1

SAMANYA LAKSHANA-

1. Start with small joints,

2. Uric acid rise,

3. Itching & burning sensation of skin,

4. Superficial pricking pain,

5. Deformation in the part,

6. Dark or copper colour of skin.

2

NIDANA-

- Amla- lavana- katu- kshar- snigdha- ushna pradartha sevana

- Kilnan- suskha jalajeeva & anupa mamsa sevana

- Pinyak- muli- kulatha- udad- saka- ikshu sevana

- Dadhi- sauvir- sukta- takra- sura- asav ati sevana

- Kasaya-katu tikta- alpa- & ruksha ahara ati sevana

- Purnata bhojana na karna

- Krodha- divasvapna- ratri jagaran

- Jala kriya- langana- ati paidal chalana

- Ati maituna

- Abhighata

- Sukumar- sthula- sukhi vyakti

- Misthan bhogi

- Achakramansila

3

PURVARUPA-

- Svedadhikya or asveda

- Hyperpigmantation of skin

- Sparsh gyan abhav

- Feeling of excessive pain on injury

- Sandhisouthilya- alasya- sadan

- Pidikoudbhava

- Pricking & cutting type of pain,hyperesthesia & itching in all the joints & lower extremities

- Recurrent joint pain

- Mandalotpatti(blisters)

4

PRASARAN VIDHI

- Mostly legs & hand origin(fingers, gulf,manibandha) then spred all over body

5

TYPES

TYPES(2)-

1. UTTAN VATA RAKTA-(SUPERFICIAL GOUT)

- Tvak, mamsa gata

- Itching & burning sensation on skin

- Superficial pricking type pain

- Deformation in the organ/body

- Dark or copper colour of skin

2. GAMBHIRA VATA RAKTA-

- Sandhi Gata

- Stiff & hard oedema

- Severe pain in internal part of oedema

- Burning, pricking, tingling sensation & boils in the joints

- Dark or copper colour of skin

DOSANUSAR TYPES(8)

1. Vataja vatarakta-

- Fuulness of vein

- Various types of pain & oedema, stiffness in joints with dark colour skin

- Intermitted changes in oedema over joints

- Spasm in the arteries, fingers & joints

- Contractures in the body

- Tendancy to avoid cold substrance

2. Pittaja vatarakta-

- Burning & cutting pain in the effected body parts

- Murcha- Sveda- Trishna- Mada

- Suppuration

- Shosh(emaciation)

3. Kaphaja vatarakta

- Feeling of being coverd with wet cloth

- Heaviness in the body

- Snigdhata

- Numbness

- Mild pain

4. Raktaja vatarakta

- Oedema with pricking type of pain

- No effect of use of snigdha & ruksha medication

- Itching & secrations

5. Vata pittaja vata rakta

6. Vata kaphaja vatarakta

7. Kapha pittaja vata rakta

8. Tridoshaja vata rakta

6

SAMPRAPTI

1)vata ka sukshma rupa + rakta ka drava guna-> sira marga sarva sarira bhramana-> sandhi me sthanik shrotavrodha-> dushita vata & rakta sthana sanchaya-> vatarakta roga

7

SAMPRAPTI GHATAKA

DOSA- vata kapha

DUSHYA- rakta,tvak, mamsa

ADHISTHAN- choti sandhiya mostly, tvak, mamsa

SHROTO DUSTI PRAKAR- sanga, vimargaman

AGNI- vishmagni

VYADHI SVABHAV- chirkari

SADHYATA-ASADHYATA-

SADHYA- ekdoshaja & nutan

YAPYA- dvidoshaja

ASADHYA- tridoshaja & upadrav yukta

- ajanu (spread uo to knee)

