Vata Rakta (Gout)

Nidana. 

 

The Vayu in the body is enraged or agitated by such causes as wrestling with a man of superior and uncommon physical strength, etc. While the blood is vitiated by such causes as constant over eating of edibles which are of difficult digestion and heat making in there potency or ingestion of food before the digestion of the previous meal. The Vayu thus enraged and agitated enters the blood carrying channels of the body and being obstructed in its passage, become mixed with the vitiated blood. The deranged Vayu and the blood thus combine to give rise to pain characterised by the specific symptoms of each, which is known as Vata-Rakta. The characteristic pain, which first confines it self to the extremities, gradually extends over the whole body. (Susruta Ch. V).

 

Poorvarupa.

 

The disease is ushered in with a pricking pain, a burning sensation (in the affected part), a swelling a roughness and numbness (anaesthesia) of the diseased locality, throbbing of the veins, ligaments, nerves and arteries, a weakness in the thighs and sudden appearance of red or brownish circular patches on the palms of the hands and the soles of the feet, fingers and heels. If neglected and immoderately treated in its premonitory stages, the disease soon develops its characteristic symptoms in succession, which have been described before; whereas (a lifelong) deformity (of the effected part) is the penalty for neglecting it  (in its fully affection or developed stage). (Susruta Ch V).

 

Persons of mild and delicate constitution, as well as those who are inordinately stout or sedentary in their habits or addicted to unwholesome and incompatible food etc. are generally found to be susceptible to an attack of Vata-Rakta. (Susruta Ch V).

 

Samprapti.

 

Early signs and symptoms affect the five types of Pitta (Sadhaka, Alochaka, Pachaka, Bhrajaka, Ranjaka). Aggravated pitta affects the Pachaka Pitta in the stomach, Samana Vayu also in the stomach is vitiated and helps to circulate vitiated Pachaka Pitta with the dhatus (tissues). The vitiated Pitta circulating in the rakta (blood) dhatu increases the temperature thus increasing blood pH. This leads to a build up of Uric acid which collects in the extremities of the body i.e. hands and feet etc. causing pricking type pain, redness and swelling. The Samana vayu helps to remove the Pachaka in the stomach thus lowering the Agni or digestive fire, this can lead to a build up of ama (toxins) in the stomach, which eventually overflows from the stomach into the dhatus (tissues) and can result in the further complication of Ama-Vata. (Rheumatism).

 

Chikitsa.

Cut down on Pitta promoting foods, rich foods etc. dairy products, cheese, yoghurt etc.

Ama pachana and agni deepana.

Strengthen  vata to help circulate ama for its removal, use

Gokshuradi guggul.

Aswaghanda choorna.

Kayshura guggul.

Use diuretics to remove ama via urine, use;

Coriander etc.

 

In the first stage of the disease the blood having become vitiated owing to its being obstructed in its course  (by the unusually agitated Vayu in the system), should be let out repeatedly in small quantity and not profusely bled so as not to forestall excessive aggravation of vata except when the body would be found to have extremely dry or to have lost its natural healthful glow or complexion through the action of the aggravated morbific principle (Vayu).

 

Emetics, purgatives and vasti (enemas), etc. should be administered and the patient should be made to take diet consisting of old and matured clarified butter ( and boiled rice), in the case where the aggravated condition of the deranged Vayu would be found to predominate. (Susruta Ch. V).