3. CONTENTS
Introduction
Nidana of vatarakta
Samprapthi of vatarakta
Lakshanas of vatarakta
Chikitsa of vatarakta
Discussion
Conclusion
References
4. INTRODUCTIO
N
• Vatarakta is the major example of vatavyadhi, caused due to
avarana pathology.
• Vatarakta signifies the association of vata along with vitiated pitta
and rakta dathu.
• Panchakarma is cleansing of body according to Ayurveda.
• The five techniques of panchakarma done through several
procedures purify the body system by removing toxic materials from
the body. These purification methods are essential components of
the curative management of those diseases that are not controlled
by palliative management.
9. VATA PRAKOPAKA NIDANA RAKTA PRAKOPAKA NIDANA
RAKTA PRAKOPAVATA PRAKOPA
AVARANA OF VATAVAHA SROTHAS
FURTHER VATAVRIDDHI
VITIATION OF RAKTA
VATARAKTA
10. Samprapthi according to SUSHRUTHA :
Vata Prakopa Nidana Pitta Prakopa Nidana
Vata vridhi Vidaaha of rakta
Rakta dislodges and accumulated in feet
VATA RAKTA
15. ÌuÉUåcrÉ:xlÉåWûÌrÉiuÉÉSÉæ xlÉåWûrÉÑ£æü: ÌuÉUåcÉlÉæ:|
¤ÉæuÉÉï qÉëÑSÒÍpÉ: zÉxiÉqÉç AxÉ¢ÑüiÉç oÉÎxiÉMüqÉÉï cÉ ||
xÉåMüÉ AprÉ…mÉëSåWûɳÉxlÉåWûÉ: mÉëÉrÉÉå AÌuÉSÉÌWûlÉ: |
uÉÉiÉU£åü mÉëzÉxrÉliÉå... (cÉ.ÍcÉ.29)
After abyanthara sneha, mridhu virechana should be given.It may be snigdha or
ruksha. And basti is given for several times.Seka,abhyanga,pradeha,snehayuktha
avidaahi anna can be given.
ÌuÉUåcÉlÉæ: bÉëÑiɤÉÏUmÉÉlÉæ: xÉåMæü: xÉoÉÎxiÉÍpÉ: |
sÉåmÉlÉqÉç zÉÉsqÉsÉÏMüsMüqÉÌuɤÉÏUåhÉ xÉÇrÉÑiÉqÉç | | (pÉÉ.mÉë.)
Virechana,gritha and ksheera pana,seka,basti are to be administered to patient of
vatarakta.
16. uÉÉiÉmÉëkÉÉlÉ uÉÉiÉU£ü ÍcÉÌMüixÉÉ:-
xÉÌmÉïxiÉæsÉuÉxÉÉqÉ‹mÉÉlÉÉprÉleÉlÉoÉÎxiÉÍpÉ:|
xÉÑZÉÉåwhÉæÂmÉlÉÉWæû¶ÉuÉÉiÉÉå¨ÉUqÉÑmÉÉcÉUåiÉç| | (cÉ.ÍcÉ.29)
Sarpi,Taila,Vasa,Majja can be used in the form of Pana,Abyanjana,Basti and
sukoshna upanaha is used in vatapradhana vatarakta.
ÌmɨÉmÉëkÉÉlÉ and U£ümÉëkÉÉlÉ uÉÉiÉU£ü ÍcÉÌMüixÉÉ:-
ÌuÉUåcÉlÉæ:bÉëÑiɤÉÏUmÉÉlÉæ:xÉåMæü:xÉoÉÎxiÉÍpÉ:|
zÉÏiÉæ:ÌlÉuÉÉïmÉhÉæ¶ÉÉÌmÉU£üÌmɨÉÉå¨ÉUqÉçeÉrÉåiÉç| | (cÉ.ÍcÉ.29)
Virechana,Gritha and ksheera pana,seka,Basti,Nirvapana with Sheetha
dravyas are indicated in pitta and rakta pradhana vatarakta.
