1. By:
Dr. P. Jyothi
P.G.
Scholar
Kaya Chikitsa
department
Dr.BRKR Govt.Ayurvedic
Medical College
A
Presentation
on
Vãta Rakta Chikitsa

2. Introduction :
 A chronic disease or a chronic illness is defined as a condition
which develops gradually through years because of frequent and
continuous exposure to abnormal dietary, lifestyle or
environmental factors.
 Initially there may be absence of diseased symptoms but at later
stages, complex manifestations involving one or more organs
leading to derangement of bodily functions will be seen in chronic
diseases.
 Vãta Rakta in Ayurveda is considered as one such chronic illness
which is commonly seen affecting nearly 14-17 percent of
population every year.
 It is caused by vitiated Vãta and Rakta. Vitiated Vãyu obstructs the
path of vitiated Rakta in the beginning and then gets vitiated by
Rakta further this complete process is known as Vãta- Rakta.

3.  Types of Vãta Rakta mainly include Uttãna, Gambhira, Vãta
Pradhãna, Pitta Pradhãna, Kapha Pradhãna, and Rakta Pradhãna.
 Clinical Features of Vãta Rakta ranges from mild inflammation and
discoloration of skin to complete derangement of bodily organs
depending up on its type and chronicity. Chronic and later stages
of Vãta Rakta also cause complications like mamsa kotha, murcha,
marma graham, anguli vakrata etc.
 Though Vãta Rakta is mentioned to be as kriccha sãdhya vyãdhi,
by strictly following the protocol of Vãta Rakta chikitsa as
mentioned in various Ayurvedic classics a physician can boldly
treat this condition.
 Keeping this in view, through this presentation an effort of
highlighting various important Ayurvedic treatment measures
which can be used for effective management of Vãta Rakta has
been made.

4. Objectives :
 To review effective ayurvedic treatment measures of Vãta
Rakta.
 To increase scope of Vãta Rakta management through
various treatment modalities as mentioned in Ayurvedic
classics.

5. Vãta Rakta Chikitsa Sutra :
 Sãmãnya Chikitsa
विरेच्य: स्नेहययत्िादौ स्नेह युक्तैवििरेचनै:
रूक्षैिि म्रुदुभिशस्त मसक्रुद्िस्स्तकमि च ||
सेकाभ्यग्ङ प्रदेहान्न स्नेह: प्रायो अविदाहहन:
िातरक्तेप्रश्सस्यम्तुविशेषम ्तु यनबोध मे||
(च.चच.
29/42)
 Uttãna and Gambhiraja Chikitsa
बाह्य मालेपनाभ्यन्ग्् पररषेकोपनाहनै
विरेकास्थापन स्नेहपानैर्िम्िीरमाचरेत् || (च.चच.
29/43)
 Vãta Pradhãnaja Chikitsa `
सवपिस्तैल िसामज्जा पानाभ्यग्ङ िस्स्तभि:
सुकोष्णै रुपनाहैश्सच िातोथ्तरमुपाचरेत्

6.  Pitta and Rakta Pradhãnaja Chikitsa
विरेचनैर्घ्ुितषीरपानै स्सेकै श्सच िस्स्तभि:
शीतैयनििािपण ैश्सचावप रक्त वपत्तोत्तरम ्जयेत ्||
(च.चच. 29/45)
 Kapha Pradhãnaja Chikitsa
िमनम ्म्रदु ुनात्यधमि ्स्नेहसेका वि लग्ङनम ्
कोष्ण लेपाश्सच शस्यम ्तेिातरक्ते कफोत्तरे ||
(च.चच. 29/46)

7. Vãta rakta
chikitsa upakrama:
 Treatment
measures of Vãta
Rakta include both
Antah Parimãrjana
and Bahir
Parimãrjana
Chikitsa as shown
in the figure.

8. ANTAH PARIMãRJANA CHIKITSA

9. SHODANA Chikitsa:
Ãma Pãchana and Agni Deepana
 It is carried out Prior to Shodana chikitsa with Tikta, Katu rasa
and Rũksha guna prãdhãnya drugs according to Rogi and
Roga bala for a duration of 3 to 5 days.
1. Shaddarana chṹrna
(Gambhira and pittaja)
Dose - 3 to 6gm, bid,
before food
Anupãna – Honey/Ushna
jala
32.. GPaundcuacshaymãdai cohrṹ Arnmaru(vtoãttatajara)
kvãtha (pittaja, kaphaja)
Dose – 15 to 20ml, bid,
before food 4. Dashamoola kvãtha
(Vãtaja) Anupãna – Ushna Jala

10. Sneha Pãna
 Sneha Pãna is carried out according to koshta bala and prakruti of
patient and also according to predominant dosha present i.e.
1. Vãta Prãdhãna Vãta Rakta - Sadphala ghritam, Madhu yashtyãdi
tailam,
Ksheera balã tailam, Dhanvantari ghritam
→ All these sneha dravyas does Brimhana and Vãta hara
Karma
2. Pitta Prãdhãna Vãta Rakta - Mahã tiktaka ghritam
→ This ghrita promotes Rakta prasãdana and pitta Shãmaka
karma
3. Kapha Pradhãnya Vãta Rakta - Guggulu tiktaka ghritam
- Madhu yashtyãdi tailam and Dhanvantari
ghritam

