Siravyadha is the procedure in which vein is punctured to let out the impure blood.

• Ref General Requirements SOP
• Yavagu
• Taila
• Steam generator
• Spirit – Q.S.
• Tourniquet-1
• Needle – 18 G
• Butterfly cannula -1
• Kidney tray -1
• Glass beaker -1
• Cotton pad -2
• Gauze -1 roll
• Sterile gloves – 2 Pair

Manpower

• Therapist-1
• Physician-1

Preparation of tray

• Take a clean tray.
• Put lancet, spirit, cotton pad, gauze, 18 G needle, butterfly cannula, borosilicate glass, shatadoutha gritha.

Preparation of patient

• Check vitals.
• Vegotsarga

• The patient is given snigdha yavagu.
• Then, the patient is asked to sit comfortably in droni with extended legs.
• Sthanika abhyanga and nadi swedana is done.

• The patient is asked to sit comfortably in a droni with legs resting on foot rest. 
• The site for siravyadha is cleansed with a spirit swab.
• The vein to be punctured is examined and tourniquet is tied  4 angula above the site.
• If the vein is not prominent, gently tap over the vein using middle finger.
• Carefully, the vein is punctured using the needle and the blood is collected in a glass beaker.
• The tourniquet is loosened, and the blood is allowed to let out till the bleeding stop by itself or till the required volume of blood has been expelled.

• The needle is gently removed. 
• The area is cleaned with cotton and tightly bandaged.
• The patient is advised to take rest.

• Till the bleeding stops by itself or till letting out the sufficient quantity of blood.

• Abscess
• Fever
• Abdominal mass
• Skin diseases
• Infections
• Splenic enlargement
• Diseases of the eye
• Diseases of oral cavity

• Children
• Aged person
• Cough
• Breathlessness
• Hemiplegia
• Cachexia
• Convulsive disorder
• Preganancy

• Siravyadha should not be performed in extremely cold, hot, cloudy or windy day.
• Siravyadha should not be done in a vein which is not clearly visible.
• Siravyadha should not be performed in tortured veins and deep veins.
• Siravyadha should not be done in marma points.
• Siravyadha should not be performed in vein which is horizontal, that which has not been raised up.

• Moorcha – stop rakta mokshana and expose to gentle breeze.
• Atisrava – sandhanam, skandanam, pachanam, dahanam.