19. Treatment measures of vatarakta includes both AliÉmÉËUqÉeÉïlÉ and
oÉÌWûmÉËUqÉeÉïlÉ ÍcÉÌMüixÉÉ
AliÉmÉËUqÉeÉïlÉÍcÉÌMüixÉÉ includes,
xlÉåWûlÉ, xuÉåSlÉ, uÉqÉlÉ , ÌuÉUåcÉlÉ, oÉÎxiÉ , U£üqÉÉå¤ÉhÉ
oÉÌWûmÉËUqÉeÉïlÉÍcÉÌMüixÉÉ includes,
AprÉ… , mÉËUwÉåMü, AuÉaÉÉW , EmÉlÉÉWû , xÉåMü
20. SNEHANA IN
VATARAKTA
It includes abhyanthara and bahya snehana.
Abhyantata snehapana :
Snehapana is carried out according to kosta bala,prakruthi of patient and also according to the
predominant of dosha present.
Snehapana is mainly indicated in gambeera vatarakta. Acharyas have mentioned many sneha yogas
like,
~ Purana Gritha
~ Shatapaka Balataila
~ Thiktaushadhi sidda grita
~ Guduchi taila
~ Madhu yashtyadhi taila
~ Nagabala taila –pana of this taila for 10 days cures severe vatarakta.
Snehana is contraindicated in Kapha Medo margavaranajanya vatarakta.
21. Bahya Snehana :
It is mainly carried out in Utthana Vatarakta.
Abhyanga yogas:
~ Pinda Taila
xÉqÉkÉÔÎcNû¹ qÉÎleɸqÉç xÉxÉeÉïUxÉ xÉÉËUuÉqÉç |
ÌmÉhQûiÉæsÉqÉç iÉSprÉ…iÉç uÉÉiÉU£ü ÂeÉÉmÉWûqÉç | |
(cÉ. ÍcÉ. 29/123)
~ Grita prepared with gomutra,kshara and sura
~ Saarivadi taila
~ Jeevaneeya gana sidda grita
~ Satadhouta grita
~ Kakolyadi gana sidda grita etc.
22. ACTION OF SNEHANA
xlÉåWûÉå AÌlÉsÉqÉç WûÎliÉ qÉëÑSÒMüUÉåÌiÉ SåWûqÉç
qÉsÉÉlÉÉqÉç ÌuÉÌlÉWûÎliÉ xÉlaÉqÉç | (cÉ.ÍxÉ.1/7)
Snehana helps in the proper gati of vata, brings gaatra mardavata and removes the srothorodha.
Sneha overcomes rukshatha by its snigdha property and the sanga is corrected.
(Acc.to su.chi.31/19,by gayadasa),
~ In paittika disorders,kevala gritha should be given.
~ In vatika disorders, it should be mixed with lavana.
~ In kaphaja disorders, it should combined with trikatu and yavakshara.
The veerya of drugs present in sneha are absorbed into the skin which is the site for Brajaka pitta.
Acc.to Dalhana,
The oil used in abhyanga can reaches upto the different dhatu if applied for the sufficient
time.When snehana drug reaches to the particular dhatu, it subsides or cures the diseases of that
particular dhatu.
23. SWEDANA IN VATARAKTA
Usually swedana is contraindicated in vatarakta.But in vatapradhana and
kaphapradana vatarakta,mridhu swedana is advised.
......................ÌmɨÉxÉqxÉëѹå SìuÉxuÉåSCÌiÉ| | (xÉÑ.ÍcÉ.32/14)
Sushrutha mentioned drava sweda for pittaja disorders.
Acc. To Bhavaprakasha,
In vatapradhana vatarakta ,can go for Parisheka with Dashamoola ksheerapaka or
Ushna grita.It helps in the pain management in vatarakta.
In pittapradana vatarakta ,can go for seka.
In kaphapradana vatarakta , sechana with Kashaya of madhuka, usheera added
with aviksheera.
24. Other yogas:
Parisheka with , ~ Avi Ksheera,goksheera,chaaga ksheera mixed with oil.
~ Maha snehas processed with Madhura gana drugs.
~ Jeevaneeya pachamula kwatha.
~ Grita prepared with gomutra,ksheera,sura,shuktha and madhura gana drugs.
Upanaha yogas :
~ Vatagna sidda upanaha added with krishara and mudga payasa.
~ Tila sarshapa pinda upanaha
~ Godhuma choorna added with goats milk and gritha.
