This document provides an overview of the chronic disease Vata Rakta in Ayurveda. It discusses the clinical features, types, and treatment approaches including shodhana therapies like snehapana, svedana, virechana and vasti. For shamana, it recommends herbs like guduchi and formulations like arogyavardhini vati. An ideal treatment plan combines snehana, shamana, bahya parimarjana, and following a pathya diet and lifestyle. Vata Rakta is considered difficult to treat but these Ayurvedic protocols can effectively manage the condition.

1. Vata RaktaChikitsa

2. Introduction:
> A chronic disease or a chronic illness is defined as a condition which develops
gradually through years because of frequent and continuous exposure to abnormal
dietary, lifestyle or environmental factors.
> Initially there may be absence of diseased symptoms but at later stages, complex
manifestations involving one or more organs leading to derangement of bodily
functions will be seen in chronic diseases.
> Vata Rakta in Ayurveda is considered as one such chronic illness which is
commonly seen affecting nearly 14-17 percent of population every year.
> It is caused by vitiated Vata and Rakta. Vitiated Vayu obstructs the path of vitiated
Rakta in the beginning and then gets vitiated by Rakta further this complete process
is known as Vata- Rakta.

3.  Types of Vata Rakta mainly include Uttana & Gambhira
 Vata Pradhana, Pitta Pradhana, Kapha Pradhana, & Rakta Pradhana.
> Clinical Features of Vata Rakta ranges from mild inflammation and discoloration of skin
to complete derangement of bodily organs depending up on its type and chronicity.
Chronic and later stages of Vata Rakta also cause complications like mamsa kotha,
murcha, marma graham, anguli vakrata etc.
> Though Vata Rakta is mentioned to be as kriccha sadhya vyadhi, by strictly following
the protocol of Vata Rakta chikitsa as mentioned in various Ayurvedic classics a
physician can boldly treat this condition.

4. VataRaktaChikitsaSutra:

6. Vatarakta
chikitsa
upakrama:
> Treatment measures of
Vata Rakta include both
Antah Parimarjana and
Bahir Parimarjana Chikitsa
as shown in the figure.

8. SHODANAChiktsa:
Ama Pachana and Agni Deepana
> It is carried out Prior to Shodana chikitsa with Tikta, Katu rasa and Ruksha guna
pradhanya drugs according to Rogi and Roga bala for a duration of 3 to 5 days.
1. Shaddarana churna
(Gambhira and pittaja)
2. Pancasama churna (vataja)
3. Guduchyadi or Amrutottara -i
kvatha (pittaja, kaphaja)
Dose - 3 to 6gm, bid, before food Anupana -
Honey/Ushna jala
4. Dashamoola kvatha
Dose -15 to 20ml, bid, before food
(Vataja) Anupana - Ushna Jala

9. Sneha Pana
> Sneha Pana is carried out according to koshta bala and prakruti of patient and also
according to predominant dosha present i.e.
1. Vata Pradhana Vata Rakta - Sadphala ghritam, Madhu yashtyadi tailam,
Ksheera bala tailam, Dhanvantari ghritam
^ All these sneha dravyas does Brimhana and Vata hara Karma
2. Pitta Pradhana Vata Rakta - Maha tiktaka ghritam
^ This ghrita promotes Rakta prasadana and pitta Shamaka karma
3. Kapha Pradhanya Vata Rakta - Guggulu tiktaka ghritam
- Madhu yashtyadi tailam and Dhanvantari ghritam
(Only in selected cases)
^ All these sneha dravyas does Ushna guna and kapha hara Karmas

10. > Sneha Pana is given in a dose of 40 to 60 ml, twice daily, before food for a duration
of 5 to 7 days.
> Sneha Pana is Contra indicated in medo margavarana janya Vata Rakta.
Svedana
> Usually Svedana is contraindicated in Vata Rakta but just for the purpose Of
Virechana we can go for “Mrudu Svedana”.
> Pota and Sekam measures are followed to promote svedana in Kapha pradhana
Vata Rakta.
> In few Vata Pradhana Vata Rakta conditions, very mild Upanaha Svedana is
advised.

