Department of Ayurveda samhita & Siddhanta

1. 1
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
Comparative study on
samprapti of
Vatarakta
Presented by
Dr. ROOPA. M. R.
Final year PG Scholar
Dept of Ayurveda Samhita & Siddhanta
Govt Ayurveda Medical College & Hospital. Mysore.
Under the guidance of
Dr. VASUDEV ANANDRAO CHATE. Dr. SHREEVATHSA
Associate Professor Professor & HOD
Dept of Ayurveda Samhita & Siddhanta
Govt Ayurveda Medical College & Hospital, Mysore.

2. 2
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
Contents
REVIEW PART
1. Introduction
2. Reference of Vatarakta
3. Definition
4. Synonyms
5. Nidana
6. Purvarupa
7. Rupa
8. Types
9. Samprapti
(a) Samanya
(b) Vishesha
10. Sadhyasadhyata
DISCUSSION PART
12.Discussion on
12.1) Nidana
12.2) Purvarupa
12.3) Rupa & Types
12.4) Sthana
12.4) Samprapti
12.5) Samprapti Ghataka
13 Conclusion
14. Bibliography
1.Introduction
Vatarakta is the Raktapradoshaja Vyadhi. it will occur due Vitiation of Vata & Rakta. it is
explained in all three Samhitas (Brihatrayis). In Charaka Samhita it is explained in the name
of Vatashonita, but in Sushruta Samhita it is explained in name of Vatarakta, though both
coveys same meaning. While explaining the Samprapti there is difference of opinion is seen.
So, it is necessary to understand the different perspective of Samprapti acc to different
Acharyas. Here attempt has been made to understand the Samprapti by comparing.

3. 3
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
2.Reference of Vatarakta
Table No .1
Reference of Vatarakta in Brihatrayis
Sl No Samhita Name of the Chapter Reference
A Charaka Samhita Vatashonita Chikitsita
Adhyaya
Cha Chi 29
B Sushruta Samhita Vatavyadhi Nidana Adhyaya Su Ni 1
Maha Vatavyadhi Chikitsa
Adhyaya
Su Chi 5
C Ashtanga Hrudaya Vatashonita Nidana Adhyaya A .H Ni 16
Vatashonita Chikitsa
Adhyaya
A.H Chi 22
3.DEFINITION
वातरक्ताभ्ाां जनितो व्यान िः वातरक्तां |
The disease which is born out of Vata & Rakta is called Vatarakta
4. SYNONYMS
खुडां वातबलासाख्यमाढ्यवातां च िामन िः| (Cha Chi 29/11)
1.Vatarakta वातरक्ताभ्ाां जनितो व्यान िः वातरक्तां |
2.Khuda खुडदेशप्राप्त्या खुडिः, खुडशब्देि सन्धिरुच्यते
3.Vata Balasa वातस्यावरणेि बलमस्त्यन्धिञ् शोनणते इनत वातबलाशिः
4.Adhya Roga आढ्यािाां प्रायो वतीनत आढ्यरोगिः
5.NIDANA
Table no -2
Vata Prakopaka Nidanas are enlisted below
Nidanas Charaka Samhita Sushruta Samhita Ashtanga Hrudaya
Rasa Kashaya - Vatala
Katu - Sheetala

4. 4
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
Tikta -
Guna Ruksha - Vatala
Sheetala
Ahara Alpahara - Vatala
Abhojana - Sheetala
Langhana -
Vihara Haya Yana Hasti Vatala
Ushtra Yana Ashwa Sheetala
Ambu Kreeda Ushtra -
Plavana Anya Yana -
Ushne Cha Atyadhva - -
Vyayaya Vaishyamya - -
Vega Nigraha - -
Table No .3
Rakta Prakopaka Nidanas are enlisted below
Nidanas Charaka Samhita Sushruta Samhita Ashtanga Hridaya
Rasa Lavana Amla Vidhahi Anna &
Viruddha Anna
Amla Kshara
Katu
Kshara
Guna Singdha Tikshna
Ushna Ushna
Ahara Kulatha
Amla & Kshara
Yukta Ahara
Masha
Nishpava
Pinyaka
Mulaka
Palala
Ikshu
Dadhi
Takra
Aranala
Sauvira
Sura
Asava
Shukta
Ajirna
Viruddha
Adhyashana
Mishtanna Sukha Bhoji