11.  Sneha Pãna is given in a dose of 40 to 60 ml, twice daily, before
food for a duration of 5 to 7 days.
 Sneha Pãna is Contra indicated in medo mãrgãvarana janya Vãta
Rakta.
Svedana
 Usually Svedana is contraindicated in Vãta Rakta but just for the
purpose Of Virechana we can go for “Mrudu Svedana”.
 Potalam and Sekam measures are followed to promote svedana in
Kapha pradhãna Vãta Rakta.
 In few Vãta Pradhãna Vãta Rakta conditions, very mild Upanãha
Svedana is advised.
ss

12. Vamana
 In Gambhira and Kapha pradhãna type of Vãta Rakta and in few Pitta
Pradhãna Vãta Rakta cases associated with severe complications,
“Mrudu Vamana Karma” is carried out with Madanaphala, Yashti
madhu and Ksheera (Ãkantabharitha) according to koshta bala of rogi
and roga avastha.
Virechana
 In Gambhira, Pitta, Kapha and Rakta prãdhãnya Vãta Rakta “Mrudu
Virechana Karma”with 25ml Eranda tail or Nimbha Amrutha Eranda
tailam given with milk is carried out according to rogi and roga bala.

13. Vasthi
 Specifically in Vãta Pradhãna type of Vãta Rakta and in presence of
symptoms like Basti shṹla, Vankshana shũla, Pãrswa shũla and
Udara shũla, “Vasthi Karma” is considered to be as a best treatment
of choice.
यनहिरेद्िा मलम ्तस्य स र्घ्ुतै: षीरिस्स्त भि:
न हह िस्स्त समम ्ककस्न्चद्िातरक्त चचककस्त्सतम्||
िस्स्त िषण पारिश्स्िोरुपिािस्स्थ जठरायतशिु|
(च.चच. 29/88)
 Administration of Ksheera Vasti/ Balã Gudṹcyãdi Ksheera Vasti is
widely emphasized in all types of Vãta Rakta and especially in Vãta
Pradhãna condition.
→ Ingredients of Ksheera Vasti include:
Mãkshika – 100ml
Sneha (mahã tiktaka ghritam and balã tailam 100ml each) –
200ml and
Gudṹcyãdi Ksheera kvãtha – 200ml

14.  Apart from ksheera vasti, Gudṹchyãdi yãpana vasti in Kapha
Pradhãna Vãta Rakta and Pancha tiktaka vasti in Pitta Pradhãna
Vãta Rakta are also preferred to some extent.
→ Ingredients of Gudṹchyãdi Yãpana vasti include:
Mãkshika – 100ml, Lavana - 15 gm, Sneham (madhu
yashtyãdi tailam and tiktaka ghritam 100ml each) – 200ml, Kalkam
(satãhva) – 30gm and Kvãtham (gudṹchyãdi) – 400ml
→ Ingredients of Pancha tiktaka vasthi include:
Mãkshika – 100ml, Sneha (Pancha tiktaka ghritam) – 200 ml
and
Gudṹcyãdi Ksheera kvãtha – 200ml
 For Ksheera vasti, Guduchyãdi Yãpana vasti and pancha tiktaka
vasti, either yoga or Kãla vasti protocol can be followed.

15. Rakta mokshana
 In bhrihatrayee“Rakta mokshana” was mentioned as first line of
treatment to be opted for chronic Vãta Rakta condition.
 Prior to Rakta mokshana certain measures like snehana, mrudu
virechana n vasti should be followed.
 Rakta mokshana according to types of Vãta Rakta
1. Uttãna – Shringi, Jalauka, Alãbu and Prãcchanna
2. Gambhira – Sirãvyadhana
3. Vãtaja – Shringi
4. Pittaja and Raktaja – Jalauka
5. Kaphaja – Alãbu
 If lesions are small and if pain moves from one part of the body
to the other then bloodletting should be done by pracchana.

16. SHAMANA CHIKITSA:
 Gudṹci is considered as
Agra Oushada for Vãta
Rakta. It is administered in
many forms.
 Shamana chikitsa of Vãta
Rakta include
administration of drugs like

17. Shamana
oushada
Drugs Dose Anupãna
Rasa or Bhasma Rasa mãnikya ras-kaphaja;
Mahã
tãleshwar ras;
Tãla bhasma;
Gandhaka
bhasma - Pittaja
125-250 mg,
od/bid
Madhu
Vati or Guggulu Ārogya vardhini
vati- Tridoshaja;
Gokshṹrãdi
guggulu- Vãtaja;
Kaishore guggulu
and Amruthãdi
guggulu-
Gambhira,Pittaja,
Kaphaja and
Raktaja;
Punarnava,Yoga
raja and
Simhanãda
guggulu-Kaphaja
250-500 mg, bid Gudṹci kvãtha,
Ushna jala

