Article Wjpps 1420091750

WORLD JOURNAL OF PHARMACY AND PHARMACEUTICAL SCIENCES
Rohit et al. World Journal of Pharmacy and Pharmaceutical Sciences

SJIF Impact Factor 2.786
Volume 4, Issue 1, 976-989. Research Article ISSN 2278 – 4357
VATARAKTA (GOUT): CAUSES, SYMPTOMS AND TREATMENT
Dr. Rohit Ranjan1*, Dr. Sanjay Srivastva2, Dr. Premraj Chaudhary3

Dr. Pallavi Singh4
1
Lecturer, Department of Basic Principles, Sri Sai Ayurvedic Medical College, Aligarh (U.P.)
2
Reader, Department of Rog Nidan, Sri Sai Ayurvedic Medical College, Aligarh (U.P.)
3
Lecturer, Department of Agad Tantra and Vyavahar Ayurveda, Sri Sai Ayurvedic
Medical College, Aligarh (U.P.)
4
M.O. (C.H.), Aligarh (U.P.)
ABSTRACT
Article Received on
23 Oct 2014, The understanding of ideal definition of health and dhatu samya is
Revised on 18 Nov 2014, very essential for human beings in order to attain the first persuit of life
Accepted on 14 Dec 2014
for attaining hita and sukha ayu. In Ayurveda health means the state
of doshasamya, agnisamya and dhatusamya as well as wellness of
*Correspondence for atma, indriya and mana. Acharya Charaka says that a man desirous of
Author
happiness should observe the rules which are related with the
Dr. Rohit Ranjan
prevention of unborn diseases and the cure of those which have
Lecturer, Department of
Basic Principles, Sri Sai already arisen. Health is the supreme foundation of virtue, wealth,
Ayurvedic Medical College, enjoyment and salvation and a wise man should be ever vigilant in the
Aligarh (U.P.). case of his own sarira (body) like the lord of the city in the affairs of
his city and acharioterer in the management of his chariot. The
ultimate aim of life is to achieve the Dharma, Artha, Kama & Moksha. For obtaining
the above mentioned goals, it is very essential to be fit physically, mentally and
spiritually. So directions of the Ayurveda in this regard should be followed strictly. When
the person does not follow the directions of Ayurveda in regard to Ahara, Nidra,
Brihmacharya collectively known as “Trya upstambha” the person becomes ill. Due
to improper use of he above three supports of life so many diseases takes place, out of them,
one is the Vatarakta (Gout), which consists of swelling including burning pain in
metatarsalphalangeal joints initially followed by the other joints, resulting in inability to the
walk.
KEY WORDS: Vatarakta, Gout.
www.wjpps.com Vol 4, Issue 1, 2015. 976

INTRODUCTION
In the very ancient classics the Vatarakta disease as an individual entity is not formed well
established but in scattered form the nearly same signs, symptoms and the treatment of the
Vatarakta disease are found. It means in those time, the lifestyle was very near to nature and
with full of physical exercise, so the causative factors of Vatarakta were not made up. The
word Vatarakta is made up of two words Vata & Rakta. The Vata is the chief (King) without
which no any disease may take place, the Rakta is also a very important d hatu which gives
nutrition to each & every body tissues & maintains them normal by eliminating toxins –
malas (waste products) through the natural orifices of the body. Vatarakta (Gout) is a variety
of Vataroga (Group of diseases caused by Vayu). The disease which is caused by excessively
aggravated Vayu (Vata) & vitiated blood (Rakta) is called Vatarakta.[1] Vatarakta is also
known as-Khuda roga, Vata-balasa, Vatashra & Adhya vata.[2] Vatarakta is correlated with
Gout in modern medical science. Gout is the true crystal deposition disease characterized
by pain & swelling of I St Metatarsophalengeal joint initially followed by other joints
with an abnormal elevation of Urate level in the body either due to over production or
under excretion or sometimes both. Itcan also be defined as the pathological reaction of
the joint or periarticular tissues to the presence of non sodium urate monohydrate
crystals, clinically this may present as inflammatory arthritis, bursitis, tenosynovitis,
cellulitis or as a nodular tophaceous crystal deposits. Although prolonged
hyperuriceamia is necessary but is alone not sufficient for development of Gout.
Simkin has suggested the generic term gout be used to describe the whole group of crystal
induced arthritis (MSU) gout, CPPD gout, HA gout & CaOX gout, although this
concept further imphasises the urgentical clinical presentation of this entities and of the need
to perform synovial fluid analysis to distinguish the type of crystal involved.
Etiology(CAUSES) [3]
The causative factors said by various Acharya’s may be divided into three categories as –
(A) The Factors Aggravate the Vatarakta
a) Tender physique.
b) Excessive intake of sweet food.
c) Sedentary habits & Leisurely eating.
d) Unwholesome diets & activities.
e) Deteriorated diseases.