5. 5
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
Kinna, Sushka,Ambuja,
Anupa Mamsa
Vihara Divaswapna Ati Santapa Vidhi Heena
Swapna
Prajagara Vidhini Heena
Jagarana
Achankramana Sheela Vidhi Heena
Maithuna
Agantuja Abhighata Abhighata
Manasika Krodha
Table No-4
Most favorable Conditions for occurrence of Vatarakta are enlisted below
Prayashaha Charaka Sushruta A.H
Sukumara Sukumara Sukumara
Mishtanna Sukha
Bhoji
Mithyahari Achankramana
Achankramana Shila Mithyavihari -
- Roga -
- Adhva -
- Pramada -
- Madya -
- Vyayama Ati Pidita -
- Satmya Viparyaya -
- Snehadi Viparyaya -
- Avyaya -
- Sthula -
6.Adhistana of Vatarakta
Table no -5
Charaka Samhita Sushruta Samhita Ashtanga Hridaya
Pada Anguli/ Hasta Anguli Pada Mula/ Hasta Mula Pada Mula
Sarva Sandhi later all over Sharira

6. 6
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
7.Purvarupa
Table no -6
Purvarupa of Vatarakta in Brihatrayis are enlisted below
Sl no Purvarupa Charaka Sushruta A.H
1 Atyartha Sweda ✓ ✓ ✓
2 Asweda ✓ ✓ ✓
3 Karshya ✓ - ✓
4 Sparsha Ajnana ✓ - ✓
5 Kshate Ati Ruk ✓ - ✓
6 Sandhi Shaithilya ✓ ✓ ✓
7 Alasya ✓ - ✓
8 Sadana ✓ - ✓
9 Pidakodgama ✓ - ✓
10 Nistoda(Janu, Jangha,
Uru, Kati, Amsa, Hasta-
Pada-Anga Sandhi)
✓ ✓ ✓
11 Spurana ✓ ✓ ✓
12 Bheda ✓ - ✓
13 Guruta ✓ ✓ ✓
14 Supti ✓ ✓ ✓
15 Kandu ✓ ✓ -
16 Sandhi Ruk ✓ - -
17 Vaivarnya ✓ ✓ -
18 Mandala Utpatti ✓ ✓ ✓
19 Shithila-Svinna-Sheeta
Pada
Kathina-Sneha-
Ushnapada
✓ ✓ -
20 Osha/ Daha ✓ ✓ -
21 Sthamba ✓ ✓ -
22 Twak Parushya ✓ ✓ -

7. 7
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
23 Sira- Snayu-Dhamani
Spandana
✓ ✓ -
24 Sakthi Dourbalya ✓ ✓ -
25 Shlathangata ✓ ✓ ✓
26 Saada ✓ - ✓
27 Kushta Sama Purva Rupa ✓ - ✓
8&9. TYPES of VATARAKTA & LAKSHANA
Types of Vatarakta Based on Dosha predominance
Sl no Types Charaka Samhita Sushruta Samhita Ashtanga Hrudaya
1 Vatadika ✓ ✓ ✓
2 Raktadika ✓ ✓ ✓
3 Pittadika ✓ ✓ ✓
4 Kaphadika ✓ ✓ ✓
5 Dvandvaja ✓ - ✓
6 Sannipataja ✓ ✓ ✓
Types of Vatarakta based on Dhatu involvement
Sl no Types Charaka Samhita Sushruta Samhita Ashtanga Hrudaya
1 Uttana Vatarakta ✓ - ✓
2 Gambhira
Vatarakta
✓ - ✓
Table no-7
Lakshanas of Uttana Vatarakta are enlisted below
Sl.No Uttana Vatarakta Charaka Samhita Ashtanga Hrudaya
1 Kandu etc in Twak ✓ ✓