- Crecked & broken skin

- discharged gout

- upadrava yukta

8

UPADRAVA

- Anidra- aruchi- svasa- gangarine- sirograha

- Murcha- mada- jvar- moha- kampa- hikka- visarpa-paka

- Bhrama- daha- arbuda- sphota(blister)- marmagrah

9

PRICIPAL OF CHIKITSA

1. BAHIRPARIMARJANA CIKITSA-

a. Alepa

b. Abhyanga

c. Pariseka

d. Upnaha

2. ANTAHPARIMARJANA CIKITSA-

a. Virechana

b. Snehapana

c. Asthapana basti*****

3. RAKTAVISHRAVAN KARMA

a. Rakt vishravan se purva vatarakta me sneha pana & virechana karate h

b. Shring, jaloka, suchi, alabu, pracchana, siraveda

4. DOSANUSAR CIKITSA

A. VATAPRADHANA VATARAKTA

a. Sneha pana & abhyanga(ghrita,taila,vasa,majja)

b. Anuvasan basti(ghrita,taila,vasa,majja)

c. Ushna upanaha

B. PITTA & RAKTA PRADHAN VATARAKTA

a. Virechana

b. Ghritapana-dugdhapana

c. Pariseka

d. Anuvasana basti

e. Sheetal & dahasamak pralepa

C. KAPHA PRADHANA VATARAKTA

a. Mridu vaman

b. Snehan

c. Pariseka

d. Mridu langan

e. Koshna lepa

ADARSH CHIKITSA PATRA

1. Vata raktantak rasa-125mg + Praval panchamrit-250mg + Amrita satva-250mg (2 times with madhu)

2. Copcinyadi curna-2gm + Nimbadi curna-2gm ( 2 times with koshnajala)

3. Kesor gugglu / amrita gugglu -250mg (3 times with 20ml triphala kvatha)

4. Arogyavardhani vati-250mg (3 times with ushnodaka)

5. Sarivadhasava-20ml (2 times with 20ml water)

PATHYA-APATHYA

- Pranayam

- Mayurasana

- Bhdrasana

- Ardhamatasyasana

- Padmasana

- Mritika se mardan

- Ushna jala snana

Pathya(DO):

Ghrita, taila, vasa, tila, wheat, masa, Sali rice, sathi rice, kulatha, sura, parval, sahijana, baingan,lehsuna, anar, pakva aam, nimbu, ber, draksha, madhuk, goksura, dugdha, nariyal jala, gomutra, kanji, imli, anupa & jangam mamsa.

Jala krida, sanvahana, bhumi sayan, daha karma, brihmana karma, dhupa vata nasak karma.

Apathya(DON’T):

Chana, matar, kodo, arhar,dhanya, munga, jamun, supari, karela, patra saka,, kshariya pradartha,,tikshna, dushit jala.

Chinta, ratri jagaran, vega dharana, shram, ansan, stri sangam, hathi-ghoda savari, ek sthana rukna.

RASODHI/BHASMA/PISTI-(120-250MG WITH MADHU/USHNODAKA)

- Vatagajankush rasa-(vatsanabh,mundi,ras sindura

- Mahavata gajankush rasa-(abhrak,vatsanabh)

- Chintamani rasa-(svarn,abhrak,ghrita kumari)

- Vatachintamani rasa-(svarn,praval,mukta,kumari)

- Chaturmukha rasa-(svarn,kumari)

- Yogendra rasa-(svarn,mukta,kumari)

- Vatari rasa-(guggul,triphala)

- Sarvang sunder rasa-(abrak,gandhak,kapilu)

- Vatavidhvansan rasa-(erand,abhrak)

- Trelokyachintamani rasa-(hirak,svarn,kumari)

- Rasraj rasa-(svarn,parad,gandhak,kumari)

- Akangvir rasa-(kapilu)

- Navratnaraj mrigank rasa-(svarn,hirak,pusparag)

- Svarn bhasma

- Abhrak bhasma

CURNA-(3-6GM WITH MADHU/USHNODAKA)

- Ashvagandha curna

- Nagradhya curna-(sunthi,kapilu)