f) Long walking.
g) Excessive sexual activities.
h) Excessive physical exercise.
i) Abstain of sex & Perversely sex.
j) Obesity.
k) Most oftenly fallen to sad and oftenly be angry.
l) To take sleep during day and remaining awake at night.
m) Intake of food before the previous meal is digested.
n) Excessively intake of saline, sour, pungent, alkaline taste.
o) Excessive intake of unctuous & hot potency food.
p) Intake of purified or dry meat of aquatic or marshyland dweller animals.
q) Excessive intake of sesamun indicum cake preparation.
r) Excessive intake of radish, kullattha, masa, nispava, leafy vegetables, meat & sugarcane.
s) Diet unwholesome to seasons and accustomed ones.
t) Intake of mutually contradictory- incompatible foods.
u) Improper administration of oleation & other purifactory therapies.
v) More intake of curd, aranala (kanji), sauvira (sour preparation of dehusked barley), shukta
(Vinegar), buttermilk & Alcohol, wine.
(B) The Factors Vitiates the Rakta

a) Trauma
b) Omission of the purification of the body. i.e. omission of the use of elimination therapies
which are supposed to be done in routine during different seasons.
c) Partaking of foods which cause burning sensation during digestion which are
incompatible.
(C) The Factors Aggravates the Vata

a) Excessive intake of astringent, pungent, bitter & unctuous ingredients
b) Intake of less food or abstinence from food.
c) Great indulgence in vegetable which posses qualities like penetrating.
d) Riding over elephant, horses, camel or on vehicles drawn by them for long periods.
e) Resorting to aquatic games, swimming & jumping.
f) Exhaustion by heat due to excessive wayfaring in Hot seasons.
g) Indulgence in sexual intercourse

h) Suppression of the manifested natural urges.

i) Exposure to cold breeze.
According to Modern Concept Predisposing Factors of Gout are [4]

a) Trauma to the joint
b) Surgery
c) Exposure to cold
d) Injection of Foreign Protein
e) Drugs
f) Excessive use of Alcohol
g) High Protein Diet
h) Diuretics
i) Chemicals like Urografin, Allopurinol, Urocosuric drugs etc.
j) Sometimes it is associated with changes in the atomospheric pressure.
k) Acute Infection.
Hyperuricaemia is a prerequisite for deposition of urate in synovium & other tissues. Uric
acid is the end product of purine metabolism. There are two pathway involved in the purine
synthesis [5]
a) A-De-Novo pathway- in which purines are synthesized from non purine precursors.
b) A Salvage pathway- in which free bases derived from the breakdown of nucleic acids of
endogenous or exogeneous origins are recaptured. The enzyme Hypoxanthine guanine
phosphoribosyl transferase (HGPRT) is involved in the salvage pathway.
A deficiency of this enzyme leads to increased synthesis of purine necleotides through the
De-Novo-pathway and hence increased production of uric acid. The high levels of uric acid
in the blood are caused by protein rich foods. Alcohol intake often causes acute attacks of
gout & hereditary factors may contribute to the elevation of uric acid.
A complete lack of HGPRT occurs in the uncommon X-linked Lesch-Nyhan Syndrome, seen
only in males and characterized by hyperuricaemia and in some cases of gouty arthritis. Less
severe deficiencies of the enzyme may also induce hyperuricaemia & gouty arthritis with
only mild neurologic deficits. The great majority of cases of gout are primary in which the
metabolic defect underlying the increased levels of uric acid is unknown.

