Drona Foundation Course Caraka Chikitsa stana 2020-2021

Q.1.Describe Vataraktha (5 marks) (KUHS, March 2020)

Answer:

Vatarakta is a Raktavaha sroto Vikara. Vatashonitha is a condition characterised by Vata Prakopa & Rakta
dushti. Nidanas contribute a greater part in the Samprapti of this condition.

Aharaja Nidanas Viharaja Nidanas

Excess लवण(salty),अम्ल (sour),कटु (pungent), Anger(krodha)

Excess क्षार (alkalies) sleeping in daytime and vigil during the night

स्निग्ध(fatty substances), उष्ण (hot food) delicate persons who are indulged in sweet and
delicious food substances and are not in habit of
physical activities

(सुकुमाराणाां ममष्टान्िसुखभोस्ििाम ्)

अिीणण भोिि, स्ललन्ि भोिि(consumption of Abhighata(trauma)

rotten and dried flesh),

fleshes of aquatic animals like fish Not performing proper Shodhana karma
(Ambuja-Anupa mamsa)

cake of oil seeds after extraction of oil (pinyaka)

raddish, red gram, black gram, green

vegetables, palala (grated flesh), sugarcane,
curd, sour gruel, sauvira and shukta (vinegar),
butter milk, sura and asava (alcohol and
medicinal preparations having high concentration
of alcohol)

(कुलत्थमाषनिष्पावशाकादिपललेक्षुमभिः|
िध्यारिालसौवीरशल
ु ततक्रसरु ासविः)

Intake of food inspite of indigestion (ajirna),

incompatible food (viruddhahara), eating food
before proper digestion of previous one
(adhyashana)

Samprapti of Vatarakta

वायुर्वणवद्
ृ धो वद्
ृ धेि रलतेिावाररतिः पथथ||१०||
कृत्निां सन्िष
ू येद्रलतां तज्ज्ञेयां वातशोणणतम ्|
खुडां वातबलासाख्यमाढ्यवातां च िाममभिः||(Ch. Chi 29/10)

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Drona Foundation Course Caraka Chikitsa stana 2020-2021

All these nidanas can cause Vata prakopa & Rakta dushti resulting in Vatarakta. The synonyms of Vatarakta
are Khuda, Vatabalasa, Adhyavata.
Nidana Sevana(Aharaja, Viharaja, Abhighataja etc)

Rakta dusti & Vata Prakopa

Margavarodha to vayu by dushita Rakta dhatu

Vatarakta

Body parts affected with Vatarakta

तनय नथािां करौ पािावङ्गल्

ु यिः सवणसन्धयिः|
कृत्वाऽऽिौ हनतपािे तु मूलां िे हे र्वधावनत||१२|| (Ch.Chi 29)

Vatarakta predominantly affects hands, feet, fingers including toes and gradually all the other joints.

Classification of Vatarakta

I. Depending on the dhatus involved & lakshanas:

उत्तािमथ गम्भीरां द्र्वर्वधां तत ् प्रचक्षते |
त्वङ्माांसाश्रयमुत्तािां गम्भीरां त्वन्तराश्रयम ् ||
a) Uttana Vatarkta: Affecting twak & Mamsa dhatu
b) Gambheera Vatarakta : Affecting other deeper dhatus, causing deformities.
II. Based on doshas involved:
a) Vatadhika
b) Pittadhika
c) Kaphadika
d) Raktadhika
e) Dwandwaja
f) Sannipataja
III. Depending upon Sadhyasadhyata
a) Sadhya : Ekadoshaja,Nava, No upadravas
b) Yapya: Dwidoshaja, with upadravas, one year, Balavan rogi
c) Asadhya: Tridoshaja, Upadrava yukta, Ajanusphutita

Poorvaroopa & Lakshanas of Vatarakta

नवेिोऽत्यथं ि वा काष््यं नपशाणञत्वां क्षतेऽनतरुक् |

सस्न्धशथथल्यमालनयां सििां र्पडकोद्गमिः||१६||
िािुिङ्घोरुकट्यांसहनतपािाङ्गसस्न्धषु|
निनतोििः नफुरणां भेिो गरु
ु त्वां सस्ु ततरे व च||१७||
क्डूिः सस्न्धषु रुग्भूत्वा भूत्वा िश्यनत चासकृत ्|
वव्यं म्डलोत्पर्त्तवाणतासल
ृ पूवणलक्षणम ्||१८||(Ch.chi 29)

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Drona Foundation Course Caraka Chikitsa stana 2020-2021

• Excess or absence of sweating

• Blackish discoloration of the joints
• Insensitivity to touch & excess unbearable pain if there is injury to the afflicted part
• Laxity of joints, debility & asthenia
• Pimples
• Pricking pain, twitching sensation, splitting pain, heaviness & numbness in the knees, calf, thighs,
umbilical region, shoulders, hands, feet and joints in the body.
• Itching
• There will be phases with sudden on and off presence & absence of pain
• Skin discoloration & circular patches over the body

Upadravas

• Aswapna
• Arochaka
• Shwasa
• Murcha
• Hikka
• Vaivarnya
• Mada
• Trishna
• Angulivakrata
• Visarpa etc

Q.2.Samprapti of Vatasonita according to Charakasamhita.

