Raktapittakulkuthar Ras – Ayurvedic Remedy for Bleeding Disorders

ABSTRACT

Processed spicy-salty foods, pollution-induced heat, winter dryness, chronic stress, and vitamin K-deficient diets fuel the surge in Raktapitta cases nowadays, triggering sudden, profuse bleeding from body openings such as the nose (epistaxis), mouth (hematemesis), urine (hematuria), and rectum without any injury. People consume too many pungent, sour, and hot items, push their bodies with overwork and heat exposure, and endure constant emotional pressure, all of which stir up Pitta dosha fiercely. This aggravated Pitta then poisons the Rakta dhatu (blood tissue) right at its source in the spleen and liver (Pliha-Yakrit), sparking a rapid, burning hemorrhage that ancient sages labeled a Mahagada—a major killer. Ayurveda offers many medications along with lifestyle modifications for these disorders. Raktpittakulkuthar ras is one of the best Ayurvedic herbomineral formulations for bleeding disorders. Let’s know about this formulation in detail.

INTRODUCTION

Raktapittakulkuthar Ras stands as a potent herbo-mineral formulation renowned for halting Raktapitta bleeding and its complications like epistaxis along with hemorrhagic crises. The name “Kulkuthar” (root-destroyer) reflects its fierce assault on Pitta-Rakta roots, combining the ingredients in Vasa (Adhatoda vasica), triturated for profound Pitta pacification and Rakta stabilization. Moreover, there are two phrases given in the text for this formulation which signifies its importance in Raktapitta (bleeding disorders).

This preparation is known as Rakatpittakulkandan ras, which is the supreme medicine for rakatpitta

This shloka glorifies Raktapittakulkuthar Ras as earth’s unparalleled supreme remedy for conquering Raktapitta.

CLASSICAL INDICATION

Rakatpitta (bleeding disorders)

INGREDIENTS

1. Purified Mercury (Shuddha Parad)
2. Purified Sulphur (Shuddha Gandhak)
3. Coral Calx (Praval Bhasma)
4. Chalcopyrite calx (Swarna Makshik Bhasma)
5. Naga Bhasma (Lead Calx)
6. Vanga Bhasma (Tin Calx)

Bhavna (levigating medium)- These ingredients are triturated (Bhavana) with the juices or decoctions of

1. Sandalwood (Chandana)
2. Lotus (Kamala)
3. Flower buds of Malati (Jasmine)
4. Tender leaves of Vrisha (Adhatoda vasica)
5. Dhanyaka (Coriander)
6. Varana (Crataeva nurvala)
7. Kusha Grass (Desmostachya bipinnata)
8. Shatavari (Asparagus racemosus)
9. Shalmali (Silk cotton tree)
10. Vata Jata (aerial roots of Banyan tree)
11. Guduchi (Tinospora cordifolia).

INGREDIENT DESCRIPTION

1. Purified Mercury (Shuddha Parad) – Mercury, after proper purification, helps control excessive bleeding and has a deep tissue penetration effect, supporting hemostasis in mucosal and internal bleeding. Its special effect helps stabilize vascular integrity.
2. Purified Sulphur (Shuddha Gandhak) possesses Shodhana (detoxifying) and Raktashodhaka (blood purifying) properties. Sulphur’s mild astringent and antimicrobial actions help control bleeding and prevent infection in sites of blood loss.
3. Coral Calx (Praval Bhasma) is  rich in calcium carbonate, which helps in strengthening vascular walls, helping to reduce capillary fragility and control bleeding tendencies. Its cooling potency also pacifies Pitta, the chief dosha responsible for bleeding.
4. Chalcopyrite Calx (Swarna Makshik Bhasma) contains copper and iron compounds, which promote blood nourishment and aid in vascular stabilization, indirectly helping to manage bleeding.
5. Naga Bhasma (Lead Calx) particularly pacifies Pitta, helping to control mucosal and gastrointestinal bleeding. Its trace mineral content also supports vascular integrity.
6. Vanga Bhasma (Tin Calx) exhibits mild hemostatic action, enhancing tissue resilience and reducing excessive hemorrhage. Its special effect also supports blood quality.
7. Chandana (Sandalwood) is cool in potency and it rapidly cools aggravated Pitta and stabilizes overheated Rakta Dhatu (blood tissue). Also, Santalol (active constituent) exhibits haemostatic, helping arrest bleeding.
8. Kamala (Lotus) has flavonoids & tannins that strengthen capillary walls and prevent spontaneous bleeding.
9. Malati (Jasmine Bud) has Essential oils (benzyl acetate) which is a mild vasoconstrictive and anti-inflammatory action supporting haemostasis.
10. Vrisha (Adhatoda vasica) also known as Vasa is mentioned as the agray dravya (supreme herb) for Raktpitta (bleeding disorders). Its bitter and astringent taste reduces internal bleeding. Moreover the Vasicine alkaloid present in this is known for haemostatic and capillary-protective effects.
11. Dhanyaka (Coriandrum sativum) with its cool potency and Linalool which reduces vascular irritation and supports blood stability.
12. Varana (Crataeva nurvala) checks bleeding by constricting blood channels. Its Triterpenoids aid in healing damaged Rakta-srotas (blood vessels).
13. Kusha Grass (Desmostachya bipinnata) has Siliceous compounds that support vascular integrity and reduce seepage of blood. It is very useful in spontaneous bleeding due to the haemostatic effect.
14. Shatavari (Asparagus racemosus) is very much beneficial in nourishing, promoting tissue repair and preventing recurrent bleeding, due to the presence of the Steroidal saponins (Shatavarins).
15. Shalmali (Bombax ceiba) has wound-healing action.Its Tannins & mucilage seal bleeding surfaces and promote clot formation.
16. Vata Jata (Banyan aerial roots) has a potent astringent taste that can reduce excessive blood discharge. Its Polyphenols aid in strengthening blood vessels and control capillary bleeding.
17. Amrita (Tinospora cordifolia) has Tinosporin & diterpenoids that enhance haemostasis and immunity, preventing recurrence.

