This presentation deals with etiopathogenesis, clinical features of Vatarakta

1. VATARAKTA
Dr Akshay Shetty
Assistant Professor
SSRAMCH INCHAL

2. Contents
• Objectives
• Definition of Vatarakata
• Nidana of Vatarakata
• Samprapti of Vatarakata
• Poorvarupa of Vatarakata
• Classification of Vatarakata
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3. Contd…
• Laxanas of Vatarakata
• Upadrava of Vatarakata
• Sadhyasadyata of Vatarakata
• Summary
• References
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4. Objectives
At the end of the presentation the students must be able
1. Define Vatarakata
2. State Nidana of Vatarakata
3. Explain Samprapti of Vatarakata
4. List Poorvarupa of Vatarakata
5. Classify Vatarakata
6. Enumerate laxana of Vatarakata
7. Discuss Upadrava of Vatarakata
8. Quote Sadyasadhyata of Vatarakata
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5. Definition of Vatarakata
वातरक्ताभ्ाां जनितो व्यान िः वातरक्तां, Ca Ch 29/1 (Chakrapani)
Synonyms
क
ृ त्स्नां सन्दू षयेद्रक्तां तज्ज्ञेयां वातशोनितम्|
खुडां वातबलासाख्यमाढ्यवातां च िामन िः||११|| Ca Ch 29/11
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6. Nidana of Vatarakta
लविाम्लकटुक्षारनिग्धोष्णाजीिण ोजििः|
क्लिन्नशुष्काम्बुजािूपमाांसनपण्याकमूलकिः||५||
क
ु लत्थमाषनिष्पावशाकानदपललेक्षुन िः|
दध्यारिालसौवीरशुक्ततक्रसुरासविः||६||
नवरुद्धाध्यशिक्रो नदवास्वप्नप्रजागरिः|
प्रायशिः सुक
ु मारािाां नमष्टान्नसुख ोनजिाम् ||७||
अचङ्क् क्रमिशीलािाां क
ु प्यते वातशोनितम्|
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7. Contd…
अन घातादशुद्ध्या च प्रदुष्टे शोनिते िृिाम्||८||
कषायकटुनतक्ताल्परूक्षाहाराद ोजिात्|
हयोष्टर याियािाम्बुक्रीडाप्लविलङ्घििः [२] ||९||
उष्णे चात्यध्ववषम्याद्व्यवायाद्वेगनिग्रहात् [३] | Ca.Ch 29/5-10
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8. Cont….
• Excess intake of salty, sour, pungent, alkalies and fatty substances, hot
food, consumption of rotten and dried flesh, fleshes of aquatic animals like
fish, animals living in the area where there are dense forest and heavy
rainfall, cake of oil seeds after extraction of oil (pindyaka), radish
(Raphanus sativus), red gram, black gram, green vegetables, palala (grated
flesh), sugarcane, curd, sour gruel, sauvira and shukta (vinegar), butter
milk, sura and asava (alcohol and medicinal preparations having high
concentration of alcohol), intake of food inspite of indigestion (ajirna),
incompatible food (viruddhahara), eating food before proper digestion of
previous one (adhyashana), anger, sleeping in daytime and vigil during the
night;
• In general the delicate persons(Sukumara) who are indulged in sweet and
delicious food substances and are not in habit of physical activities,
the vata and shonita vitiates.
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9. Cont …..
• Due to injuries, not purifying the body (by shodhana karma) and
indulged in consuming astringent, pungent, bitter, ruksha food items
(grains of low nutritional content), starvation, traveling by horses,
camels and carts, sporting in water, jumping, leaping, excessive
walking in hot season, excessive sexual intercourse and suppression
of natural urges are responsible for vitiation of vata.
• Due to etiological factors described earlier and obstruction in passage
by vitiated rakta the vata aggravates, which again vitiates
the rakta and known as vatashonita, having synonyms as khuda,
vatabalasa and adhyavata
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10. Samprapti of Vatarakta
तस्य स्थािां करौ पादावङ्क् गुल्यिः सवणसन्धयिः|
क
ृ त्वाऽऽदौ हस्तपादे तु मूलां देहे नव ावनत||१२||
सौक्ष्म्म्यात् सवणसरत्वाच्च पविस्यासृजस्तथा|
तद् द्रवत्वात् सरत्वाच्च देहां गच्छि् नसरायििः||१३||
पवणस्वन हतां क्षुब्धां वक्रत्वादवनतष्ठते|
क्लस्थतां नपत्तानदसांसृष्टां तास्तािः सृजनत वेदिािः||१४||
करोनत दुिःखां तेष्वेव तस्मात् प्रायेि सक्लन्धषु|
वक्लि वेदिास्तास्ता अत्यथं दुिःसहा िृिाम्||१५||
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11. Nidana sevana
Vitiation of Rakta
and Vata
Starts from
Padamoola(Big
toe)
Spreads to all
Kuda sandhi
through Siras
Vakrata of sandhi
the dosha gets
lodged
Associated with
Pittadi dosha
Produces different
types of Shoola
and daha in sandhi
Vatarakta
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12. Poorva rupa of Vatarakta
स्वेदोऽत्यथं ि वा कार्ष्ण्यं स्पशाणज्ञत्वां क्षतेऽनतरुक
् |
सक्लन्धशनथल्यमालस्यां सदिां नपडकोद्गमिः||१६||
जािुजङ्घोरुकट्यांसहस्तपादाङ्गसक्लन्धषु|
निस्तोदिः स्फ
ु रिां ेदो गुरुत्वां सुक्लिरेव च||१७||
कण्
ू िः सक्लन्धषु रुग्भूत्वा ूत्वा िश्यनत चासक
ृ त्|
ववण्यं मण्लोत्पनत्तवाणतासृक्पूवणलक्षिम्||१८|| Ca.Ch 29
