Chapter 6.29: Gout Treatment (Vatarakta Chikitsa / वातरक्तचिकित्सा)
The chapter refers to vatashonita (or vatarakta), a condition caused by vitiated vata dosha and rakta dhatu. As the disease is caused by predominantly vitiated vata and rakta, it follows Vatavyadhi Chikitsa (vatika disorder). The manifestations of vatashonita resemble various metabolic and connective tissue diseases like gout, inflammatory polyarthritis and vasculitis. This variation in manifestation depends upon degree of vitiation of dosha and dhatu in each individual of unique Prakriti. This reflects each patient’s unique disease requiring specific personalized treatment which is unique to Ayurvedic system of management. The chapter has description of etiological factors along with types of vatashonita, purvarupa (prodromal symptoms), rupa (clinical features) of different types, rupa of dosha predominance, upadrava (complication) ,sadhya-asadhyatva (prognosis), treatment of different types of vatashonita, precautions during treatment as well as symptomatic treatment for relief in no
Source: Astanga Hridaya Sutrasthan by Vagbhata
id="Summary">Summary hētuH sthAnAni mUlaM ca yasmAt prAyeNa sandhiShu | pRuthagbhinnasya li~ggaM ca dośadhikyamupadravAH | vātaraktasya nirdiShTA samAsavyAsatastathA | In this chapter of vatarakta the etiological factors, location and root, reason for its prevalence of aggravation in general in joints, prodromal symptoms, clinical features, symptoms of both types (uttana and gambhira), different symptom produced by the dosha predominance and complications, prognostic description of different stages of the disease (sadhya, yapya and asadhya), management of sadhya vatarakta (curable vatarakta) and symptomatic treatment of all stages as well has been described in brief and details by the great sage Atreya for Agnivesha. Thus ends the 29th Chapter (Vatarakta Chikitsa) in Chikitsa Sthana in treatise composed by Agnivesha, redacted by Charak and reconstructed by Dridhabala. [163–165]