~ Veshavara prepared by Audaka,anoopa mamsa processed with jeevaneeya panchamula
added with sneha.
Avagaha yogas :
~ Balataila
~ Kakolyadi gana sidda kwatha
~ Karavellaka kwatha
25. ACTION OF SWEDANA
xiÉqpÉaÉÉæUuÉ zÉÏiÉblÉqÉç xuÉåSlÉqÉçxuÉåSMüÉUMüqÉç |
(cÉ.xÉç.22/11)
Ushna guna of swedana does srothoshuddi and amapachana, so it relieves
stiffness.
Due to elimination of kleda, lightness is achieved.
Stamba, gourava,swayathu are the symptoms of vatarakta.To relieve these
symptoms swedana is helpful.
26. VAMANA IN VATARAKTA
In Gambeera and Kapha pradhana vatarakta, mridhu vamana is advised
acc.to rogi and rogabala.
Acc. To Bavaprakasha,
……uÉqÉlÉqÉçqÉëÑSÒlÉÉ AirÉjÉïqÉç.....
Repeated vamana with mridhu aushadhis is advised in kaphapradhana
vatarakta.
Acc. To vagbhata,
rÉjÉÉWïûxlÉåWûmÉÏiÉqÉçcÉ uÉÉÍqÉiÉqÉçqÉëÑSÒ Â¤ÉrÉåiÉç|
After snehapana,one should go for vamana and rukshana.
27. VATARAKTA
In Gambeera, pitta,kapha and rakta pradhana vatarakta, mridhu virechana is indicated acc. to roga
and rogi bala.
(Acc.to pÉÉ.mÉë.)
¤ÉÏUåhÉæUlQûiÉæsÉqÉç uÉÉ mÉërÉÉåaÉåhÉ ÌmÉoÉå³ÉU:|
oÉWÒûSÉåwÉå ÌuÉUåMüÉjÉïqÉç eÉÏhÉåï ¤ÉÏUÉæSlÉÉzÉlÉ ||
Virechana by Eranda taila mixed with ksheera ,then ksheera odana is advised.
.................oÉWÒûzÉ¶É ÌuÉUåcÉlÉqÉç |
Repeated virechana should be carried out.
Other virechana yogas:
~ Dharoshna ksheera mixed with either gomutra or trivrit choorna.
~ Kwatha prepared with gritha brista harithaki.
~Trivrit choorna with ksheera or draksha rasa as anupana.
28. BASTI IN VATARAKTA
Basti is considered as the main treatment in vatarakta.
ÌlÉWïûUå²É qÉsÉqÉç iÉxrÉ xÉbÉëÑiÉæ:¤ÉÏUoÉÎxiÉÍpÉ: |
lÉ ÌWû oÉÎxiÉxÉqÉqÉç ÌMüÎlcÉiÉç uÉÉiÉU£ü ÍcÉÌMüÎixÉiÉqÉç || (cÉ.ÍcÉ.29)
Basti is given with gritha and ksheera to eliminate doshas from the body. Nothing is equal to basti
chikitsa in vatarakta.
oÉÎxiÉqÉç uÉq¤ÉhÉ mÉɵÉÉåï mÉuÉÉïÎxjÉ eÉPûUÉÌiÉïwÉÑ |
ESÉuÉiÉåïïç cÉ zÉxrÉliÉå ÌlÉÂWûÉ: xÉÉlÉÑuÉÉxÉlÉÉ: || (cÉ.ÍcÉ.29)
When vatarakta patient c/o pain in basti, vankshna, parshva, uru, parvasthi, jatara and udavartha,
Niruha and Anuvasana basti are administered.
……oÉxiÉrÉ: ¤ÉÏU xÉÌmÉïÌwÉ ÌiÉ£üMüÉåmÉÌWûiÉÉÌlÉ cÉ |
(cÉ.xÉç.28)
When asthi is involved, basti with tiktha dravya sidda ksheera or sarpi is given.
29. Basti yogas :
~ Basti with rooksha or mridhu aushadis.
~ Basti with vasa,majja of mayura, krouncha, lava birds.
~ Madhu yastyadi taila used for both asthapana and anuvasana.
