CLINICAL EFFICACY OF AYURVEDIC TREATMENT IN VATARAKTA (GOUT): A CASE REPORT

Abstract Vatarakta is a common metabolic disorder described in Ayurveda as a Vatapradhana Tridoshaja Vyadhi, resulting from vitiation of Vata Dosha and Rakta Dhatu. It presents as an inflammatory condition characterized by burning pain, swelling, and stiffness, typically affecting the metatarso-phalangeal joints, and may lead to difficulty in walking. In its early stage, the disease localizes in the extremities and gradually spreads to the entire body. Based on clinical features, Vatarakta is closely correlated with Gouty arthritis in modern medicine, which involves elevated serum uric acid levels and systemic inflammation. This case report presents a patient diagnosed with Vatarakta, who was treated through a combination of Ayurvedic oral medications and Panchakarma therapies. The treatment protocol included Guduchyadi Kashaya, Guduchi Ghana Vati, Kaishora Guggulu, and Eranda Taila along with procedures like Snehana (oleation), Swedana (sudation), Basti (medicated enema), and Jalaukavacharana (leech therapy). The therapeutic approach focused on pacifying Vata and removing obstruction in Raktavaha Srotas through Kaphamedoghna (Kapha and Meda-reducing) actions. After 35 days of consistent Ayurvedic management, the patient experienced significant symptomatic relief including reduced joint pain and swelling. Laboratory investigations also showed a notable reduction in serum uric acid levels, validating the efficacy of the intervention. This case highlights the potential of integrated Ayurvedic treatment in managing Vatarakta effectively, offering a safe and holistic alternative to conventional therapies.