METHOD OF PREPARATION

• Take a clean stone slab and grind purified mercury and sulphur together to form a fine homogenous paste (Kajjali)
• Mix this Kajjali with the remaining ingredients in powdered form.
• Grind thoroughly with the paste to obtain a homogeneous mixture.
• Take 10 dravyas (substances) and triturate 30 times (3 times with each levigating medium).
• Prepare 2–2 Ratti (250 mg) of tablets and dry them in shade.

MEDICINAL PROPERTIES

• Raktapittakulkuthar Ras pairs best with honey (Madhu) and Vasa patra swarasa (Adhatoda vasica leaf juice) as anupana for optimal Pitta-Rakta shamaka effects, arresting hemorrhage, strengthening Raktavaha srotas (blood channels), and restoring hemostatic balance through stambhana (astringent) and rakta shodhana (blood purifying) actions.
• For Urdhvajanya Raktapitta (Epistaxis/Nosebleeds), administer Raktapittakulkuthar Ras (62.5-125 mg twice daily) with Pravala pishti (500 mg), curbing nasal bleeding and Pitta aggravation via enhanced coagulation promotion and cooling nasal mucosa synergy.
• In cases of Adhoga Raktapitta (Hematuria/GI Bleeds), Raktapittakulkuthar Ras combines with Kamadudha Ras (125 mg), a potent Pitta pacifier for Raktasraava (blood loss) and Daha (burning), boosting dhatu sanghata (tissue cohesion) and plihan-yakrit saharana (spleen-liver support).
• In hemorrhagic complications with Mandagni (Weak Digestion) & Dourbalya (Debility), Raktapittakulkuthar Ras works best with Aarogya vardhini Vati (250 mg), aiding agni deepana (digestive fire ignition) and bala vardhana (strength promotion) by balancing tridosha and countering raktapitta prakopa (disease flare-ups).

IMPACT ON DOSHA

Raktapittakulkuthar Ras primarily pacifies Pitta at Pliha-Yakrit (spleen-liver), neutralizing hot-sharp qualities driving Rakta vitiation. Balances Vata against foamy bleeds and Kapha against slimy outflows.

INDICATIONS

Raktapittakulkuthar Ras treats hemorrhagic disorders effectively.

1. Urdhvaj Raktapitta: Epistaxis, hematemesis, hemoptysis from upper channels.
2. Adhoga Raktapitta: Hematuria, rectal bleeding, menorrhagia from lower tracts.
3. Associated Conditions: Burning sensation (daha), weakness (dourbalya), spleen-liver dysfunction.

Dosage

1-2 tablets (250 mg to 500 mg) once or twice daily.

Anupana (Adjuvant)

CONTRAINDICATION

1. Avoid with Anticoagulant such as warfarin/aspirin
2. Pregnancy and lactation

CONCLUSION

Raktapittakulkuthar Ras stands as a time-tested herbo-mineral powerhouse against Raktapitta’s hemorrhagic crisis, masterfully pacifying vitiated Pitta-Rakta through purified rasa dravyas and Vasa (Adhatoda vasica) synergy. As modern diets and stress fuel Mahagada’s rise, this supreme remedy—lauded in shlokas as earth’s unmatched healer—delivers rapid hemostasis and vitality when guided by expert vaidyas with proper anupana (adjuvant). Pair with Pitta-pacifying lifestyle shifts for lasting blood harmony.