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13. cont,…
• There is excessive or absence of perspiration, blackishness of the
body, poor or lack of tactile sensation, high intensity of pain on
trauma, laxity of joints, lassitude, malaise, appearance of boils, feeling
of heaviness, numbness and itching in knee, thigh, waist, shoulder,
hands, legs and other joints of the body, appearance of pain in the
joints and abatement (without treatment), discoloration of body,
appearance of mandala (circular skin lesions) are the premonitory
symptoms of vatashonita
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14. Classification of Vatarakta
Vatarakta
Sthana
Uttana Gambhira
Dosha
Vatadikya Pittadikya Kaphadikya Raktadikya Dwandwaja
Sannipataja
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15. Lakshana of Vatarakta
उत्तािमथ गम्भीरां नद्वनव ां तत् प्रचक्षते|
त्वङ्ाांसाश्रयमुत्तािां गम्भीरां त्विराश्रयम्||१९||
Uttana Vatarakta
कण्
ू दाहरुगायामतोदस्फ
ु रिक
ु ञ्चििः|
अक्लिता श्यावरक्ता त्वग्बाह्ये ताम्रा तथेष्यते||२०||
Gambhira vatarakta
गम्भीरे श्वयथुिः स्तब्धिः कनििोऽि ृणशानतणमाि्|
श्यावस्ताम्रोऽथवा दाहतोदस्फ
ु रिपाकवाि्||२१||
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16. Cont…
• Symptoms of uttana vatashonita are itching, burning sensation, pain,
stretching sensation, piercing pain, fasciculation, feeling of
constricting and the color of skin becomes blackish, red or coppery
• Symptoms of gambhira vatashonita are – edema in the involved parts
of the body, stiffness of joints, hardness of the part, severe pain
inside, the color of the part involved becomes either blackish or
coppery. There is burning sensation, pricking pain, fasciculation and
finally the part become inflamed and ulcerated.
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17. Vatadhikya lakshana
Shool
Karshya raukshya shyava
shota
Sirayam
Sphurana
Dhamani sankocha Todhana
Andagraha Vriddhi hannaya shotha
Atiruka
Shittapradvesha
Sandhi kuchana
sthambana
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18. Raktadika lakshana
Tambra
twak Kleda
Shavatu
Bhrusha
ruk
Kandu Toda
chimchi
myana
Snigda
ruksha
shamam
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19. Pittadikya lakshana
Vedhana Murcha
Vidaha
Trishna
Shosha Madha
Raga Paka
Bramha
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20. Kaphadhikya lakshana
Sthiyami
tya
Manda ruka
Supti
Gourava Sneha
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21. Dwandwaja sannipata lakshana
हेतुलक्षिसांसगाणनद्वद्याद्द
् वन्द्वनिदोषजम्||२९||
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22. Upadrava of vatarakta
अस्वप्नारोचकश्वासमाांसकोथनशरोग्रहािः|
मूच्छाणयमदरुक्तृष्णाज्वरमोहप्रवेपकािः||३१||
नहक्कापाङ्क् गुल्यवीसपणपाकतोदभ्रमिमािः|
अङ्क
् गुलीवक्रता स्फोटा दाहममणग्रहाबुणदािः||३२||
एतरुपद्रववणर्ज्यं मोहेिक
े ि वाऽनप यत्| Ca.Ch 29
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23. Cont…
• Insomnia, anorexia, dyspnea, gangrene, stiffness in the head, fainting,
narcosis, pain, thirst, fever, mental confusion, shivering, hiccup, lameness,
eryseplas, inflammation and ulceration, pricking pain, giddiness,
exhaustion, crook like deformity of fingers, appearance of blisters, burning
sensation, stiffness in marma (vital part of the body), appearance of
tumors, if these symptoms have appeared the disease is incurable. Even if
there is mental confusion alone, then also the disease is incurable. The
patient should not be treated if there is profuse discharge from the ulcer,
discoloration, stiffness, the lesion has become like tumor, constriction of
the part and damage to the senses.
• If all the above complications are not present, then the disease
is yapya (palliable). If the complications are not present, then it is curable
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24. Sadhyasadya of Vatarakta
एकदोषािुगां साध्यां िवां, याप्यां नद्वदोषजम्|
निदोषजमसाध्यां स्याद्यस्य च स्युरुपद्रवािः||३०|| Ca.Ch 29
When there is recent onset and predominance of
single dosha, vatashonita is sadhya (curable). The disease arising from
predominance of two dosha is yapya (palliable). The disease arising from
predominance of all three dosha and has
developed upadrava (complications) as well, is asadhya (incurable)
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25. Summary
Nidana
Samprapti
Classification
Lakshana
Upadrava
Sadhyasadya
Definition
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26. References
• Charaka Samhita
• Madhav nidana
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27. THANK YOU
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