A Conceptual study on Trisutra Ayurveda with special reference to Vatarakta and Its Management through Vatsadani Kwatha

Ayurveda the age-old science of life is suitably explained through the enriched concept of Trisutra1 Ayurveda in a nut shell. i.e. Hetu, Linga, Aushada respectively. Hétu comprises of current and distant causative factors, Linga indicates clinical features of both healthy and diseased individuals, and Aushada consists of wholesome diet and mode of life too. Proper, systemic understanding of this concept enables an individual to reveal, explore and evaluate the findings in a scientific way to the fraternity of Ayurveda.

Vatarakta is a disease produced with ‘Khavaigunya’ of raktavahasrotas2 which includes vitiated Vata and Rakta, caused by Sanatarpana janya nidanas3. It usually starts from small joint and associated with sandhi shoola, sandhi shootha, vidaha, sparsha asahatva, twak vivarnata4 etc. It is usually compared with Gouty Arthritis mainly due to incomplete protein metabolism and excess production of uric acid and reduced renal clearance of uric acid increases these levels in blood will be deposited in the small joints of feet and hands causes Gouty arthritis5. Recent reports of the prevalence and incidence of gout vary widely and its between prevalence of <1% to 6.8% and an incidence of 0.58-2.89 per 1000 person-years6.

There are different treatment modalities are explained for vatarakta such as shodhana and shamana. Vatsadani kwatha7 is one among the drugs used in vatarakta, which consists of Guduchi and Guggulu, Guduchi having Tikta and Kashaya rasa, laghu guna, ushna virya, Madhura vipaka, and acts as tridoshashamaka, balya, dipana, rasayana, and jwaraghna8. Guggulu having Katu Tikta and Kashaya rasa, Katu vipaka, ushna virya, and tridoshahara properties9. They are non-controversial, easily available and cost effective. Here an attempt is being made to understand the literary aspect of disease thoroughly both Ayurveda and modern lines though the application of Trisutra Ayurveda to afford a proper treatment modality to the ailing society is the real need of the hour.