Although hyperuricaemia does not necessarily lead to gouty arthritis. There are many factors
which contribute to the conversion of asymptomatic hyperuricaemia into primary gout. Gout
occurs due to mono-sodium urate crystals form on the articular cartilage of joints, on tendons
& in the surrounding tissues.
The purine metabolism gives rise to uric acid, which is normally excreted in the urine. The
uric acid is likely to form into crystals when there is a hyperuricaemia. It is 10 times more
common without clinical gout than with it. The kidneys are responsible for approximately for
2/3rd of uric acid excretion & the gut responsible for the rest. The defects in the kidney that
may be genetically determined are responsible for the predisposition of individuals for
developing gout.
In short we can say the causes of Hyperuricaemia are under excretion of uric acid, over
production of uric acid and the androgen, oestrogen racio effect the uric acid level and may
be responsible for the relative rarity of urate gout in premenopausal women & in prepubertal
boys.
Gout is more common in aflluent societies due to a diet rich in proteins, fat and alcohol.
Consequence of which such a renal failure. Gout may also develop as co-morbidity of other
diseases, including polycytheamia, leukaemia, intake of cytotoxics, obesity, diabetes,
hypertension, renal disorders & hemolytic anaemia. This form of gout is often called
secondary gout. The miscible body pool of urate in normal individuals is about 1gm & about
60% of this is replenished daily from catabolism of newly synthesised & dietatary proteins. [6]
Sign & Symptoms

The signs & symptoms of Uttana (superficial) Vatarakta are stated very similar by the
Acharya Charak and Acharya Vagbhatta but the Astanga Samgarahkara & Hridyakara stated
one more sign that is burning penetrating sensation produced like mustard oil (Osha). These
are – itching, burning sensation, ache, extension, pricking pain, throbbing sensation &
contraction. The skin becomes brownish black, red or coppery in colour. Burning penetrating
sensation produced like Mustard oil. [7]
The signs & symptoms of Gambhira (Deep seated) Vatarakta are stated as following – hard
inflammation with stiffness, severe pain beneath oedema, blackish or coppery coloration of
skin, burning sensation, piercing pain, quivering & suppuration inside the oedema. The

aggravated Vayu while causing pain & burning sensation at the site of inflammation
constantly moves with high speed through the joints, bones & bone marrows produces cutting
pain, make the joints curved inwards & when this aggravated Vayu moves to all over the
body, results the person lame & paraplegic. [8]
According to modern concept the clinical features of gout appears mostly at the age above
40, mainly 95% in males & rarely in females. It is extremely rapid on set reaching maximum
severity in just 2-6 hrs. Often walking the patient in the early morning with severe pain,
which is often described as the "worst pain" ever. There is extreme tenderness on accounts of
which the patient is unable to wear socks.
The joint most commonly affected initially is the Ist metatarsophalengeal joint 50% other
side ankle, heel, knees & hands. The hip and shoulder joints are usually not affected. There is
marked swelling with overline red shiny skin on the affected joints.
During attack the joint shows the signs of marked synovitis, sometimes the attack may be
accompanied by fever, specially if a large joint such as the knee is involved. When the attack
subsides pruritus common.
The general features are anorexia, malaise, headache, tachycardia & fever which may come
with slight chill & the involved skin is tense. The local veins are very much prominent. An
attack may last for two weeks after which the joint becomes completely normal till another
attack occur.
Treatment
Acharya Charaka & others have stated the treatment of Vatarakta in very detail as
a) Initially oleation tharepy should be applied to the patient of Vatarakta & after that if the
patient is slightly unctuous should be given purgation therapy with unctuous ingredients
or when the patient is excessively unctuous should give purgation therapy with ununctous
ingredients but these should be mild in nature because of the sharp purgatives may
excessively provoke the Vata, which will not be useful for treatment of Vatarakta but the
repeatedly Vasti therapy both Niruha & Anuvasana will be more useful regarding the
treatment of Vatarakta. [9]
b) The Affusion, Massage, Pradeha should may also be given. [10]
c) Food & unctuous substances which do not cause burning sensation should also be given.

