of Raktamokshana in treating skin conditions:

  • Case Study 1: A 45-year-old male with chronic psoriasis saw significant improvement in skin texture and a reduction in plaque formation after three months of regular Raktamokshana sessions.
  • Clinical Trial: A study involving 50 eczema patients showed that those undergoing Raktamokshana reported better symptom management and fewer flare-ups compared to those on conventional treatments.
  • Case Study 2: In a clinical study conducted by Dr. M. Rathod at RGUHS Karnataka, SDMCA, Udupi in 2010, the effects of Jaloukavacharana on Youvana pidaka (acne) were evaluated. The study involved 20 randomly selected patients who underwent weekly Jaloukavacharana sessions for four weeks. Weekly assessments were conducted to monitor symptom progression. The results indicated that 50% of the patients experienced complete relief, 40% showed moderate improvement, and 10% had minimal response.

According to various researches, Jaloukavacharana(Leech Therapy) is notably effective in treating Youvanapidaka (acne) by alleviating itching (Kandu), burning sensation (Daha), and pain (Vedana). This is achieved through Srotoshodhana, which involves eliminating vitiated Rakta and Pitta doshas and improving local blood circulation via various bioactive anti-inflammatory substances released by the leech.

It has also been said that Leech therapy has been shown to reduce the Eczema Area and Severity Index (EASI) and the Scoring of Atopic Dermatitis (SCORAD) in cases of Vicharchika (eczema). It promotes keratolysis, decreasing the thickness of eczema lesions and reducing oozing due to the antibiotic properties of hyaluronidase secreted by the leech. The anti-inflammatory and antifungal properties of eglins and bdellins also enhance the anti-eczematous effects of the therapy. Additionally, it decreases itching in Vicharchika and Youvanapidaka by inducing microcirculation and reducing inflammatory components like lymphocytes.


Benefits and Advantages

Natural Healing

Raktamokshana addresses the root causes of skin conditions by detoxifying the blood and balancing doshas, providing comprehensive and long-term relief.

Reduced Dependence on Medications

By offering a natural alternative, Raktamokshana can reduce the need for conventional medications, which often come with side effects and the risk of dependency.

Improved Skin Health

Enhanced blood circulation and purification lead to better skin health, promoting healing and reducing the recurrence of symptoms.

Personalised Treatment

Ayurvedic practitioners tailor Raktamokshana to each patient’s unique constitution and condition, ensuring personalised and effective care.

Risks and Side Effects

While Raktamokshana is generally safe when performed by a qualified practitioner, it is not without risks:

  • Infection: There is a risk of infection if the procedure is not performed under sterile conditions.
  • Bleeding: Excessive bleeding can occur if not properly managed, especially in patients with blood disorders.
  • Temporary Weakness: Some patients might feel weak or dizzy for a short period after the procedure.

Proper patient selection, skilled execution, and post-treatment care are essential to minimise these risks.

Patient Experience and Feedback

Patients who undergo Raktamokshana often report positive experiences:

  • Relief from Symptoms: Many patients experience significant relief from itching, inflammation, and other symptoms.
  • Improved Quality of Life: Reduced symptoms and fewer flare-ups contribute to a better quality of life.
  • Natural Approach: Patients appreciate the natural approach, which aligns with their preference for non-chemical treatments.

Cost and Accessibility


Raktamokshana typically offers a cost-effective alternative to conventional therapies for various skin conditions. The cost of Raktamokshana can vary depending on the clinic, the practitioner’s expertise, and the geographical location. 

However, considering that it often requires fewer sessions compared to the prolonged use of conventional medications, it is more economical in the long run.


As awareness and demand for Ayurvedic treatments is rising globally, accessibility to Raktamokshana is improved making this therapy more widely available and affordable.

 In India it is relatively easy to access this therapy as there are several Ayurvedic clinics and hospitals in urban and  rural areas which offer Raktamokshana as part of their services. In Western countries, the availability is more limited but growing, as the interest in natural and alternative medicine increases. 

Integration and Combined Approaches

Raktamokshana and conventional treatments each have distinct mechanisms of action that, when combined, can provide superior therapeutic benefits. 

 Conventional treatments often focus on symptomatic relief through pharmaceuticals like corticosteroids, antihistamines, and immunosuppressants. These medications are effective in reducing inflammation, controlling symptoms, and managing acute flare-ups. However, they often come with side effects and do not address the underlying causes of the conditions.Raktamokshana, on the other hand, aims to detoxify the blood and balance the body’s doshas (Vata, Pitta, and Kapha). It removes vitiated Rakta (impure blood) and Pitta dosha, which are often implicated in inflammatory and skin conditions.

One of the main advantages of combining Raktamokshana with conventional treatments is the potential to reduce the side effects associated with long-term use of pharmaceuticals. Corticosteroids, for example, can cause skin thinning, weight gain, and increased susceptibility to infections. By integrating Raktamokshana, patients may require lower doses of these medications, thereby minimising their adverse effects while still achieving effective symptom control. 

Also, patients who receive combined treatments often report better overall outcomes, including longer periods of remission and improved quality of life. For instance, in treating acne, conventional antibiotics can quickly control bacterial infections, while Raktamokshana can address underlying Pitta imbalances and blood impurities, leading to fewer breakouts and more sustained results.

Long-Term Outcomes

Sustainable Relief

Raktamokshana offers sustainable relief by addressing the root causes of skin conditions, leading to fewer flare-ups and longer periods of symptom-free living.

Improved Skin Health

Long-term improvements in skin health are a significant benefit, with enhanced circulation and detoxification supporting overall skin integrity and appearance.

Reduced Dependency on Medications

Patients often experience a reduced need for conventional medications, minimising long-term side effects and health risks associated with chronic medication use.


Raktamokshana, an Ayurvedic bloodletting therapy, provides a compelling alternative to conventional treatments for skin conditions. By detoxifying the blood, balancing doshas, and promoting natural healing, it addresses the root causes of conditions like psoriasis, eczema, acne, urticaria, and vitiligo. The therapy offers several advantages, including holistic healing, reduced dependence on medications, and personalised treatment. While there are risks and challenges, the benefits and long-term outcomes make Raktamokshana a valuable option for patients seeking natural and sustainable solutions for their skin health. Integrating Raktamokshana with conventional treatments can further enhance patient care, providing a comprehensive and effective approach to managing chronic skin conditions.

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