8. 8
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
2 Shyava-Lohita Twak ✓ ✓
3 Ayama ✓ ✓
4 Bhrusha Daha & Osha ✓ ✓
5 Toda ✓ -
6 Sphpurana ✓ -
7 Twak Tamrata ¤ -
Table no -8
Lakshanas of Gambhira Vatarakta are enlisted below
Sl
No
Gambhira Vatarakta Lakshana Charaka Samhita Ashtanga Hrudaya
1 Adhika Purva Ruk Shvayatu ✓ ✓
2 Grathita Shvayatu ✓
3 Paka of Shvayatu ✓ ✓
4 Kanja ✓ ✓
5 Pangu ✓ ✓
6 Gambhira-Stabdha-Kathina
Shvayatu
✓ -
7 Ruk Vidaha in Shwayatu ✓ -
8 Daha-Toda-Supharana-Paka ✓ -
Lakshanas of Vatarakta acc Sushruta based on Dosha
स्पर्शोद्विग्नौ [१]
तोदभेदप्रर्शोषस्वापोपेतौ वातरक्तेन पादौ |
द्वपत्तासृग्भ्यामुग्रदाहौ भवेतामत्यर्थोष्णौ रक्तर्शोफौ मृदू च ||४५||
कण्ड
ू मन्तौ श्वेतर्शीतौ सर्शोफौ पीनस्तब्धौ श्लेष्मदुष्टे तु रक्ते |
सवैदुुष्टे [२]
र्शोद्विते चाद्वप दोषााः स्वं स्वं रूपं पादयोदुर्शुयन्तन्त ||४६|| (Su Ni 1/45.46)
.
11.Samprapti
The changes which takes place in the body from initiation of the etiological factors to
manifestation of the symptoms are collectively known as samprapti.
Samprapti of Vatarakta is discussed in detail with comparison of Brihatrayi.

9. 9
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
Charaka Samhita
a) Samanya Samprapti
वायुद्ववुवृद्धो वृद्धेन रक्तेनावाररताः पद्वर्थ||१०||
क
ृ त्स्नं सन्दू षयेद्रक्तं तज्ज्ञेयं वातर्शोद्वितम्| ( Cha chi 29/10)
Nidana sevana (Rakta prakopaka & vata prakopaka)
Vata Dushti & Rakta Dushti
Vitiated Rakta obstruct the Srotas (Patha)-(Sangha in the Srotas )
Due to Srotas obstruction, normal Gati of Vata is obstructed
It leads to Vimarga-Gamana of Vayu,
This Kupita Vayu again vitiate the Rakta of whole Sharira
leads to Vatarakta
This Samprapti explains about manifestation of Vatarakta in general.
b)Vishesha Samprapti
सौक्ष्म्यात् सवुसरत्वाच्च पवनस्यासृजस्तर्था|
तद् द्रवत्वात् सरत्वाच्च देहं गच्छन् नसरायििः||१३||
पवुस्वद्वभहतं क्षुब्धां वक्रत्वादवनतष्ठते|
न्तथर्थतं द्वपत्ताद्वदसंसृष्टं तास्तााः सृजद्वत वेदनााः||१४||
करोद्वत दुाःखं तेष्वेव तस्मात् प्रायेि सन्तिषु|
भवन्तन्त वेदनास्तास्ता अत्यर्थं दुाःसहा नृिाम्||१५|| ( Cha chi 29/13-15)

10. 10
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
Sukshma Guna of Vayu
&
Drava & Sara Guna of Rakta
Both Vayu & Rakta travels together in the Srotas (all over the Sharira)
While travelling through Sandhis (Rakta & Vayu ) get obstructed (due to Vakrata)
In Sandhis (Vayu & Rakta) along with other Doshas (Pitta & Kapha) it produces
Lakshanas acc to Dosha
Samprapti of Vatarakta in Sushruta Samhita
द्विप्रं रक्तं दुद्वष्टमायाद्वत [१]
तच्च वायोमाुगं संरुिद्ध्यार्शु याताः |
क्र
ु द्धोऽत्यर्थं मागुरोधात् स वायुरत्युद्वद्रक्तं [२]
दू षयेद्रक्तमार्शु [३]
||४३||
तत् सम्पृक्तं वायुना दू द्वषतेन तत्प्राबल्यादुच्यते वातरक्तम् |
तित् द्वपत्तं दू द्वषतेनासृजाऽऽक्तं श्लेष्मा दुष्टो दू द्वषतेनासृजाऽऽक्ताः ||४४|| ( Su Ni 1/43-44)
Vatakara Nidana Sevana & Raktakara Nidana Sevana
Vata Prakopa, Rakta Dushti
Obstruct the Marga of Vata
Vayu became aggravated severely
Further vitiate the Rakta + combine with
Vitiated Vayu
Similarly Pitta & Kapha combine with
Dushta Rakta Causes Vatarakta