d) The Vasti is the best treatment of the Vatarakta & there is no any therapy useful in
comparision to Vasti regarding the treatment of Vatarakta. [11]
e) Fomentation therapy should not be administered to those who are suffering from
Vaturakta. [12]
The Principles for Treatment of Vatarakta [13]

Depending upon the severity of involved doshas & the strength of the patient,
Raktamokshana (blood letting) in small quantity should be done many times for the clearance
of the path of the Vata & Rakta of the afficted part of the body.
1) Raktamokshana may be done by Horn, Leech, Needle, Gourd, Scratching of the skin &
Venesection.
2) Raktamokshana should be done by application of leech when there is pain, burning
sensation, colic pain & pricking pain, redness present to the afflicted joints.
3) Raktamokshana should be done by the application of Horn & Gourd when there is
numbness, Itching, tingling sensation, pain & burning sensation at the afflicted joint.
4) Raktamokshana should be done by the scratching of the skin (Prachchana) or venesection
(Siravyadha), when the pain moves from one part of the body to the other.
5) When the predominance of the aggravated Vayu produce emaciation of the limbs &
ununctuousness of the body Raktamokshana should not be done.
6) When due to depletion of blood the aggravated Vayu produce the deep seated oedema,
stiffness, trembling, diseases of the ligaments & vessels, asthenia & contractures,
Raktamokshana should be avoided.
7) Excessive Raktamokshana produce lameness, diseases of the Vayu & it may even cause
death also, so it should be done in an appropriate measures.
8) The Raktamokshana should be done in unctuous patients only.
Some Important Ayurvedic Formulations for Treatment of Vatarakta

1. Guda haritaki should be consumed regularly. [14]
2. Pippali may be used in increasing & decreasing order. (Vardhmana pippali yoga) [15]
3. Intake of Juice of Guduchi or powder or paste or decoction for a prolonged period. [16]
4. Patoladi Decoction, [17] Decoction of Guduchi with Eranda Tail. [18]
5. Nimbadi Churnam. [19]
6. Vataraktantaka Rasa,[20] Vishweshwara Rasa,[21] Sarweshwara Rasa,[22]
Chandraprabhavati,[23] Shoolagajakeshari rasa, [24] Guduchayadi Louham.

[25] [26] [27]

7. Amrita guggulu, Kaishore guggulu, Punarnava guggulu Triphala guggulu,
Simhanada guggulu. [28]
8. Guduchi Ghrita, [29] Shatavari Ghrita, [30] Amritadya Ghrita, [31] Bala Ghrita, Guduchi tail,
[32] [33] [34]
Mahapinda tailam, Sukumara Taila as drink, Bala Taila as drink, Pinda taila,
[35] Madhuka tailam, [36] Satapaka madhuka tail. [37]
Management of Gout [38]

a) Line of Treatment
First subside the pain by giving analgesics. Secondly such a drug should be given who
prevents the formation of the urate crystals & reduce the raised urate crystals.
b) Acute Attacks
1. A quick acting oral NSAIDs (But Aspirin should be avoided)
1) Naproxen 500mg /day
2) Ibuprofen 400mg 8 hourly
3) Indomethacin 50mg 8 hourly
4) Diclofenac sodium 50mg hourly.
2. Selective Cox-2 inhibitor - Valdecoxib 20mg twice daily

3. Colchicine - 1mg State, followed by 0.5mg 6 hourly (3months)
4. Corticosteroids - Intra-articular steroid injecti
- ACTH 20 units IM BD
- Prednisolone 40-60 mg /day
5. In severe cases sedatives like pethidine, codeine may be required.
(c) Long Term Management [39]

A. Drug preventing formation of Uric Acid
1. Allopurinol 300mg daily (For 3 months).
B. Uricosuric drugs causing excretion

1. Probenecid 250mg 3-4times a day.
2. Sulphinpyrazone 300-400mg /day or 100mg tds
3. Benzbromarone (100mg/daily)
4. SMOADs-Structure modifying osteoarthritric drugs.

