External Therapy Protocol
Pracchanna (Scraping / Multiple Micro-Incisions)
in Bengaluru
Pracchanna is a method of localized bloodletting where multiple, very superficial micro-incisions or scratches are made over a specific affected area (like a thick psoriasis patch or a bald spot) to let out trapped vitiated blood.
Clinical Benefits
- Highly effective for localized, thick, hard skin lesions that don't respond to ointments
- Stimulates hair follicles and blood flow in Alopecia Areata (patchy hair loss)
- Breaks down localized blood stagnation and severe itching
- Prepares thick skin lesions to absorb herbal pastes (Lepas) deeply
Clinical Procedure
1. Preparation (Purvakarma)
- • The localized area is cleaned thoroughly with antiseptic herbal lotions.
2. Main Action (Pradhana Karma)
Using a sterile surgical blade or specific Ayurvedic instrument, the physician makes multiple, very fine, superficial parallel scratches over the lesion. Blood is allowed to ooze out slightly.
3. Post-Therapy (Paschatkarma)
- • The oozing blood is wiped away, and a specific medicinal paste (Lepa) or astringent powder is applied to seal the micro-cuts.
Patient FAQs
Does this leave scars?
No, the scratches are extremely superficial—only breaking the topmost layer of the skin (epidermis) to release trapped capillary blood, similar to micro-needling.
Medically Reviewed by Dr Abhiram SSBAMS (Reg No: 36991)
Chief Consultant, Ayurvedic Rheumatology & Dermatology • Updated: 2026-07-24
Protocol Details
Duration
5 to 10 minutes.Frequency
Done once or twice depending on the thickness of the lesion.Primary Indications
condition-alopecia-areatacondition-psoriasiscondition-eczema
Contraindications
- Over major veins or arteries
- Open, oozing, or highly infected ulcers
- Bleeding disorders