"CASE STUDY OF EFFECT OF SIRAVEDH CHIKITSA IN INSTANT PAIN MANAGEMENT IN VATARAKTA WITH SPECIAL REFERENCE TO GOUT"

Vatarakta is an unique type of Vatavyadhi. The etiopathology says vitiated Vata becomes aavruta with vitiated Raktadhatu and obstructed Vata in turn vitiates the whole Rakta and manifests as Vatarakta.[1] Textual references of Vatarakta defines kandu, dah, ruja, shof, tod, bhed, sfuran, pak, aayaas as presenting symtoms which are well explained in Charak Samhita, sushruta Samhita, Asthanga hriday, Ashtang sangrah, Madhav nidan.[2] As comparison of symtoms it can be co-related with Gout, which is one among the metabolic disorders. The Disease Gout mainly affects joints and is characterised by severe pain, tenderness, inflammation and burning sensation in the affected joints with an abnormal elevation of Urate level in the body. It is secondary due to Uricemia either due to over production or under excretion or sometimes both as metabolic disturbance.[3] Methodology: This case series explores the efficacy of Siravedha (bloodletting), an Ayurvedic intervention, in managing instant pain relief in five case diagnosed with vatarakta, with serum uric acid level >6.0 mg/dL in female>7.0mg/dl in male underwent 1 session of Siravedha along with dietary modifications. symptomatic relief were assessed for two week. Results: All patients demonstrated a reduction in significant symptomatic improvement in joint pain, stiffness, mobility. Conclusion: Siravedha may offer a safe and effective complementary therapy for symptomatic pain relief in gout.