Pathya for Vatarakta

For the patients suffering from Vatarakta the following are useful -
1. The cereals like the old Barley, Wheat, Nivara (a type of wild rice) & Sali as well as
Shashtika types of rice.
2. Meat soup of the Vishikara (gallinaceous) as partridge, quail, lark etc. & Pratuda (Pecker)
birds as peacock, hen, parrot, pigeon, sparrow etc.
3. Leafy vegetables like Sunishnaka, tender branch of Vetra, Kakamachi (Solanum nigrum),
Vastuka (Chenopodium album), Upodika (Basella rubra), Souvarchala sizzled with ghrita
& meat soup.
4. Vegetables like as soup Karvellaka (Momordica Charantia), Choulai Amaranthus),
Surana (amorphophallus campanulatus), Ginger (Zingiber officinale), Methika
(Trigonella feonumgreacum), Patola (Trichosanthes dioica), Kushmanda (Banincusa
hisipida), Punarnava (Boerhavia diffusa), Palak (Spinacia Oleracea), Chakavada (Cassia
tora), Bottle gourd (Lagenaria vulgaris), Kheera (Cucumis utilisimus), Aragavadha
(Cassia fistula), Guduchi (Tinosora cardifolia) etc.
5. Draksha, Currant, Butter, Large raisin, Castor oil, White variety of sugar.
6. Soup of Adhaki (Cajamus indicus), Chanaka (Cicer arietenum), Masura (Lentil), Mudga
(Psoralea radiatus) added with ghrita in liberal quantity.
7. Milk of cow, buffalo, goat & sheep etc.
8. The following diet should be beneficial for a Vatarakta (Gout) patient :-
9. Limit meat, poultry and fish.
10. Cut back on fat.
11. Limit or avoid alcohol
12. Limit or avoid foods sweetened with high-fructose corn syrup
13. Choose complex carbohydrate
14. Choose low-fat or fat-free dairy products
15. Drink plenty of fluids, particularly water.
Apathya for Vatarakta

1) Sleep during day time
2) Exposure to heat
3) Excessive Exercise
4) Excessive sexual intercourse