11. Vamana
> In Gambhira and Kapha pradhana type of Vata Rakta and in few Pitta Pradhana Vata Rakta
cases associated with severe complications,
“Mrudu Vamana Karma” is carried out with Madanaphala, Yashti madhu and Ksheera
(Akantabharitha) according to koshta bala of rogi and roga avastha.
Virechana
> In Gambhira, Pitta, Kapha and Rakta pradhanya Vata Rakta “Mrudu Virechana Karma”with
25ml Eranda tail or NimbhaAmrutha Eranda tailam given with milk is carried out according to
rogi and roga bala.

12. Vasthi
 Specifically in Vata Pradhana type of Vata Rakta and in presence of symptoms like
Basti shula, Vankshana shula, Parswa shula and Udara shula, “Vasthi Karma” is
considered to be as a best treatment of choice.
> Administration of Ksheera Vasti/ Bala Guducyadi Ksheera Vasti is widely
emphasized in all types of Vata Rakta and especially in Vata Pradhana condition.
^ Ingredients of Ksheera Vasti include:
Makshika - 100ml
Sneha (maha tiktaka ghritam and bala tailam 100ml each) - 200ml and Guducyadi
Ksheera kvatha - 200ml

13. > Apart from ksheera vasti, Guduchyadi yapana vasti in Kapha Pradhana Vata Rakta and
Pancha tiktaka vasti in Pitta Pradhana Vata Rakta are also preferred to some extent.
^ Ingredients of Guduchyadi Yapana vasti include:
Makshika - 100ml, Lavana -15 gm, Sneham (madhu yashtyadi tailam and tiktaka
ghritam 100ml each) - 200ml, Kalkam (satahva) - 30gm and Kvatham (guduchyadi) -
400ml
^ Ingredients of Pancha tiktaka vasthi include:
Makshika - 100ml, Sneha (Pancha tiktaka ghritam) - 200 ml and
Guducyadi Ksheera kvatha - 200ml
> For Ksheera vasti, Guduchyadi Yapana vasti and pancha tiktaka vasti, either yoga or Kala
vasthi protocol can be followed.

14. Rakta mokshana
> In bhrihatrayee“Rakta mokshana” was mentioned as first line of treatment to
be opted for chronic Vata Rakta condition.
> Prior to Rakta mokshana certain measures like snehana, mrudu virechana n
vasti should be followed.
> Rakta mokshana according to types of Vata Rakta
1. Uttana - Shringi, Jalauka, Alabu and Pracchanna
2. Gambhira - Siravyadhana
3. Vataja - Shringi
4. Pittaja and Raktaja - Jalauka
5. Kaphaja - Alabu
> If lesions are small and if pain moves from one part of the body to the other
then bloodletting should be done by pracchana.

16. SHAMANA CHIKITSA:
> Guduchi is considered as Agra
Oushada for Vata Rakta. It is
administered in many forms.
> Shamana chikitsa of Vata Rakta
include administration of drugs like

17. Shamana oushada Drugs Dose Anupana
Rasa or Bhasma Rasa manikya ras-
kaphaja; Maha
taleshwar ras; Tala
bhasma; Gandhaka
bhasma - Pittaja
125-250 mg, od/bid Madhu
Vati or Guggulu Arogya vardhini vati-
Tridoshaja;
Gokshuradi
guggulu-Vataja;
Kaishore guggulu
and Amruthadi
guggulu-
Gambhira,Pittaja,K
ap haja and
Raktaja;
Punarnava,Yoga
raja and Simhanada
guggulu-Kaphaja
250-500 mg, bid Guduci kvatha,
Ushna jala

18. Shamana oushada Drugs Dose Anupana
Churna Hareetaki,
Manjishtadi,
Nimbadi,
Chopchinyadi
3-6 gm, bid Ushna jala or
Madhu
Asava or Arista Saribhyadasava,
Manjishtyadarishta,
A
mrutarishta
20-40 ml, bid Jala
Kvatha Dashamoola-
Vataja;
Manjishtadi-
Tridoshaja;
Amrutadi/
Amruttotara-
Gambhira, Pittaja
and Raktaja;
Rasna saptaka and
Guggulu tiktaka-
Kaphaja
20-30ml,bd,before
food
Jala or Madhu

