Susruta gave stress to Raktamoksha (blood-letting) as one of the panchakarma, taking two of the vastis as a single karma (here, procedure). The process of letting out the vitiated blood is termed raktamoksha. In this procedure localized impurity or poison from the blood is removed through various methods. Often leech is used to suck out the impure blood from the affected area.
Blood-letting is also done to eliminate toxins from the blood stream causing various chronic skin disorders like urticaria, eczema, scabies and leucoderma etc. The method was also effectively used to cure enlarged liver and spleen.
The sodhana treatment / chikitsa known as pancha karma therapy. Most of the Ayurveda therapy centre give imports only for pancha karma therapy, But according to ayurvedasodhana and samana both have equal important. So I never say pancha karma is a superior treatment. I think most of time that is not good, because according to literature in ayurveda so many people and disease condition not recommend for pancha treatments. Unfortunately treatment centers want to promote it because it is more profitable business. For preparing a person for pancha karma, a lot of other procedure are need to be do.
Like application of oil in different ways like massage , Dhara etc. You must remembered that our Acharyas I mentioned who is considered as ‘Apta’ not prescribed any oil massage therapy. I always feel bad thiking about that. One of the intentions to write this article that now a day’s most of people thought that it is only an ‘Oil Massage’ therapy not a science.