STUDY THE EFFICACY OF HAPUSHADI YAPANA BASTI IN VATARAKTA WITH SPECIAL REFERENCE TO GOUT

Abstract

Vatarakta is common presentation, characterized by severe pain, tenderness, inflammation, burning sensation in affected joints. Vatarakta is a disease related with Khavaigunya found in Raktavaha srotasa which include vitiated Vata and Rakta. Small joints of feet and hands are mainly affected.The etiology and symptomatology of Gout is very much similar to that of Vatarakta. Gout (also known as podagra when it involves the joint at the base of the big toe) is usually characterized by recurrent attacks of acute inflammatory arthritis-a red, tender, hot, swollen joint. The joint at the base of the big toe is the most commonly affected (approximately 50% of cases). Aacharya Charaka has elaborated the importance of basti chikitsa in vatarakta as “Na hi bastisamam kinchita vatarakta chikitsitam.” In the present clinical study, efficacy of Hapushadi Yapana basti in Vatarakta with special reference to Gout is evaluated. The present modern established management includes use of various NSAIDs which become resistant over a short period of time. Though basti is a traditionally used therapy in Vatarakta, its efficacy is not yet evaluated with Hapushadi Yapana. Cost of the treatment modality is very much less as compared to other managements. Moreover there are no adverse effects of basti chikitsa when compared to present modern established conservative treatment. At the end of study it is found that Hapushadi Yapana basti is more effective than Guduchi Taila Matra Basti with respect to Shotha, Shoola, Kathinya and Sparshaasahatva. The values of Serum Uric acid levels were significantly reduced in Study as well as Control Group.