Ayurvedic Management of Vatarakta (gout) - A Case Report
*Dnyaneshwar Kantaram Jadhav
Shree Dhanwantari Ayurved medical college, India
Submission: June 15, 2017; Published: July 03, 2017
*Corresponding author: Dnyaneshwar Kantaram Jadhav, Shree Dhanwantari Ayurved medical college, Mathura, India, Tel: 9664045849; Email: dj85015@gmail.com
How to cite this article: Dnyaneshwar K J. Ayurvedic Management of Vatarakta (gout) - A Case Report. Glob J Add & Rehab Med. 2017; 2(3): 555586. DOI: 10.19080/GJARM.2017.02.555586
Introduction
In an era when modern science is progressing with advent of advanced techniques for disease, diagnosis and treatment, there is still no easy solution for innumerable chromic difficult to treat disease. Current available medicines are capable of providing pain relief and some reduction of inflammation. In old days aamvata and Sandhigata vata cases are common but Now a day's most of patients came with all joint related problems are vatarkata instead aamvata. Fast lifestyle disturbs vata and fast food dushitarakta at the same time, which gives birth to vatarakata disease. VataRakta is the disorder where in pain is predominant symptom which disturbs day-today life of the patients. Vata-rakta is an illness where both Vata and Rakta are afflicted by distinct etiological factors [1]. VataRakta is also known as-Khudaroga,Vata-balasa, Vatashra & Adhya vata [2]. The chief complaint of the patient is severe joint pain with onset at Hasta, Pada, Mulagata sandhi [3] and then migrates to other joints in a way similar to Akhuvisha [4].
A case report as follow
A 47 year old male patient came to us with chief compliant of -
a) Dakshin gulf pradeshishul-shoth (swelling and pain at right knee joint).
b) Ubahypaadpradeshigranthiutpatii
c) Angamarda (body ache).
d) Atisweda (excessive sweeting).
Patient had above complaints since 12 years.
No H/o Dm / HTN, Asthma
History of Personal Illness
The patient was normal 12 year back. Since then patient have been suffering from Dakshin gulf pradeshishul-shoth (swelling and pain at right knee joint), ubahypaadpradeshigranthiutpatii, [5] Angamarda (body ache), Atisweda (excessive sweeting) [6]. For this patient took treatment from different pathy doctors but got little relief in pain symptoms only, then he came to our hospital - Seth Sakharam Nemchand Jain Ayurvedic Rugnalaya in Kaychikitsa department opd. For better management we admitted patient in Ipd.
Personal History
Occupation: Work in dance bar.
Bad Habits: Chronic alcoholism.
I. Ashtavidhaparikshana
a. Nadi (pulse) = 78/min.
b. Mala (stool) = parkrut
c. Mutra (urine) = Normal.
d. Jeeva (tounge) = saam.
e. Agni = Kshudhamandya.
f. Shabda (speech) = Normal.
g. Sparsha (skin) = sandhipradeshishoth,ushnasparsha
h. Druka (eyes) = Normal.
i. Akruti= Madhyama.
j. Bala= Madhyama.
k. Raktadaaba (B.P) = 140/80 mm/Hg.
Material and Method
Method
a) Centre of study: S.S.N.J.AyurvedicRugnaayan, Solapur.
b) Simple random single case study
Material with Daily treatment & prognosis: (Tables 1-4) (Figure 1)
Clinical examination of the patients revealed regression of symptom due to our Ayurvedic management.
Discussion
Hetu [7]of vatarkata as
A. Ahar :
a) Improper and irregular diet causes the disturbance of vatadosha.
b) Lawan-ama-kshar food (different types of spicy- saltychinize dish)
c) ShushkaAahar (whephars)
d) AmbujaanupmamsaMatsyasevan (daily )
e) Dadhi.
B.Vihar:
a) Prolong standing
C. Manasikanidan- Chinta, bhaya, and vegavrodha causesvata vrudhi.
Sanprapti Ghatak
a) Dosh: Tridosha
b) Dushya : Rasa, Rakta.
c) Adhishtana: Twaka.
Action of drug & other procedure in Management of Gout (Table 5)
Result
The patients had started improving during hospital stay & at end of 15th days all symptoms nearly get disappear. As its case reached at upadrav, so its need time to cure but with Ayurved treatment its get dynamic result it relief of all subjective and objective parameter.
Conclusion
Since the therapy for vatarakata and its complication has limitation in other pathies, Ayurvedic management of chronic vatarakata can be effective therapy.
References
- YG Joshi (2001) Charak Samhita of maharshicharak, Chakrapanidatta, commentator Charakasamhita, 5th ed. Varanasi: Chaukambha Sanskrit sansthana; Chikitsa sthana, VatashonitaChikitsaAdhyaya 29/1; p. 627.
- YG Joshi (2001) Charak Samhita of maharshicharak, Chakrapanidatta, commentator Charakasamhita, 5th ed. Varanasi: Chaukambha Sanskrit sansthana; Chikitsa sthana, VatashonitaChikitsaAdhyaya 29/11; p.656.
- YG Joshi (2001) Charak Samhita of maharshicharak, Chakrapanidatta, commentator Charakasamhita, 5th ed. Varanasi: Chaukambha Sanskrit sansthana; Chikitsa sthana, VatashonitaChikitsaAdhyaya 29/12; p. 657.
- Anant Ram Sharma (2010) edited with 'susrutavimarsini' Hindi commentary. (1st Ed.). Susrutasamhita,maharshisusruta. nidan-stan; Chapter l.verse no. 48. Varanasi: Chukhambhaprakashan; page no.463.
- YG Joshi (2001) Charak Samhita of maharshicharak, Chakrapanidatta, commentator Charakasamhita, 5th ed. Varanasi: Chaukambha Sanskrit sansthana; Chikitsa sthana, VatashonitaChikitsaAdhyaya 29/21; p. 659.
- YG Joshi (2001) Charak Samhita of maharshicharak, Chakrapanidatta, commentator Charakasamhita, 5th ed. Varanasi: Chaukambha Sanskrit sansthana; Chikitsa sthana, VatashonitaChikitsaAdhyaya 29/16; p.658.
- YG Joshi (2001) Charak Samhita of maharshicharak, Chakrapanidatta, commentator Charakasamhita, 5th ed. Varanasi: Chaukambha Sanskrit sansthana; Chikitsa sthana, VatashonitaChikitsaAdhyaya 29/05,06; p. 656.
- Brahmbhanadatripahi, sharagdhar Samhita, Chaukambha Sanskrit sansthana; Varanasi: 2001.madhayma sthana; 7thadhaya, verse no. 63, p. 203.
- Dravyagunavidnyan part 1&2, auther professor AP Deshpande, RR Jawalgekar, Suhas Ranade, (2007) drug no.286,Anmolprakashana, pune 2, 5thedition, with reprint 2007 pg. no.600.
- Dravyagunavidnyan part 1&2, auther professor AP Deshpande, RR Jawalgekar, Suhas Ranade (2007) drug no.221,Anmolprakashana, pune 2, 5thedition,with reprint pg. no.511.
- Brahmbhanadatripahi, sharagdhar Samhita (2001) Chaukambha Sanskrit sansthana; Varanasi: madhayma sthana; 7thadhaya, verse no.77, p. 205.