SIRAVEDHA/ VENSECTION
Siravedha or venesection is the major operation when compared with the other raktamoksha techniques in Ayurveda. Here the blood is let out from circulating venous blood. Results are immediate and long last.
- Aim: letting off blood which is put under pressure by a tourniquet.
- NOTES: this technique needs proper care and attention. Also requires proper knowledge of vascular system and the distribution of veins in our body. Care should be taken to prevent excess bleeding. Emergency setup should be made ready if in need to meet shock & other complications.
Classical method of siravédha was not popularized because of the rough nature of the procedure and chance of complication. Now a day’s modified siravedha with scalp vein set has got much popularity.
Effects and importance:
- Anti-inflammatory effect
- Pain relieving effect.
- Reduce venous congestion.
- Act as preventive and curative treatment modality.
- Very helpful to treat some chronic disease conditions which are not cured by pancakarma and samana oushadhas. Used as an emergency treatment modality in some particular disease condition like snake bite, increased IOP etc
- Siravedha cures all diseases from their roots just like rice & other crops in the field die out completely by cutting the channels of water supplying to the field.
- Siravédha is considered as half treatment or even full treatment in ancient surgery( salyatantra), described for all '
INDICATIONS:generalised skin diseases like psoriasis, eczema etc, aching pain, cervical spondylosis, chronic head ache, vascular head ache, hypertension, radiculopathy, frozen shoulder after injury, sciatica, RA, scleritis, post chikungunya arthritis, recurrent abscesses all over the body, chronic whole body itching, allergic skin rashes, cutaneous vasculitis, some psychiatric diseases, varicose vein, chronic varicose ulcer, chronic non healing ulcers etc
’In emergencies like in poisonous conditions siravédha is indicated.
CONTRA INDICATIONS:, person below the age of 16 yrs'and above the age of 70 yrs, pregnant ladies, person with generalized oedema, bleeding disorders, severe anaemia, hypotension, patients with severe diarrhoea, ascitis, women after delivery etc
Materials required:
Toumiquet Cotton & Gauze
Surgical blade Anticoagulant (sodium citrate) . Scalp vein set/ butterfly needle. Iodine solution (anti-septic) Spirit Tray
Gloves Artery forceps
. Prior to the procedure. Massage with suitable oil should be done over the area and after that fomentation should be clone .Better to cover the patient‘s eye with a cloth.
PROCEDURE-a tourniquet is tied about 4CMSover the sira/ vein to which the procedure is performed. Locate and elevate the vein with maximum tension. Place the tip of the surgical blade on the vein. Exerting a trigger force on the blade/ single stroke with the blade on the particular vein should be done. The blood
will rush like a fountain stream. Blood is collected in the basin which is added with anti-coagulant
solution, as required
Amount of blood drawn:practically about 100 ml-200 ml at a time.
Below 100 ml is subliminal threshold for stimulating homepoesis.
Post operative procedures when required amount of blood is collected or if the bleeding stops, the crepe bandage is released. Clean the area with cotton soaked in triphala ks and dress or bandage healing oil or ghee and gauze. In case the bleeding does not stop, wet and tight bandage helps to arrest bleeding.
- Precautions-veins may slippery and hence surgeon should be cautious in applying surgical blade.
- Better to check patient’s vital signs (BP, pulse, respiratory rate etc) before and alter the procedure.
- The vein should not be cut, but it should be punctured.
- Care should be taken to ensure proper aseptic environment and instruments.
- Care should be taken to prevent excess bleeding.
- Emergency setup should be made ready it'in need to meet shock & other emergencies
MODIFIED SIRAVEDHA:patient should lie on the table. Select the vein to be punctured Apply tourniquet tightly above the site of puncture. The area is cleaned with spirit and cotton The needle
scalp vein set is to be inserted to the desired vein. The flowing blood is collected in beaker contain
anti-coagulant. When blood flow reduces remove the tourniquet and scalp vein set. Apply bandage e
the punctured area. The patient is advised to take rest for 15-20 mts Usually 100450 ml blood is to out by this method.
