Possible correlation of vatarakta

Possible correlation of vatarakta

1. POSSIBLE CORRELATION OF VATARAKTA IN MODERN SCIENCE OF MEDICINE PRESENTED BY Dr.Kaushal sinha 2 nd year,PG scholar SDM college of ayurveda and hospital hassan

2. CONTENTS INTRODUCTION COURSE OF DISEASE ETIOLOGY SIGN & SYMPTOMS COMPLICATION DIFFERENTIAL DIAGNOSIS DISCUSSION CONCLUSION

3. INTRODUCTION Vatarakta (Gout) is a variety of Vataroga (Group of diseases caused by Vayu ). The disease which is caused by excessively aggravated Vayu ( Vata ) & vitiated Rakta (Blood) is called Vatarakta . Vatarakta is also known as- Khuda roga , Vata-balasa , Vatashra & Adhya vata .

4. Vatarakta comes under the domain of Vatavyadi and mostly affecting the extremities. The umbrella of vatarakta in parlance with conventional medicine includes many conditions related to extremities and to mention a few are connective tissue disorders as well as peripheral vascular disorders. In the literature it is emphasized that the etiological factors leads to the predominant morbidity of vata dosa and rakta dhatu and hence the name vatarakta . To be more specific, the obstruction of raktamarga or raktavaha srotas is the leading pathology.

5. 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. A metabolic disease characterized by recurrent attack of acute inflammatory arthritis caused by elevated levels of uric acid in the blood ( hyperuricemia ). Most common rheumatic disease of adulthood The uric acid crystallizes and deposits in joints, tendons, and surrounding tissues. Hyperuricemia : overproduction/ underexcretion /both Hyperuricemia ≠ Gout

6. Vatarakta is correlated with Gout in modern science MEDICINE

7. Course of the disease Vata Rakta usually starts from the big toe and gradually involves other joints or tissues Gout usually affects one joint in the beginning ( monoarticular ), usually the big toe

8. Etiology The causative factors said by various Acharya’s may be divided into three categories as The Factors Aggravate the Vatarakta The Factors Vitiates the Rakta The Factors Aggravates the Vata

9. The Factors Aggravate the Vatarakta Excessive intake of sweet food. Sedentary habits & Leisurely eating. Unwholesome diets & activities. Deteriorated diseases. Long walking. Excessive sexual activities, physical exercise. Obesity. To take sleep during day and remaining awake at night. Intake of food before the previous meal is digested. Excessive intake of sesamun indicum cake preparation. Excessive intake of radish, kullattha , masa , leafy vegetables, meat & sugarcane. Intake of mutually contradictory- incompatible foods.

10. The Factors Vitiates the Rakta Trauma 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. Partaking of foods which cause burning sensation during digestion which are incompatible.

11. The Factors Aggravates the Vata Excessive intake of astringent, pungent, bitter & unctuous ingredients Intake of less food . Great indulgence in vegetable which posses qualities like penetrating. Riding over elephant, horses, camel or on vehicles drawn by them for long periods. Resorting to aquatic games, swimming & jumping. Exhaustion by heat due to excessive wayfaring in Hot seasons. Indulgence in sexual intercourse

12. According to Modern Concept Predisposing Factors of Gout are Trauma to the joint Surgery Exposure to cold Injection of Foreign Protein Drugs Excessive use of Alcohol High Protein Diet Diuretics Chemicals like Urografin , Allopurinol , Urocosuric drugs etc. Sometimes it is associated with changes in the atomospheric pressure. Acute Infection.

13. Sign & Symptoms

14. VATARAKTA (A)UTTAN VATARAKTA (SUPERFICIAL) (B)GAMBHIRA VATARAKTA (DEEP )

15. UTTAN VATARAKTA (SUPERFICIAL) 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.

16. GAMBHIRA VATARAKTA (DEEP ) Hard inflammation with stiffness, severe pain beneath oedema, blackish or coppery coloration of skin, burning sensation piercing pain, & suppuration inside the oedema. 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.

17. CLINICAL FEATURES OF GOUT

18. 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.

19. 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.

20. COMPLICATION

21. VATARAKTA Anidra Aarochoka Swasa Mamsakotha Shirograha Murcha Mada-vedna-trishna-jwara-moha Hikka-pangulya-vishrpa-bhrama-klama Daha-marmagrha-Arbuda

22. GOUT Joint deformity Osteoarthritis Tophi may produce draining sinuses that may become infected Renal stones, pyelonephritis , obstructive renal disease

23. DIFFERENTIAL DIAGNOSIS

24. VATARAKTA Raktagatavata (Hypertension) Raktavritavata ( Myopathy ) Siragatavata ( Vericose vein)

25. gout The most important differential diagnosis in gout is septic arthritis. Trauma Rhematoid arthritis Reactive arthritis Pseudo arthritis

26. DISCUSSION

27. Dietary habits and life style modalities plays a major role in the causation of vata rakta . In the literature it is emphasized that the etiological factors leads to the predominant morbidity of vata dosa and rakta dhatu . To be more specific, the obstruction of raktamarga or raktavaha srotas is the leading pathology. The umbrella of vatarakta in parlance with conventional medicine includes many conditions related to extremities and to mention a few are connective tissue disorders as well as peripheral vascular disorders.

28. CONCLUSION

29. Distinct etiological factors of vatadosa and Rakta dhatu separately causes the morbidity of vata dosa as well as abnormality of rakta dhatu . Morbid vata dosa furthrer incriminates the abnormal Rakta dhatu . This abnormal rakata dhatu by way of Raktamargavarana in turn inhibits the movement of vata dosa leading to severe morbidity of vatadosa . The santarpana category of Etiological factors leads to the accumulation of kapha and medas in the Raktamarga there by causing Raktamargavarana . Due to the establishment of Raktamargavarana there occurs inhibition of movement of vata dosa . This in turn culminates in severe morbidity of vata dosa and once again manifesting as vata rakta . This is the samprapti of variant form of vata rakta .