11. 11
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
Samprapti of Vatarakta explained in Sushruta Samhita Chikitsathana
तत्र बलवद्विग्रहाद्वदद्वभाः प्रक
ु द्वपतस्य वायोगुुरूष्णाध्यर्शनर्शीलस्य प्रदुष्टं र्शोद्वितं मागुमावृत्य वातेन सहैकीभूतं
युगपिातरक्तद्वनद्वमत्तां वेदनां जनयतीद्वत वातरक्तम् |
तत्तु पूवं हस्तपादयोरवथर्थानं क
ृ त्वा पश्चाद्देहं व्याप्नोद्वत | (Su Chi 5/4)
Nidana
Sevana
Vata
Prakopa
Shonita
Dushti
(Sanga)Margavarodha
by Rakta for Vata
Rakta combines with
vitiated Vata
simultenously
VATARAKTA
VATA PRAKOPA

12. 12
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
Samprapti of Vatarakta in Ashtanga Hrudaya
वातलैाः र्शीतलैवाुयुवृुद्धाः क
ृ द्धो द्ववमागुगाः|
तादृर्शैवासृजा रुद्धाः प्राक्तदेव प्रदू षयेत्||३|| (A.H Ni 1/3
(Vatala & Sheetala Ahara- Vihara) Nidana Sevana Vidahi & Viruddha Anna
Vata Prakopa Rakta Dushti
Margavarodha (Vata Gati)
Vimarga Gamana of Vata
It Vitiate the Rakta first (Prak)
Causes Vatarakta
Anyonyavarana of Vata& Rakta leads to Vatarakta
11.SADYASADYATA
Sadhya Yapya Asadhya
Charaka Samhita Eka doshaja
Nirupadrava
Dvidosha
Alpa upadrava
Tridosha
Sarvaupadrava
Sushruta Samhita More than a year Ajanu sphutita
Bhinna
Prasruta
Upadrava yukta
Prana-mamsa
kshaya
Ashtanga Hridaya Ekadoshaja Dvidoshaja Tridoshaja

13. 13
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
Nava Sravi
Stabdha
Arbudakari
12.1 Discussion on Name of the disease Vatarakta
In this disease both Vata & Rakta have Swahetu for Dushti & those Hetus are explained
independently & while explaining Nidana, Rakta Dushti Karanas are mentioned first, for
manifestation of this disease vitiation of Both (Vata & Rakta) are mandatory still it is Named
as Vatarakta , why not Raktavata ????
For this question, Acharya Sushruta given reason
तत् सम्पृक्तं वायुना दू द्वषतेन तत्प्राबल्यादुच्यते वातरक्तम् | (Su Ni 1/43)
Commentary -तत् सम्पृक्तद्वमद्वत तद्रक्तं, सम्पृक्तं संसृष्टम्| वायुना दू द्वषतेनेद्वत दू द्वषतेन वायुना सह| तत्प्राबल्यात्
वातप्राबल्याच्छोद्वितस्याप्राबल्यात्, तयोवाुतरक्तयोाः प्राबल्याद्वदद्वत क
े द्वचत्
Vata prabalata is there in this Vyadhi so it is named as Vatarakta
12.2Discussion on Nidana
In Brihatrayi, Nidanas are explained separately for both Rakta & Vata Dushti.
लविाम्लकटुिारद्विग्धोष्णाजीिुभोजनैाः|
न्तिन्नर्शुष्काम्बुजानूपमांसद्वपण्याकमूलक
ै ाः||५||
क
ु लत्थमाषद्वनष्पावर्शाकाद्वदपललेिुद्वभाः|
दध्यारनालसौवीरर्शुक्ततक्रसुरासवैाः||६||
द्ववरुद्धाध्यर्शनक्रोधद्वदवास्वप्नप्रजागरैाः|
प्रायशिः सुक
ु माराणाां नमष्टान्नसुख ोनजिाम् [१]
||७||
अचङ्क् क्रमणशीलािाां क
ु प्यते वातशोनणतम्|
अद्वभघातादर्शुद्ध्या च प्रदुष्टे र्शोद्विते नृिाम्||८||
कषायकटुद्वतक्ताल्परूिाहारादभोजनात्|
हयोष्टर यानयानाम्बुक्रीडाप्लवनलङ्घनैाः [२]
||९||
उष्णे चात्यध्ववैषयाद्व्यवायािेगद्वनग्रहात् [३]
|
• In Charaka Samhita , first Rakta Dushti Lakshanas are explained in detail, after that
patient which are more prone for the Vatarakta is explained. later Vataprakopakara
Nidanas are explained