5) Excessive intake of pungent, saline, sour & alkaline taste & hot heavy abhishyandi
(ingredients which cause obstruction to the channels of circulation) gunas & ushna
veeryas food ingredients as mash, kullatha, peas, curd, sugarcane, radish, alcohol,
sesamum oil, kanji (sour liquids), saktu, jackfruit, brinjal, kundaroo etc.
6) Meat of aquatic & anoopa habitat animals.
7) Incompatible diets should be avoided by the patients suffering from Vatarakta.
REFERENCES
1. 1. Charak Samhita, Editor Pt. Kashinath Shastri & Gorakhnath Chaturvedi, Ch.Chi. 29/6
Chaukhambha Bharti Academy, Varanasi, 2001; 2: 820.
2. Charak Samhita, Editor Pt. Kashinath Shastri & Gorakhnath Chaturvedi, Ch.Chi. 29/11
3. Charak Samhita, Editor Pt. Kashinath Shastri & Gorakhnath Chaturvedi ,Ch.Chi. 29/5-7
Vangasena Vaidyaka Grantha,Editor Kaviraj Shri Shaligramji Vaisya & Shankarlalji
Jain,Khemraj Shrikrishnadas, Mumbai, 2003; 376.
Susruta Samhita Hindi Commentary, Editor Kaviraj Ambika dutta Shastri,Su. Ni. 1/40-
41, Choukhambha Sanskrit Sansthan Varanasi, 14th Ed. 2003; 1: 321.
Astanga Hridaym with the vidyotini Hindi commentary, Editor Kaviraja Atrideva Gupta
& Vaidya Yadunandana Upadhyaya,A.Hr.Ni. 16/1-12, Choukhambha Sanskrit Sansthan
Varanasi, 13th Ed. 2000.
4. Davidson’s Principals & Practice of Medicine Editor, Nicholas A. Boon, Nicki R.
Coledge, Brian R. Walker, John A.A. Hunter, editor, 20th ed., New York; Churchill
Livingstone Elsevier, 2006; 1112.
Harrison's Principles of Internal medicine - Vol – II,Editor Kasper, Braunwald, Fauci,
Hauser Longo, Jameson, Mc Graw - Hill medical publishing Division, New Delhi, 16th
Edition, 2005; 2046.
Medicine for Students, Editor Aspi F. Golwalla, Sharukh A. Golwalla, Dr. A.F. Golwalla,
Empress court back Bay, Reclamation of Eros Building Church gate, Mumbai 400020,
18th Edition, 1999; 778.
Text Book of Medicine,Editor P.C. Das, Current Book's International 60, lenin Saranee
Kolkata – 700013, 3rd Edition 2002; 537.

5. Medicine for Students, Editor Aspi F. Golwalla, Sharukh A. Golwalla, Dr. A.F. Golwalla,
18th Edition, 1999; 778.
Davidson’s Principals & Practice of Medicine Editor, Nicholas A. Boon, Nicki R.
Colledge, Brian R. Walker, John A.A. Hunter, editor, 20th ed., New York; Churchill
- Text Book of Medicine, Editor P.C. Das, Current Book's International 60, lenin Saranee
Kolkata – 700013, 3rd Edition, 2002; 536.
Coledge, Brian R. Walker, John A.A. Hunter, editor, 20th ed., New York; Churchill
7. Charak Samhita, Editor Pt. Kashinath Shastri & Gorakhnath Chaturvedi ,Ch.Chi. 29/19-
20 Chaukhambha Bharti Academy, Varanasi, 2001; 2: 822.
Astanga Hridaym with the vidyotini Hindi commentary,Editor Kaviraja Atrideva Gupta
& Vaidya Yadunandana Upadhyaya, A.Hr.Ni. 16/8, Choukhambha Sanskrit Sansthan
Varanasi, 13th Ed. 200.
8. Astanga Hridaym with the vidyotini Hindi commentary,Editor Kaviraja Atrideva Gupta
& Vaidya Yadunandana Upadhyaya,A.Hr.Ni. 16/9, 10, 11 , Choukhambha Sanskrit
Sansthan Varanasi, 13th Ed. 200.
9. Charak Samhita, Editor Pt. Kashinath Shastri & Gorakhnath Chaturvedi, Ch.Chi. 29/41,
49, 145 Chaukhambha Bharti Academy, Varanasi, 2001; 2: 825-826, 837.
Susruta Samhita Hindi Commentary, Editor Kaviraj Ambika dutta Shastri,Su. Ch. 5/12,
Choukhambha Sanskrit Sansthan Varanasi, Vol. I, 14th Ed. 2003; 31.
10. Charak Samhita, Editor Pt. Kashinath Shastri & Gorakhnath Chaturvedi ,Ch.Chi. 29/43
11. Chakra Datta of Shri Chakrapani Datta with the Vaidya prabha Hindi Commentary editor
Dr. Indradeva Tripathi, Chaukhambha Sanskrit Sansthan, VARANASI IIIrd Ed. Vatarakta
chi. 158.
12. 11,12- Charak Samhita, Editor Pt. Kashinath Shastri & Gorakhnath Chaturvedi, Ch.Chi.
29/88-89 Chaukhambha Bharti Academy, Varanasi, 2001; 2: 831.
13. Charak Samhita, Editor Pt. Kashinath Shastri & Gorakhnath Chaturvedi ,Ch.Chi. 29/36-

