CHAPTER XLV.
Now we shall discourse on the Chapter which deals with the symptoms and) medical treatment of Hemorrhage (Rakta- Pitta- Pratishedha). 1.
Cause and Pathology:--Excessive indulgence in grief, fright or anger, excessive physical labour, exposure to the sun and fire, constant use of pungent, acid, saline and alkaline food, or, of articles of fare which are keen or heat-making in potency, or incompatible in their combination, or are followed by deficient gastric or intestinal digestion are the factors which tend to aggravate the Rasa (chyle), which, in its turn, aggravates the Pitta. The aggravated Pitta thus imperfectly assimilated affects or invades in virtue of its own essence the blood (lit. leads to its imperfect digestion) which finds an outlet through the upper or the lower channels of the body or through the both. The deranged blood accumulated in the Ámáśaya (stomach) finds out an upward outlet, while it flows out through the lower orifices in the event of its continuing in a similar state in the Pakváśaya (intestines), and it escapes through both the upward and downward orifices in the event of its being deranged and accumulated in both the Ámáśaya and the Pakváśaya. According to several authorities, the ejected blood in the disease comes from the spleen and the liver. 2.
Prognosis: - A case of Rakta-pitta in which the blood finds outlet through an upward channel of the body is amenable, while palliation is all that is possible in a case in which it flowes out through a downward orifice of the body. A case marked by the emission of