14. 14
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
• While explaining Nidana predominant Rasa, Ahara, Vihara & Manasika Bhavas are
also specified & Vega Dharana also specified.
• Achankramanashila, Sukumara, Mishtanna Bhoji- Santarpanotta Nidana
(प्रायर्शाः सुक
ु मारािां द्वमथ्याऽऽहारद्ववहाररिाम् |
रोगाध्वप्रमदामद्यव्यायामश्चानतपीडिात् [३१]
||४०||
ऋतुसात्म्यद्ववपयाुसात् िेहादीनां च द्ववभ्रमात् |
अव्यवाये तथा स्थूले वातरक्तं प्रक
ु प्यद्वत [३२]
) ||४१|| (su ni 1/40-41)
प्रायर्शाः सुक
ु माराणाां नमथ्याहारनवहाररणाम् |
स्थूलािाां सुन्धखिाां चाद्वप वातरक्तं प्रक
ु प्यद्वत ||५|| (Su chi 4/5)
• In Sushruta Samhita, more suspectable persons for Vatarakta are specified first. It
includes Sukumara, Mithya Ahara- Vihara, person who is Atipidita by Roga Adhva,
Pramada , Madya Vyayama , Rutu & Satmya Viparyaya, Snehadi Vibrama, Avayava,
Shula. here the word Prayah & Kupyati place important role.
• Sukumara, Avyaya, Sthula – Santarpana Nidana
• Ati Pidana By Roga, Adhva, Madhya, Vyayama – Apatrapana Nidana
• Mithya- Ahara-Vihari- both Santarpana & Apatarpana Hetu.
हस्त्यश्वोष्टरैगुच्छतोऽन्यैश्च वायुाः कोपं याताः कारिै सेद्ववतैाः स्वैाः |
तीक्ष्म्िोष्णाम्लिारर्शाकाद्वदभोज्ैाः सन्तापाद्यैभूुयसा सेद्ववतैश्च ||४२||
• While explain the Nidana, Vataprakopaka Nidana is explained first in brief, That to
Viharaja Nidanas are explained, for Rakta Dushti, Gunas of Ahara is explained &
along with Vihara is mentioned by Santarpadi.
द्ववदाह्यन्नं द्ववरुद्धं च तत्तच्चासृक्प्रदू षिम्|
जताां द्ववद्वधहीनं च स्वप्नजागरमैर्थुनम्||१||
प्रायेि सुक
ु माराणामचङ्क् क्रमणशीनलिाम्|
अद्वभघातादर्शुद्धेश्च नृिामसृद्वज दू द्वषते||२||
वातलिः शीतलवाायुववाद्धिः क
ृ द्धो द्ववमागुगाः| (A H 16/1-2)
• In Ashtanga Hridaya, Rakta Prakopa Nidanas are explained first in brief ie,Vidahi
Anna it includes Madhya, Mamsa,Takra, Dadhi, Nishpava, Varichara Mamsa
Kulatha etc,,Viruddhanna includes all types of Viruddha Ahara. Pradushana –
Prakarshena Dushti. Here the word Bhajatam -Sheelanam (continuous usage for
long time), Vidhiheena Swapna, Jagara & Maithuna.Here also Prayena
Sukumaranam & Achankramana Shilinam is mentioned .