Susruta Samhita Hindi Commentary, Editor Kaviraj Ambika dutta Shastri,Su. Ch. 5/9,
Choukhambha Sanskrit Sansthan Varanasi, 14th Ed., 2003; 1: 30.
Chakra Datta of Shri Chakrapani Datta with the Vaidya prabha Hindi Commentary editor
chi. 158.
chi. 17/159.
chi. 160.
16. Susruta Samhita Hindi Commentary, Editor Kaviraj Ambika dutta Shastri,Su. Ch. 5/13,
Choukhambha Sanskrit Sansthan Varanasi, 14th Ed., 2003; 1: P-31.
Dr. Indradeva Tripathi, Chaukhambha Sanskrit Sansthan, VARANASI III rd Ed. Vatarakta
chi. 11/159.
18. Susruta Samhita Hindi Commentary, Editor Kaviraj Ambika dutta Shastri,Su. Ch. 5/12,
Choukhambha Sanskrit Sansthan Varanasi, 14th Ed., 2003; 1: P-31.
19. 19,20,21,22- Bhaisajya Ratnavali "Vidyotini Hindi, Commentary" editor Kaviraj Shri
Ambika Dutta Shastri, Cha.27/28, 43-47, 48-53, 77-82 Chaukhambha Sankrit Sansthan
Varanasi, 18 Revised edi, 2005; 591-593, 594, 596.
23. Bhavaprakasha of Bhava Mishra The vidyotini Hindi, Commentary Notes, Inoroduction,
editor Shri Brahma Shankara Mishra, Chaukhambha Sankrit Sansthan Varanasi
Chap.29/193-202, 316.
24. Rasaratna Sammuch Chaya with Rasaprabha Hindi commentary, editor Dr. Indra Deva
Tripathi Choukhambha Sanskrit bhawan Varanasi- IInd Ed Chap.20/169-284.
Dr. Indradeva Tripathi, Chaukhambha Sanskrit Sansthan, VARANASI III rd Ed. Vatarakta
chi, 160.

26. Bhaisajya Ratnavali "Vidyotini Hindi, Commentary" editor Kaviraj Shri Ambika Dutta
Shastri ,Cha.27/109-113 Chaukhambha Sankrit Sansthan Varanasi, 18 Revised edi,
2005; 599.
27. Bhavaprakasha of Bhava Mishra The vidyotini Hindi, Commentary Notes, Inoroduction,
editor Shri Brahma Shankara Mishra, Chaukhambha Sankrit Sansthan Varanasi
Chap.29/213-221, 222-246, 318, 318-320.
Dr. Indradeva Tripathi , Chaukhambha Sanskrit Sansthan , VARANASI IIIrd Ed.
Vatarakta chi. Chap.24/160, Chap.25/160.
Jain,Khemraj Shrikrishnadas, Mumbai, 2003, Chap.76/383, Chap.75/383.
Dr. Indradeva Tripathi , Chaukhambha Sanskrit Sansthan, VARANASI IIIrd Ed.
Vatarakta chi. P.160.
a. Vangasena Vaidyaka Grantha,Editor Kaviraj Shri Shaligramji Vaisya & Shankarlalji
32. 32-Bhaisajya Ratnavali "Vidyotini Hindi, Commentary" editor Kaviraj Shri Ambika
Dutta Shastri , Cha.27/140-147 Chaukhambha Sankrit Sansthan Varanasi, 18 Revised
edi.2005; 601.
Chakra Datta of Shri Chakrapani Datta with the Vaidya prabha Hindi Commentary editor
chi. 164.
Vangasena Vaidyaka Grantha, Editor Kaviraj Shri Shaligramji Vaisya & Shankarlalji
33. Bhaisajya Ratnavali "Vidyotini Hindi, Commentary" editor Kaviraj Shri Ambika Dutta
Shastri ,Cha.27/160-166 Chaukhambha Sankrit Sansthan Varanasi, 18 Revised edi,
2005; 603.
34. Bhel-Samhita Text, English Translation, Commentary & Critical Notes,Editor Prof. K.H.
Krishnamurthy ,Bh. Chi. 15/39-40,Chaukhambha Visvabharti Varanasi P.B. No.1084 k -
37/109, Gopal Mandir lane Varanasi -221001, Ist Ed, 2000.
35. Charak Samhita,Editor Pt. Kashinath Shastri & Gorakhnath Chaturvedi, Ch.Chi. 29/123
36. Charak Samhita, Editor Pt. Kashinath Shastri & Gorakhnath Chaturvedi, Ch.Chi. 29/117-