~ Nagabala taila – Basti for 7days with this taila cures severe vatarakta.
~ Musthadi yapana and hapushdi yapana basti etc.
Administration of ksheera basti is widely emphasized in all types of vatarakta.
¤ÉÏUɲÉæ mÉëxÉëÑiÉÉæMüÉrÉÉæïqÉkÉÑiÉæsÉbÉëÑiÉɧÉrÉ|
ZÉeÉålÉqÉÍjÉiÉÉåoÉÎxiÉUç..........| | (cÉ.ÍxÉ. 8/4 )
Ksheera - 2 prasrutha (192 ml )
Madhu - 1 prasrutha (96 ml)
Taila - 1 prasrutha (96ml )
Grita - 1 prasrutha (96ml)
30. ACTION OF BASTI
Basti is the best therapy to control the vata and thus it controls the pitta and kapha also.
AÉmÉSiÉsÉqÉÔkÉïxjÉÉlÉçSÉåwÉÉlÉçmÉYuÉÉzÉrÉå ÎxjÉiÉ:|
uÉÏrÉåïlÉoÉÎxiÉUÉS¨ÉåZÉxjÉÉå AMüÉåïpÉÔUxÉÉÌlÉuÉ| | (cÉ.ÍxÉ.7/64)
The given basti when enters the pakvashaya by its veerya,draws the vitiated
doshas lodged in the entired body from foot to the head, just as the sun situated in the
sky sucks up the moisture from the earth.
The Tikshna Guna of Basti helps in overcoming the Sroto dushti resulting due to
Sanga. Thus Basti dravya after reaching to large and small intestine get absorbed ,
due to Laghu, Ushna, Tikshna, and Ruksha Guna of dravyas, it breaks the
obstruction and expel out the morbid material from all over the body.
31. (Acc.to su.chi.5/7,dalhana comm.):
Vatarakta located in paani(hands) is caused by upward dosha and in paada
(feet) is due to downward dosha.
In the disease with kapha, pitta(kapha pittanubandaja) and located in
hands,Vamana and Virechana are indicated and purana grita pana is also used
therein.
In the disease with vata and located in paada, Anuvasana basti preceded by
Astapana is prescribed.
In the procedure of Shodana ,
1 day for Shodana
6 days for dietry regimen(anna samsarjana)
On 8th day sneha bhojana
On 9th day purana grita pana.
32. RAKTHAMOKSHANA IN VATARAKTA
Rakthamokshana is one among panchakarama as per susrutha and
Astangakara.
तत्र वातपपत्तकफिुष्टशोणणतां यथासङ्क््यां
शृङ्क्गजलौकालाबुभभ अवसेचयेत्, सवाणणण सवैवाण
(पवशेषनतु पवस्राव्यां शृङ्क्गजलौकालाबुभभगृणह्णीयात्)||४||
(सु.सु13/4)
Jalauka-pitta
Srunga-vata
Alabu – kapha
33. रलतमागं ÌuÉहirÉÉzÉÑ शाखासस्न्धषु मारुतैः|
निपवश्याÌlÉ ElrÉमावायण वेििाभभहणरेिसूि्||
तत्र मुञ्चेिसृक् शृङ्क्गजलौकैःसूच्यलाबुभभैः|
प्रच्छिवाण भसराभभवाण यथािोषां यथाबलम ्|| (cÉ.ÄÍcÉ.29)
In vatarakta,the aggravated vata located in shaakha and joints
causes obstruction to Raktamarga. Then the vayu and blood enters
and cause obstruction of each other giving rise to pain and even
death. Therefore depending upon the doshas involved and the
strength of the patient bloodletting should be done using shringa,
jalouka, suchi and alaabu or by siravyadhana.
