Uttana Vatarakta
According to Charaka Samhita, in Uttana Vatarakta, Bahiparimarjana Chikitsa, or external application of medications in the form of Lepa, Abhyanga, Parishek, or Upnaha, is indicated. After identifying the dominant Dosha, this course of action should be recommended. Ushna Lepa is contraindicated in Rakta and Pitta Pradhana Vatarakta. Daha, Kleda, and skin desquamation are possible side effects of Ushna Lepa.
As Sheeta Lepa causes Stambhan of Dosha, it is contraindicated in Kapha and Vata Pradhan Vatarakta.
Gambhira Vatarakta
In the Gambhira Vatarakta, Snehana, Virechana, and Basti are urged.
Vata Pradhan Vatarakta
After using the preparation, Dughdapana is indicated, along with Erand Taila with Ksheer. Aside from Ghrita, Taila, Vasa, and Majja, oleation, Snehapana, and Abhyanga have also been cited. External usage is recommended for lukewarm fomentation.
Rakta- Pitta Pradhan Vatarakta
Virechana, which is recommended the finest method to balance Pitta Dosha, is suggested. Additionally, oral usage of Ghrita, Milk, fomentation, and Basti therapy are recommended. To lessen the burning sensation, Dravya's Sheeta Lepa is also recommended.
Kapha Pradhan Vatarakta
Mridu Vamana should be given. Gomutra mixed with lukewarm milk is recommended. Different Taila preparations for Basti Karma are indicated to be utilised in Kapha Pradhan Vatarakta, as well as different Ghrita and Kwatha preparations for oral usage.
Upasaya/Pathya
Ausadha
Sravanyadi Ghrta, Bala Ghrta, Parusaka Ghrta, Jivaniya Ghrta, Sthiradya Ghrta
Taila
Sthiradya Taila, Madhuparnyadi Taila, Sukumaraka Taila, Amrtadya Taila, Mahapadmaka Taila
Anna
a) Shuka Dhanya - Puraan Yava (Old barley), Godhuma (Wheat), Nivara (Variety of rice), Shaali, Shashtika
b) Yusha of Shimbi Dhanya with Ghrita Adhakya, Chanaka (Bengal gram), Masura, Makushthak (Motha), Kulathika (Horse gram)
c) Shaaka - Sunishnaka (Marsilea minuta), Vetagra, Kakmachi, Shatavari, Vastuka (Bathua), Upodika, Patola, Karvellaka, Kushmanda, Misri, Suran Kanda, Amla, Draksha, Aadrak, Naveen Ghrita.
d) Milk and Milk products - Godugdha (cow‟s milk), Mahishi Dugdha, Aja Dugdha (Goat‟s milk), Ghrita (Clarified butter)
e) Non vegetarian food - Vishkara Mamsa, Pratuda Mamsa, Chataka Mamsa, Kukkuta Mamsa, Varahi Mamsa, Tittira Mamsa.
Vihara:
Upnaha, Parisheka, Pradeha, Abhyanjana, Comfortable room, Comfortable bedding.
Anupasaya/Apathya
Aahara:
Urad (Black gram), Kulathika (Horse gram), Nishpaav (flat beans), Kalay (garden pea), Kshara, Flesh of birds and aquatic animals, Anupa Mamsa, Virudha Bhojana, Dahi, Ikshu (surgarcane), Mulaka (Radish), Madira (alcohol), Kanji (Fermented drink), Tila (Sesame), Katu Rasa, Lavana Rasa, Amla Rasa, Abhishyandi, Ushna, Guru.
Vihara:
Divaswapna (Day sleep)
Discussion
Vayu and Rakta typically become aggravated by the above mentioned Apathya Ahara Vihara food in people with fragile health, wrong diet and regimen, obesity, and a leisurely lifestyle. As a result, his entire blood becomes vitiated and accumulates in the legs. This gets further vitiated by the aggravated Vayu. Subsequently, Vatarakta (gout) is manifested.
According to Ayurveda, Vatarakta (Gout) is a widespread chronic condition that annually affects 14–17 percent of the population.