Part 3 2 precautions should be taken before doing Viddha or Rakta mokshan. First thing is check if patient gets frightened by seeing blood. If it is so, then we have to perform the procedures carefully in such a way that patient doesn't see blood. Another thing to be asked before Viddha or Agni karma check if patient went into shock after taking any injection or any prick. If such history is present, then both these procedures should be done very carefully. Amount of blood letting should not go above 250 ml. Though Ayurveda says 560 ml blood can be withdrawn but it is not accepted. We should stick to standard parameters about the blood amount accepted worldwide. There is one difference between Viddha of Ayurveda and acupuncture of Chinese medicine, needle should be retained at that place, it should be removed inside – such descriptions are seen in acupuncture. But no such descriptions in Ayurveda. Now we will see where to make Viddha at different sites. First of them is Viddha should be done at lateral side of nose. It is done for diseases of eyes, forehead. It is done specially to relieve pain. It is also useful in sinusitis. It is done for ½ Vrihi at maximum depth. Generally, this Viddha if done at right angle of skin, it is more beneficial. Next Viddha is on forehead. No specific point on forehead is described in Ayurveda. In practice, we choose point of acupuncture. This point is at lower 1/3rd of forehead and last 1/3rd of eyebrows. It is also used to relieve pain in all shiro rog. Viddha is done above Apang marma where hairline starts or ends. Used in diseases of eyes and forehead. Viddha at Hanu sandhi is very useful in apasmar (Epilepsy) it is done for ½ Vrihi depth. In apasmar, along with Viddha, treatment suggested by Dr. Y.G. Joshi is also advised. It includes rice kept on pimpal leaves (Ficus religiosa) is given to patient. Both these treatments give magnificent results to reduce attacks in Apasmar. Viddha is done behind ear lobule at two places. One at the start of ear lobule on upper side. And one on lower side below 2 anguli (approx. 4cm) below Vidhur marma near hairline. It reduces earache immediately. Tinnitus is also relieved by this Viddha. This Viddha is specifically mentioned in ‘Tandra' (Drowsiness). Viddha at the top of nose is useful in anosmia. Also useful in all nasal disorders like sinusitis, rhinitis, deviated nasal septum is reduced by this Viddha. For better results Ghrita is applied over nose. Viddha at palate is done to reduce upper teeth pain. It also reduces coughing due to elongated uvula. It reduces elongated uvula. Viddha at palate is done at the border of anterior 2/3rd and posterior 1/3rd of the palate. Viddha is done at the root of tongue at lateral side of lingual veins. It stops lower teeth pain. Right side Viddha reduces pain of side. Similarly, true for left side. When pathology is all over mouth then Viddha on both sides is performed. For example: diseases like slurred speech, mouth ulcers, glossitis. Viddha is done 2 anguli (4cm) above Kshipra marma. It is done at both limbs and depth is more than ½ Vrihi. This Viddha is used in severe burning, pain, loss of sensation at hands and feet. Also useful in cracked foot, ankle sprain, tingling in feet. For wrist pain, Viddha is done 4 anguli (8cm) above wrist joint. Or this Viddha is done in Vishwachi (Brachial neuritis). Depth is more than ½ Vrihi but less than 1 Vrihi. Viddha is suggested above and below elbow joint used in elbow joint pain. For Vishwachi It is done below elbow joint. Important thing is all these Viddha on limbs are to be done laterally. Viddha is done 4 anguli (8cm) below and left side of umbilicus is Useful in pain in abdomen. Also used to tap fluid in ascites. Depth of this Viddha is specifically mentioned in the texts. It is above thumb length. Of course it is not practically possible in today’s time. Maybe this measurement was described according to physical status of people at that time. So pain in abdomen is reduced by this Viddha and ascitic fluid tapping is done by this. In Ayurveda, points of Viddha for Tritiyak jwara (A type of fever) and chaturthak jwar (A type of fever) are mentioned. But these type of fevers are not found in present days so these points are long forgotten. Still for information, For Tritiyak jwara Viddha is done at the centre of Trika sandhi. This point is below the Spinous process of fifth lumbar vertebra. And for chaturthak jwara, Viddha should be done in mid axillary line or posterior and inferior to the shoulder joint when arm is adducted. It is on posterior axillary fold. For ankle sprain, Elephantiasis Viddha is done 4 anguli (8cm) above ankle joint. Depth is 1 Vrihi. Ankle pain is relieved by this Viddha. Viddha below 2 anguli of Indrabasti marma is done in both limbs. It is done for Lymph node enlargement (Gandamala) in upper limb and if present in hip area, then Viddha is done in lower limb. Agni karma is followed by this Viddha. For sciatica, Viddha is done below ankle joint 4 anguli laterally. Medial to right elbow joint, Viddha is done for liver disorders. And for spleen disorders, it is done medial to left elbow joint. Here Rakta mokshan is suggested through veins in this area. As Rakta mokshan is more beneficial than Viddha. This is the only Viddha point on medial side as all others in the limbs are on lateral side. In hydrocele, Viddha is done below and lateral side at testis. Depth is not mentioned but puncture it till Urine is seen. For shukra Dhatu disorders, Viddha should be done on penis. But in practice instead of Viddha Jaloukavacharan is done in this area.