15. 15
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
• After this normally Rakta Dushti takes place when Abhigata & Ashuddi of Sharira is
there.
• After that Vata-Prakopakara Nidana are explained as Vatalahai & Shitalahai, Vatala
Ahara includes Sheeta also but Shitalahai -does the Vataprakopa more.
Sukumara- Reference
Rakta Sara Purusha Soukumarya Cha vi 8/104
Meda Sara Purusha Sukumaropacharata Cha vi 8/106
Sthaulya Sukumara Cha su 21/4
The majority of the Nidanas are having the Drava-Snigdha-Guru Guna which are
Raktaprakopaka and Chala- laghu – Ruksha which are Vataprakopaka.
12.3 Discussion on Purvarupa
स्वेदोऽत्यर्थं न वा कार्ष्ण्यं स्पर्शाुज्ञत्वं ितेऽद्वतरुक
् |
सन्तिर्शैद्वर्थल्यमालस्यं सदनं द्वपडकोद्गमाः||१६||
जािुजङ्घोरुकट्यांसहस्तपादाङ्गसन्धिषु|
निस्तोदिः स्फ
ु रणां ेदो गुरुत्वां सुन्धिरेव च||१७||
कण्
ू िः सन्धिषु रुग्भूत्वा ूत्वा िश्यनत चासक
व त्|
वैवण्यं मण्डलोत्पद्वत्तवाुतासृक्पूवुलििम्||१८|| (Cha chi 29/16-18)
In Charaka Samhita both Sarvadhaihika and Sthanika Lakshanas are explained.
• Purva Rupa of Vatarakta are similar to Kushta Purvarupa, but involvement of
Sandhi is there in Vatarakta.
प्राग्रूपे द्वर्शद्वर्थलौ न्तस्वन्नौ र्शीतलौ [३८]
सद्ववपयुयौ |
वैवण्युतोदसुप्तत्वगुरुत्वौषसमन्तितौ ||४७|| (Su Ni 1/47)
In Sushruta Samhita, Purva Rupas which are specified are related to Sthanika (Sandhis),
• Shitilata, Swedana, Shitata,Vaivarnya , Toda, Suptata , Guruta Osha all are seen in
Pada
• In commentary it is clarified by word “Paadau”
तस्य पूवुरूपाद्वितोददाहकण्ड
ू र्शोफस्तम्भत्वक्पारुष्यद्वसरािायुधमनीस्पन्दनसन्तिदौबुल्याद्वन
श्यावारुणमण्लोत्पनिश्चाकिात् पानणपादतलाङ्क् गुनलगुल्फमनणबिप्र वनतषु, तत्राप्रद्वतकाररिोऽपचाररिश्च
रोगो व्यक्ततराः, तस्य लििमुक्तं; तत्राप्रद्वतकाररिो वैकल्यं भवद्वत ||४|| (Su Chi 5/4)

16. 16
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
• In Chikitsa Sthana, both Sarvadaihika and Sthanika Lakshanas are explained but
sandhi involvement is also there.
भद्ववष्यताः क
ु ष्ठसमं तर्था सादाः श्लर्थाङ्गता||५||
जािुजङ्घोरुकट्यांसहस्तपादाङ्गसन्धिषु|
कण्ड
ू स्फ
ु रिद्वनस्तोदभेदगौरवसुप्ततााः||६||
भूत्वा भूत्वा प्रिश्यन्तन्त मुहुराद्ववभुवन्तन्त च| (A H 16/5-6)
12.4 Discussion on types
Acharya Charaka explained 2 types of Vatarakta based on dhatu involvement.
उत्तानमर्थ गम्भीरं द्विद्ववधं तत् प्रचिते|
त्वङ्ांसाश्रयमुत्तानं गम्भीरं त्वन्तराश्रयम्||१९||( Cha chi 29/19)
But Acharya Sushruta not accepted this.
द्विद्ववधं वातर्शोद्वितमुत्तानमवगाढं चेत्येक
े भाषन्ते; तत्तु न सयक
् , तन्तद्ध क
ु ष्ठवदुत्तानं भूत्वा
कालान्तरेिावगाढीभवद्वत, तस्मान्न द्विद्ववधम् ||३|| (Su Chi 5/3)
Acharya Sushruta not accepted the Utthana & Gambhira Vatarakata. As Sushruta’s opinion
is Vatarakta involves Utthana Dhatus in the initial stage, later involves the Gambhira Dhatu
just as that of Kushta.
Then question may arise ,whether Utthana & Gambhira Vatarakta will occur
independently & separately ?
Answer is yes. If Kha-Vaigunya is there in Uttana Dhatu (Twak- Mamsa) Vyadhi
(Lakshanas) will produce as Utthana -Vatarakta Lakshana. If Kha-Vaigunya is there in
Gambhira Dhatu (Meda, Asthi & Majja) it will produce Gambhira Vatarakta independently.
If Utthana Vatarakta is not treated later it produce the Gambhira Vatarakta by involving
other Dhatus as like Kushta.-Sushruta
Vatarakta Lakshanas based on Dosha are explained by all Acharyas.
12.5 Discussion Of Sthana (Adhistana) Of Vatarakta
तस्य थर्थानं करौ पादावङ् गुल्याः सवुसियाः|
क
ृ त्वाऽऽदौ हस्तपादे तु मूलं देहे द्ववधावद्वत||१२|| (Cha chi 29)