37. Harrison's Principles of Internal medicine - Vol – II,Editor Kasper, Braunwald, Fauci,
Hauser Longo, Jameson, Mc Graw - Hill medical publishing Division, New Delhi, 16th
Edition, 2005; 2046.
Colledge, Brian R. Walker,John A.A. Hunter, editor, 20th ed., New York; Churchill
39. Medicine for Students, Editor Aspi F. Golwalla, Sharukh A. Golwalla, Dr. A.F. Golwalla,
18th Edition, 1999; 779.
Davidson’s Principals & Practice of Medicine Editor, Nicholas A. Boon, Nicki R.
Colledge, Brian R. Walker, John A.A. Hunter, editor, 20th ed., New York; Churchill

Article Wjpps 1420091750

Загружено:

Сведения о документе

Исходное описание:

Оригинальное название

Авторское право

Доступные форматы

Поделиться этим документом

Поделиться или встроить документ

Параметры публикации

Этот документ был вам полезен?

Это неприемлемый материал?

Авторское право:

Доступные форматы

Article Wjpps 1420091750

Загружено:

Авторское право:

Доступные форматы

WORLD JOURNAL OF PHARMACY AND PHARMACEUTICAL SCIENCES

Rohit et al. World Journal of Pharmacy and Pharmaceutical Sciences

Volume 4, Issue 1, 976-989. Research Article ISSN 2278 – 4357

VATARAKTA (GOUT): CAUSES, SYMPTOMS AND TREATMENT

Dr. Rohit Ranjan1*, Dr. Sanjay Srivastva2, Dr. Premraj Chaudhary3

KEY WORDS: Vatarakta, Gout.

www.wjpps.com Vol 4, Issue 1, 2015. 976

www.wjpps.com Vol 4, Issue 1, 2015. 977

(B) The Factors Vitiates the Rakta

(C) The Factors Aggravates the Vata

www.wjpps.com Vol 4, Issue 1, 2015. 978

h) Suppression of the manifested natural urges.

According to Modern Concept Predisposing Factors of Gout are [4]

www.wjpps.com Vol 4, Issue 1, 2015. 979

Sign & Symptoms

www.wjpps.com Vol 4, Issue 1, 2015. 980

www.wjpps.com Vol 4, Issue 1, 2015. 981

The Principles for Treatment of Vatarakta [13]

Some Important Ayurvedic Formulations for Treatment of Vatarakta

www.wjpps.com Vol 4, Issue 1, 2015. 982

[25] [26] [27]

Management of Gout [38]

2. Selective Cox-2 inhibitor - Valdecoxib 20mg twice daily

(c) Long Term Management [39]

B. Uricosuric drugs causing excretion

www.wjpps.com Vol 4, Issue 1, 2015. 983

Pathya for Vatarakta

Apathya for Vatarakta

www.wjpps.com Vol 4, Issue 1, 2015. 984

www.wjpps.com Vol 4, Issue 1, 2015. 985

www.wjpps.com Vol 4, Issue 1, 2015. 986

www.wjpps.com Vol 4, Issue 1, 2015. 987

www.wjpps.com Vol 4, Issue 1, 2015. 988

www.wjpps.com Vol 4, Issue 1, 2015. 989

Вам также может понравиться