18. Shamana
oushada
Drugs Dose Anupãna
Chṹrna Hareetaki,
Manjishtãdi,
Nimbãdi,
Chopchinyãdi
3-6 gm, bid Ushna jala or
Madhu
Āsava or Arista Sãribhyãdãsava,
Manjishtyãdarisht
a,Amrutãrishta
20-40 ml, bid Jala
Kvãtha Dashamoola-
Vãtaja;
Manjishtãdi-
Tridoshaja;
Amrutãdi/
Amruttotara-
Gambhira,
Pittaja and
Raktaja; Rãsnã
saptaka and
Guggulu tiktaka-
Kaphaja
20-
30ml,bd,before
food
Jala or Madhu

19. Shamana
oushada
Drugs Dose Anupãna
Ghrita Gudṹchyãdi-
Tridoshaja;
Satãvari,
Sukumãraka,Jee
vaniya,
Bhallataka-
Kaphaja
10-20ml,bd Ksheera
Taila Pinda, Madhu
parnyãdi,Balã
and Dhanvantari-
Vãtaja;
Gudṹcyãdiand
Nãrãyana-
Pittaja; Kottam
chukkãdi and
cinchyãdi-
Kaphaja
Depends on
mode of
administration
Depends on
mode of
administration
Rasãyana Chyavana prãsa-
Vãtaja and
Pittaja;
Vardhamãna
20gm,bd Ksheera

20. bahir PARIMãRJANA CHIKITSA

21.  Bahir Parimãrjana Chikitsa is followed as general measure of
treatment for all types of Vãta Rakta but it is specifically considered
as a main line of treatment for Uttãna Vãta Rakta.
 It includes External measures like
1. Avagãhana – Nimbha patra or Gudṹci patra are used for
Avagãhana karma (fumigation)
2. Lepa – Madhuchista, Dashãnga, Tagarãdi, Pra Poundarikãdi/Sata
doutha ghrita,
Krishna tila etc are used for ext.application on Vãta Rakta
affected joints.
3. Upanãha – Mainly advised for Uttãna, Vãtaja and Kaphaja Vãta
Rakta.
- Vãtagna Snigdha upanãha and Tila pinda upanãha
are advised.
4. Seka
5. Abhyanga Carried out with

22. Single drugs
 Gudṹci
 Sãribha
 Guggulu
 Shilajith
 Bhallãtaka
 Erandamoola
 Patola
 Sunti etc

23. PATHYA -aPATHYA
Pathya Apathya
Āhãraja: Shṹka dhãnya- Shashtika shãli,
Yava, Lãja, Godhuma
Shami dhãnya- Mudga, Kulttha,
Mãsha
Mãmsa varga- Grãmya mãmsa,
jãngala mãmsa
Jala varga- Ushna jala
Ksheera varga- Goksheera, Ajã
kseera
Katu, Ushna, Guru,
Lavana, Madhya,
Dadhi, Kshãra, Kulutta,
Āmla,
Pinyãka,Abhishyandi,
Moolikãdi
Vihãraja: Abhyanga and Parishekana etc Divã swapna, Ātapa
Sevana, Ati Vyãyãma,
Ati Maithuna etc

24. Ideal treatment plan :

25. 1. Nidãna Parivarjanam
2. Samsodhana Chikitsa (Yathochita)
3. Bahir Parimãrjajana Chikitsa (Yathochita)
4. Samshamana Chikitsa
• Rasa mãnikya Ras – 125mg
+
Gudṹci Satva – 500mg
+
Ārogyavardhini Vati – 250mg 1- bd with Honey,
before food
+
Chopchinyãdi Chṹrna – 2gm
• Kaishore guggulu : 2- bd to tid with Luke warm water ,
before food
• Manjishtyãdarishta : 20ml- bd with equal quantity water,
after food
• Satãvari Ghrita : 20ml- bd with milk, after food
• Pinda tailam : for external application

26. Conclusion:
 Thus the descriptive presentation on Vãta Rakta chikitsa
is concluded.
 An attempt of presenting Vãta Rakta Chikitsa in a detailed
manner is made expecting it to be beneficiary for
Ayurvedic research scholars and hence providing further
scope to carry out even more research on this aspect.

27. References:
 Charaka Samhita, Chikitsa Sthãna.29th chap
 Sushruta Samhita, Chikitsa Sthãna.5th chap
 Ashtãnga Hridaya, Chikitsa Sthãna.22nd chap
 Bhãva Prakãsha Samhitha, 29th chap
 Bhaisajya Ratnãvali, Vãta Rakta Chikitsã Prakaran
 Sãrangadhara Samhitha
 Rasendra Sãra Sangraha
 L. Mahadevan’s Clinical methods of Ayurveda book, vol.2
 Prof. Ajay Kumar Sharma’s Hindi text of Kaya Chikitsa, vol.2

28. Thank You..