17. 17
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
--------------------------- तच्च पूवं पादौ प्रधावद्वत||४||
नवशेषाद्याियािाद्यिः प्रलम्बौ ----------------------- (A H ni 16)
The Sthana of Vatarakta is initially Pada Mula / Hasta Mula (Yana Pralamba) later
invades Padanguli, Hastanguli, all Sandhis later all Sharira.
पवुस्वद्वभहतं क्षुब्धां वक्रत्वादवनतष्ठते|
Pada & Hasta – because Pralamba Mana for long time (dependent part)
Sandhi – because of Vakrata (Kha-Vaigunya)
पादयोमूुलमाथर्थायकदाद्वचद्धस्तयोरद्वप|
आखोनवाषनमव क्र
ु द्धां तद्देहमनुसपुद्वत ||४८|| (Su Ni 1/48)
Mode of spread of Vatarakta is like आखोनवाषनमव – Rat poison, first it will be in one place later
it spreads all over the body .
Here the disease onset is Kshipra (sudden onset) but mode of spread is like rat poison (slow).
12.6 Discussion Samprapti
Acharya Charaka has explained both Samanya & Vishesha samprapti.
• In Vishesha Samprapti , Acharya explained about specific Guna involving in the
Samprapti of Vatarakta.
Gunas
Rakta Visrata
Dravata
Raga
Spandana
Laghuta
Vata Ruksha
Laghu
Sheeta
Khara
Sukshma
Chala
• It gives idea about Amshamsha Kalpana, by this one can easily tackle the Dosha
using the Samanya -Vishesha Siddhanta in Chikitsa.
• This is the unique way of understanding the Vyadhi . this is the special contribution of
Acharya Charaka.

18. 18
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
Sushruta Samhita
Samprapti of Vatarakta is explained both in Nidana and Chikitsa Sthana, both are
almost similar but word Kshipram is mentioned for Rakta,
• Onset of disease as Sheegrakari by using the words Kishpra & Ashu in
Samprapti
• For the vitiation of Vata & Rakta, Yugapat (simultaneous) word is used .
• The word सहकी ूतां is used .Vitiated Rakta combines Vitated Vata becomes one
(Oness), then causes Vatarakta. प्रदुष्टं र्शोद्वितं मागुमावृत्य वातेि सहकी ूतां,
• Margharodha word is used for obstruction of Vata Marga by Rakta (Sroto
Dushti Vishesha)
• In the commentary it is also explained that if Vimargamana (Urdhwagama) of
Prakupita Doshas leads to Lakshana in Pani first (Adhistana) & if vitiated
Doshas moves in downward direction (Adhogamana) Lakshanas will seen first in
Pada (Anguli , Sandhi )
Ashtanga Hridaya
• Prak word is used for Rakta Dushti
• Sheetalaihi (Sheeta Ahara- Vihara) as Vata Vriddhi Nidana.
• Samprapti is same as that of Samanya Samprapti of Charaka Samhita
12.7 Discussion On Samprapti Ghataka
Samprapthi Ghataka
1.Dosha- Vatapradhana Tridosha
Vata-Vyana
Pitta-Pachaka
Kapha- Shleshaka
2.Dushya
Dhatu -Uttana- Twacha & Mamsa
Gambhira- Meda, Asthi & Majja
Upadhatu- Sira, Snayu & Khandara