- Panchkol curna-(pippali,pippalimula,chavya)

- Narsingh curna-(bhallataka)

- Shaddharan curna-(chitrak,indrayava,patha)

KAVATH/ASAV/ARISHTA-(20-40ML WITH SAMABHAG WATER)

- Maharasnadi kvatha

- Rasnasaptak kvatha-(rasna,erand)

- Rasana dashmula kvatha-(rasna,brihatidvya,sonapatha)

- Masabaladi kvatha-(udad,bala)

- Rasanadi kvatha

- Gokshuradi kvatha-(gokshura,eranda)

GHRITA(20-30ML WITH USHNODAKA)

- Dashamuladi ghrita-(dashmula,ghrita,pushker mula,karcura,tulasi,trikatu)

- Ashvagandha ghrita

- Nakuladhya ghrita-(nevla mamsa,dasamula)

- Changaladhya ghrita-(aja mamsa,brihat panchmula)

- Hansadya ghrita-(hansamamsa,saindhav,eranda)

- Chitrakadhya ghrita-(chitrak,sunthi,rasna)

- Majja sneha-mamsa sneha,dasamula)

- Chatusneha –(triphala,kulatha,sahijana)

TAILA

(ABHYANTAR PRAYOGARTH TAILA(10-20ML WITH DUGDHA,USHNODAKA)

- Rason taila-(rason,tila)

- Mulakadhya taila-(muli svaras,tila taila,bala)

- Bala taila-(bala,dasamula,kulatha)

- Ashvagandha taila-(ashvagandha,kesar,mulethi,sariva)

(ABHYANTER & BAHYA PRAYONARTHA TAILA)

- Narayan Taila-(Bilva,Sayonak,Bala,Ashvagandha)

- Prasarni taila-(gandhaprasarni,chitrak,pippalimula)

- Nakul taila-(yastimadhu,jeerak,dasamula)

- Masa taila-(masa,atish,yava,gokshura)

- Mahamasa taila-(masa,dasamula,ajamamsa)

- Amritadhya taila-(guduchi,tila taila)

(BAHYA PRAYOGARTHA TAILA)

- Vishgarbha taila-9dhatur,kusta,vacha,marich)

- Mahavishgarbha taila-(dhatur,nirgundi,katutumbi)

GUGGALU PRAYOGA-(500 MG-1GM WITH MADHU/JALA)

- Yograj gugglu-(chitak,pippali,gugglu)

- Mahayograj gugglu-(trikatu,triphala,erand,gugglu)

- Kesor gugglu-(triphala,guduchi)

- Singhnada gugglu-(gugglu,tripahal,sarsapa taila)

- Panchmrit loha gugglu-(triphala,gugglu,gandhak)

- Amrita gugglu-(guduchi,triphala,punarnava)

- Satavari gugglu-(satavari, gugglu)

- Lakshadi gugglu-(laksha,gugglu)

ASHAV/ARISTA(10-20ML WITH JALA)

- Dasamularista-9dasamula,puskermula,chitrak)

- Balarista-(bala)

- Ashvagandharista-(ashvagandha,musali,rasna)

- Drakshasava-(draksha,dhataki,nirgundi0

RASAYAN YOGA-(10-15GM WITHDUGDHA/JALA)

- Chayvanprash-(dasamula,amlaki)

- Brahma rasayana-(amlaki,haritaki,dasamula)

- Shilajatu(500mg bid)

- Shivagutika-(haritaki)

KASTA AUSHADHI-

- Nirgundi, bala, gugglu, sunthi, lasuna, bhallataka, hingu, sahijana, rasana, dasamula, ashvagandha, eranda, masa, ghrita, vasa, majja, shilajatu, brahmi, jatamansi, vacha, pippali, konch, satavari, prasarni, devdaru, vidara, kapilu, vidarikand, vatsanabh, dhatura.