• Siravyadha involves puncturing a specific vein to allow blood to be released. 

• It’s a para-surgical procedure used for blood purification by removing toxic substances. 

• The specific veins to be punctured and the depth of puncture are determined by the practitioner based on the patient’s condition and the principles of Ayurveda.  

• Conditions caused by vitiation of blood (Rakta) or Pitta dosha. 

• Swelling, pain, and inflammation. 

• Certain blood disorders. 

• Diseases influenced by vitiated Pitta and Rakta. 

• Chronic fever, skin issues, and liver disorders. 

Who have not undergone unction and sudation therapy, who had excess sudation 

Those affected by diseases of vata origin.

Pregnant women, women in puerperium 

Indigestion 

Bleeding disorders 

Dyspnoea, Cough, 

Diarrhea, Vomiting 

Ascites, Anemia, Anasarca 

Who have been taking fatty material and who are currently undergoing the five purificatory therapies. 

Dehyration, Acute fever, Paralysis, Convulsions 

Those who are exhuasted, afraid, emaciated, fasting, vigilance in night, impotency.