19. 19
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
3. Agni- Jatharagni, Dhatvagni
4. Agnidushti- Mandagni
5. Srotas- Vatavaha, Raktavaha, Swedavaha later all dhatuvaha
6. Srotodushti-Sanga & Vimargagamana
7. Udbhava Sthana- Pakvashaya & Amashaya
8. Sanchara Sthana-Siras
9. Adhistana- Sandhis
10. Vyaktha Sthana-first in Pada Mula/ Hasta Mula, later Sarva Sandhi
11. Rogamarga- Madhyama
12. Swabhava- Ashukari , Durnivara
Dosha- Vatapradhana Tridosha
By the Vataprakopaka Nidanas Vyana Vata Kopa occurs by Haya-Ushtra
Yana, Ambu Plavana, Atyadhva, Vyavaya . the normal function of Vyana Vata
देहं व्याप्नोद्वत सवं तु व्यानाः र्शीघ्रगद्वतनृुिाम्|
गद्वतप्रसारिािेपद्वनमेषाद्वदद्वक्रयाः सदा||९|| (Cha chi 28/9)
Kapha- Shleshaka
सन्तिसंश्लेषाच्छ्लेषकाः सन्तिषु न्तथर्थताः| ( A H Su 12/18)
Here Sandhi is the first site of manifestation Of Vyadhi . Shleshaka Kapha present
in the sandhi
Dushya
Dhatu -Uttana- Twacha Rakta & mamsa
In Uttana Vatarakta - Sthana Samshrya takes place is in Twaka -
Mamsa (Kha-Vaiguna) Lakshana are seen on Twacha
Gambhira- Meda, Asthi & Majja

20. 20
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
Involvement of Meda Ashti & Majja.(Gambhira Dhatu) Lakshanas
are also severe .
Srotodushti-Sanga & Vimargagamana
Sanga by vitiated Rakta
Vimargagama- of Vitiated Vata
Sanchara Sthana-Siras
Vata (Chala & Sukshma Guna) & Rakta (Drava & Sara Guna) travesl in Siras
Rogamarga- Madhyama
Involvement of SANDHI
Swabhava- Ashukari , Durnivara
अद्वग्नमारुततुल्यस्य संसगुस्याद्वनलासृजोाः|
The disease Vatarakta is similar to the union of fire and wind in the outside world. fire can be
easily extinguished when wind is not there, but fire with wind it very difficult to extinguish.
Like this Vatarakta is such a disease where both Vata (Vayu) & Rakta (Agni) involvement is
there . so, it is Ashukari and Durnivara
13.CONCLUSION
• It is special types of Vata Pradhana Vyadhi.
• Though Vataprabalata is there, still it is considered under Raktapradoshaja Vikara
because without the involvement of Rakta this Vyadhi cannot occur.
• Vatarakta is Vyadhi with Ashukaritva & Durnivaratva (Acute onset & very difficult
to treat)
• Hetu Vishesha- Svatantra Kopa of Rakta & Vata
• Purvarupa Vishesha – Kushta Sama
• Rupa Vishesha – Atyarta Dussaha Vedanas in all Sandhis
• Samprapthi Vishesha -Paraspara Avarana of Vata & Rakta getting Sthana
Samshraya in Parvasthi Sandhis.
• In Sushruta Samhita this Vyadhi is explained under Vatavyadhi Adhyaya, but while
explaining Chikitsa it is explained under Mahavatavyadhi Adhyaya (Chikitsa
Vishesha)
14.BIBILIOGRAPHY
• Charaka Samhita with Chakrapani Commentary, Edited by Acharyayadavjitrikamaji,
Chaukhamba Orientalia, Varanasi; Reprint 2011

21. 21
Dr.Roopa M .R. Final yr PG Scholar, Dept of Ayu Samhita & Siddhanta. GAMC, Mysore.
• Sushruta Samhita with Dalhana Commentary, Acharyayadavjitrikamji, Chaukhamba
Sanskrit Samstan, Varanasi; Reprint 2013
• Ashtanga Hrudaya with Arunadatta and Hemadri commentary , Pt, Hari sadashiva
Shastri paradakara (Editor) Chaukhambha Sanskrit Sansthan, Varanasi; Reprint
2009.