Indian Medicine (Medicin), translated by C. G. Kashikar c12.58

c12.58

§ 60. Haemorrhage :- The designation of all bleedings as raktapitta, lohitapitta, "blood-bile" proceeds from the fact that they are traced to the derangement of pitta that adversely affects the blood. Bleedings upwards occur from the nose, eyes, ears or the mouth, bleedings downwards occur from the urethra, vagina and the anus. Besides blood can come out from all pores of the skin (AS, AHr, MN). The bleeding is preceded by exhaustion, desire for cold, loss of appetite, repeated vomiting, heat, a feeling as if smoke is coming from the mouth, breath smelling like the eatables or undigested food and the like, hoarseness, incapability to distinguish blue, red and yellow etc. The colour and consistency of blood change according to the three doṣas. Worse complications (upasarga) are : exhaustion, difficult breathing, cough, fever, vomiting, excitation, loss of consciousness, paleness, heat, headache, thirst, pain in limbs, loss of appetite and indigestion etc.