36. Siravyadhana and Prachaana in vatarakta
(ch.chi.29)
Indicated in conditions such as:
Pain moving from one part of body to the other
37. Contraindication of Raktamokshana in Vatarakta
(ch.chi.29)
Angaglaani
Shareera Rukshata
If raktamokshana is done in above condition it leads to :
Swayathu
Sthambha
Kampa
Snayu and sira gata vyadhi
Glaani
Sankocha
38. Atiyoga of Raktamokshana in Vatarakta
( ch.chi.29)
Leads to conditions like:
Vataroga
Khanja
Mrityu
39. Acc. to SUSRUTHA (as preliminary remedial
measures)
तत्र, आिावेव बहुवात रूक्षम्लािाङ्क्गादृते मागाणवरणाद्िुष्ट
शोणणतमसकृ ि ल्पाल्पमवभसञ्चेद्वात कोपभयात् II
(सु थच .5)
In first stage of the disease , except when the body become extremely dry or have
lost its natural healthful glow or complexion, the blood vitiated by obstruction in its
course (by unusually vayu) should be let out repeatedly in small quantity , to avoid the
excessive aggravation of vata
41. Indication of rakthamokshana:
कु ष्िपवसपणपपडका मशकिीभलकानतलकालकन्यच्छ
व्यङ्क्गेन्द्रलुप्तप्लीहपवद्रथधगुल्मवातशोणणताशोऽबुणिाङ्क्गमिाणसृग्िर
रलतपपत्तप्रभृतयोरलतिोषजाैःगुिमुखमेढ्रपाकाश्च I
(सु सु 24)
42. Acc.to vagbhata,
वात शोणणनतिो रलतां स्निग्धनय बहुशो हरेत ् |
अल्पाल्पां रक्षयेत ् वायुां यथािोषां यथा बलम् I | (अ. थच.22)
Depending on the dosha and strength, repeated raktamokshana should be
done in small quantities after getting proper snigdhata by snehana without
disturbing vata.
ÂMçüUÉaÉiÉÉåSSÉWåûwÉÑ eÉsÉÉæMüÉåभभपवणनिहणरेत् |
´ÉÑ…iÉÑqoÉæ:ÍcÉÍqÉÍcÉqÉ कण्डुरुक् वेििास्न्वतां I (अ.
थच.22)
Vataraktha with ugra daha and toda – Jalauka
Vatarakta with numbness, itching, severe pain – Thumbi, srunga
43. प्रच्चन्िेि ÍxÉराभभuÉÉï िेशाद्िेशान्तरqÉç uÉëeÉåiÉç I
(अ. थच.22)
If vyaktha sthana changes from one to other – Siravyadha or Pracchanna
अङ्क्ग ग्लाlÉÉæ तु ि xÉëÉurÉqÉç ¤Éå uÉÉiÉÉå¨ÉUå cÉ rÉiÉç | |
गम्भीरां नवयथुम् नतम्भां कम्प xlÉÉrÉÑÍxÉUÉqÉrÉÉlÉç I
ग्लानि मन्याश्च uÉÉiÉÉå¨jÉÉlÉç कु याणद्वायु असृक् क्षयाiÉç ||
(अ.थच.22)
Rakthamokshana should not be performed in Angaglani, Rukshatha or vathadika
vata raktha condition. If done , raktha kshaya results in swaythu, sthamba, kampavata
and other vata vikaras.
44. Acc to chakradatta:
िुयोमुणच्छेद् श्रुन्ग सुच्चलाबु जलौकसा |
िेशाि िेशां व्रजेत ् स्रव्यां भशरभभ: प्रच््िेि वा |
असुग्लािौ च ि स्राव्यां रूक्षां वातोत्तरे च यiÉç I
(च.ित्त 23)
In both the type of vataraktha, rakthamokshana can be performed
with sringa, suchi, alabu, jalauka.
If vyaktha sthana changes its position then pracchanna or
siravyadha should be done.
In case of durbala shareera and vata aggravated condition
rakthamokshana is contraindicated.
45. DISCUSSION
• Vatarakta is mentioned in ayurvedic classics as a raktasrotho vikara
produces due to sanga.
• The occurance of vataraktha is also possible when the gathi of vata
is hindered by morbid kapha and medas.
• After proper diagnosis for the better result panchakarma modality
should be selected in accordance to the condition.
46. CONCLUSION
• Compared with the other vatavyadhi,vatarakta pocessess a special place in
the literature, due to its high prevalence in the society increased incidence as age
advances.
• Whatever be the grounds, an obstruction in the path of rakta dhatu is the core
pathology of the disease.
• In vatarakta , eventhough all pancakarmas are mentioned, basti considered as
the shreshta chikitsa .
