A Randomized clinical study to evaluate the efficacy of sirvyadha with or without jatamayadi lepa in vata - rakta w.s.r to gout

Vatarakta is a metabolic disorder and a grievous medical condition. It is one among Vatavyadi caused due to avarana (occlusion). As the name suggest it is due to the vitiation of Vata Dosha and Rakta Dhatu (blood). Vatarakta is classified in to - Uttana Vatarakta and Gambhira Vatarakta on the basis of dhatu involvement, symptoms of uthana vatarakta are Kandu, Daha, Ruja, Ayama, Toda, Spurana, Kunchana, Raga, Bheda, Gourava and Suptata.

Gout is a common type of arthritis; the symptomatology of this has striking similarities with those explained in Vatarakta

This is due to excess accumulation of uric acid  in the blood stream which  forms crystals in the joint that causes intense pain,  swelling  and  stiffness in phalanges,  it  usually  affects  the  joint  of  the  big  toe and is marked  by  transient painful attacks of acute arthritis initiated by crystallization of urates,eventually it leads to chronic gouty arthritis and the deposition of masses of Monosodium  Urate  (MSU)  crystals    in  joints  and  other sites,  creating  tophi. The essential biochemical requirement for the development of clinical gout is hyperuricemia.                 The management of Vatarakta aims at Vata Hara and Rakta Prasadaka measures.  In this respect the Shodhana chikitsa like Raktamokshana (Siravyadha)  is advised as primary treatment by Acharya, Raktamokshana  (Siravyadha)  is  a  unique  subset  of accredited drugless surgical technique in Ayurveda; often ignored,  misunderstood  in  the  mainstream  practice. It is indicated primarily in generalized vitiation of blood, causing distress.  Siravyadha treatment relieves the symptoms early, modifies the underlying pathology and also reduces the duration of treatment. it can  bring  down  the  oral  medicine  burden  to  the  patient which has to be taken for years together.

In sahasrayoga, thaila prakarana, kalka dravya of balaguluchyadi taila i.e., Jadamayadhi churna which ingredients are sheeta veerya   can reduces raga, shopha, daha and shola caused due to vata rakta.