This document discusses Vatarakta, a type of joint disease caused by vitiation of vata and blood. It manifests mainly in small joints like the feet and hands. Symptoms include pricking pain, swelling, stiffness, and discoloration of skin. It can be classified as sadhya (curable), yapya (palliative), or asadhya (incurable) depending on the doshas involved. Treatment involves snehana (oleation therapy), vasti (medicated enema), abhyanga (massage), and medicines like Mahasudarshan choorna. The document also provides a brief overview of gout, including its prevalence, risk factors, clinical

1. Dr. Sushanta Sahu
B.A.M.S. (Hons), UTKAL
FinalYr. M.D. Scholar
P.G. Deptt. of Kayachikitsa
G.A.M., Puri (Odisha)
Email- dr.sushant.sahu@gmail.com
Mob: 9658277202

2. What isVatarakta…?
Here both Vata and Blood get vitiated by
individual causes and manifested the disease so it is
called as वातरक्त, वातासृक, वातशोणित .
As it affects the small joint mostly, it can also
called as खुड़वात ।
Due to Avrit of Vata blood get more vitiated and
causes disease called वातबलास ।

3. निदाि

4. संप्राप्तत

5. निदाि सेवि रक्तदुष्टि +
वातप्रकोप
सववशरीर
प्रसरण
पादमूल / हस्तमूल मैं
संचय
वातरक्त
गम्भीर (सष्धि,
अष्स्ि, मज्जा ......
उत्ताि (त्वक & मांस)

6. पूववरूप

7. प्रसार

8. लक्षि

9. VATIK PAITTIK RAKTAJ KAPHAJ
Pricking pain,
swelling,
stiffness,
contraction of
veins,
Daha,
Murchha,
Excess
sweating,
Thirst,Vertigo,
Fever,
Itching,Toda,
Discoloration
of skin,
Heaviness,
Sunyata, Mild
pain, Chillness
feeling

10. साध्यासाध्यता
Sadhya Ekadoshaja
Yapya Dwidoshaja
Asadhya
Sannipataja,
Reaching to janu,
twak vivarna

11. Treatment:-
Snehan
Virechan
Vasti
Abhyanga
Pradeha

12. Medicines
Rasousadhi Vataraktantaka rasa,Visweshwar rasa,
Mahataleswar rasa, Sarveswar rasa
Guggulu Amruta guggulu, Kaishora guggulu
Choorna Nimbadi choorna, Maha sudarsan choorna
Asavarista Khadirarista, Manjisthadya rista
Ghruta-taila Guduchi ghruta, Amrutadi ghruta, Guduchyadi
taila, Pinda taila
Kwath Mahamanjisthadi kwath, Patoladi kwath

13. What is Gout…?
1. Gout is an inflammatory response to
Monosodium Urate crystal formed
secondary to hyper uricaemia.
2. The major clinical manifestations are acute
synovitis, chronic erosive and deforming
arthritis, tophi, nephrolithiasis and
instestinal nephratis.

15. Prevalence
Gout is seen in only 10% of patients of hyper
uricaemia.
The incidence of Gout varies in population
from 0.2 to 3.5 per 1000, with an overall
prevalence of 2 to 26 per 1000.
It is rare in children and premenopausal
females. The peak age of onset in male is
between 40-50 years.

16. Risk factor

17. Aetiology

19. Clinical Feature
GOUT
Asymtomatic
Hyper
uricaemia
Acute Gouty
arthritis
Inter-
critical gout
Chronic
Gout

21. Gouty arthritis
affecting fingure
Gouty arthritis
affecting toe

22. Investigation
1. Routine blood investigation
2. Serum Uric acid
3. Synovial fluid Cytology & biopsy
4. X-ray

23. Needle shaped Mono sodium Urate crystal

24. Soft tissue swelling and erosion with over hanging
edge at 1st MTP joint

25. Treatment