Raktamokshan (bloodletting) is considered best therapy in blood borne and pittaj diseases as pitta has close relation with rakta. Bloodletting can be done by several procedures depending upon the pathology.

Siravedha (venesection) is done in deep seated or generalised vitiation of rakta. Shringa (animal horn), alaabu (dried gourd), ghati (bell shaped earthen pot) are applied for numbness or tactile loss.

Jalauka (leech) is applied if disease is in sub-cutaneous region.