19. Shamana oushada Drugs Dose Anupana
Ghrita Guduchyadi-
Tridoshaja; Satavari,
Sukumaraka,Jeevani
ya, Bhallataka-
Kaphaja
10-20ml,bd Ksheera
Taila Pinda, Madhu
parnyadi,Bala and
Dhanvantari- Vataja;
Guducyadiand
Narayana- Pittaja;
Kottam chukkadi and
cinchyadi- Kaphaja
Depends on mode
of administration
Depends on mode of
administration
Rasayana
Chyavana prasa-
Vataja and Pittaja;
Vardhamana pippali-
Kaphaja and Vataja;
Bhallataka- Kaphaja;
Shilajith- Tridoshaja
20gm,bd Ksheera

21. > Bahir Parimarjana Chikitsa is followed as general measure of treatment for all types of
Vata Rakta but it is specifically considered as a main line of treatment for Uttana Vata
Rakta.
> It includes External measures like
1. Avagahana - Nimbha patra or Guduci patra are used for Avagahana karma
(fumigation)
2. Lepa - Madhuchista, Dashanga, Tagaradi, Pra Poundarikadi/Sata doutha ghrita,
Krishna tila etc are used for ext.application on Vata Rakta affected joints.
3. Upanaha - Mainly advised for Uttana, Vataja and Kaphaja Vata Rakta.
- Vatagna Snigdha upanaha and Tila pinda upanaha are advised.
4. Seka
5. Abhyanga Carried out with Pinda/Bala/Dhanvantari/Guducyadi tailam
6. Dhara

22. Single drugs
> Guduchi
> Saribha
> Guggulu
> Shilajith
> Bhallataka
> Erandamoola
> Shunti

24. PATHYA-APATHYA
Aharaja:
Pathya
Shuka dhanya- Shashtika shali,
Yava, Laja, Godhuma
Shami dhanya- Mudga, Kulttha,
Masha Mamsa varga- Gramya
mamsa, jangala mamsa
Jala varga- Ushna jala
Ksheera varga- Goksheera, Aja
kseera
Apathya
Katu, Ushna, Guru,
Lavana, Madhya, Dadhi,
Kshara, Kulutta, Amla,
Pinvaka,Abhishyandi,
Moolikadi
Viharaja: Abhyanga and Parishekana etc Diva swapna, Atapa
Sevana, Ati Vyayama,
Ati Maithuna etc

25. Idealtreatment plan:

26. 1. Nidana Parivarjanam
2. Samsodhana Chikitsa (Yathochita)
3. Bahir Parimarjajana Chikitsa (Yathochita)
4. Samshamana Chikitsa
Rasa manikya Ras - 125mg +
Guduci Satva - 500mg +
Arogyavardhini Vati - 250mg +
Chopchinyadi Churna - 2gm Kaishore guggulu : 2- bd to tid with Luke
warm water , before food
1- bd with Honey, before food
Manjishtyadarishta : 20ml- bd with equal quantity water, after food
Satavari Ghrita : 20ml- bd with milk, after food
• Pinda tailam : for external application
5. Pathya-Apathya

27. References:
> Charaka Samhita, Chikitsa Sthana.29th chap
> Sushruta Samhita, Chikitsa Sthana.5th chap
> Ashtanga Hridaya, Chikitsa Sthana.22nd chap
> Bhava Prakasha Samhitha, 29th chap
> Bhaisajya Ratnavali, Vata Rakta Chikitsa Prakaran
> Sarangadhara Samhitha
> Rasendra Sara Sangraha
> L. Mahadevan’s Clinical methods of Ayurveda book, vol.2
> Prof. Ajay Kumar Sharma’s Hindi text of Kaya Chikitsa, vol.2

28. ThankYou.