(5 marks) (KUHS,March 2019, (2010 Scheme)

Answer:

Vatashonitha is a condition characterised by Vata Prakopa & Rakta dushti. Nidanas contribute a greater part
in the Samprapti of this condition.

Nidana & Samprapti of Vatarakta

लवणाम्लकटुक्षारस्निग्धोष्णािीणणभोिििः |
स्ललन्िशुष्काम्बुिािूपमाांसर्प्याकमूलकिः ||

कुलत्थमाषनिष्पावशाकादिपललेक्षुमभिः |
िध्यारिालसौवीरशुलततक्रसुरासविः ||

र्वरुद्धाध्यशिक्रोधदिवानवतिप्रिागरिः |
प्रायशिः सुकुमाराणाां ममष्टान्िसुखभोस्ििाम ् ||

अचङ्क्रमणशीलािाां कुतयते वातशोणणतम ् |

अमभघातािशुद्ध्या च प्रिष्ु टे शोणणते िण
ृ ाम ् ||

कषायकटुनतलताल्परूक्षाहारािभोििात ् |
हयोष्रयाियािाम्बुक्रीडातलविलङ्घििः ||

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Drona Foundation Course Caraka Chikitsa stana 2020-2021

उष्णे चात्यध्ववषम्याद््यवायाद्वेगनिग्रहात ् |
वायुर्वणवद्
ृ धो वद्
ृ धेि रलतेिावाररतिः पथथ ||(Shloka for Nidana not compulsory)

कृत्निां सन्िष
ू येद्रलतां तज्ज्ञेयां वातशोणणतम ् |
खुडां वातबलासाख्यमाढ्यवातां च िाममभिः || (च थच 29/5-11)

Aharaja Nidanas Viharaja Nidanas

excess लवण(salty),अम्ल(sour),कटु Anger(krodha)

(pungent),

Excess क्षार (alkalies) sleeping in daytime and vigil during the

night

स्निग्ध(fatty substances), उष्ण (hot food) delicate persons who are indulged in sweet
and delicious food substances and are not in
habit of physical activities(सुकुमाराणाां
ममष्टान्िसुखभोस्ििाम ्)

अिीणण भोिि, स्ललन्ि भोिि Abhighata(trauma)

(consumption of rotten and dried flesh)

fleshes of aquatic animals like fish Not performing proper Shodhana karma
(Ambuja-Anupa mamsa)

cake of oil seeds after extraction of oil

(pinyaka)

raddish, red gram, black gram, green

vegetables, palala (grated flesh), sugarcane,
curd, sour
gruel, sauvira and shukta (vinegar), butter
milk, sura and asava (alcohol and medicinal
preparations having high concentration of
alcohol)

(कुलत्थमाषनिष्पावशाकादिपललेक्षुमभिः|
िध्यारिालसौवीरशुलततक्रसुरासविः)

Intake of food inspite of indigestion (ajirna),

incompatible food (viruddhahara), eating
food before proper digestion of previous one
(adhyashana)

All these nidanas can cause Vatarakta. Also &, all these can cause Vata prakopa & Rakta dushti.

Nidana Sevana(Aharaja, Viharaja, Abhighataja etc)

Rakta dusti & Vata Prakopa

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Drona Foundation Course Caraka Chikitsa stana 2020-2021

Margavarodha to vayu by dushita Rakta dhatu

Vatarakta

Q.3.List Gambhira Vata Rakta Lakshanas

(3 Marks) (KUHS,March 2018 (2012 Scheme)
Answer:

Vatarakta can be broadly divided into Uttana Vatarakta & Gambhira Vatrakta. The Uttana is located
in twaka (skin) and mamsa (muscles) while the Gambhira is located in the deep dhatus. Acharya Caraka
describes Gambira Vatarakta as follows,

गम्भीरे श्वयथिःु नतब्धिः कदििोऽन्तभश

णृ ानतणमाि ्|
श्यावनताम्रोऽथवा िाहतोिनफुरणपाकवाि ् ||(Ch.Chi 29/21)

In Gambhira Vatarakta, patient experiences श्वयथुिः (edema in the involved parts of the body)
नतब्धता(stiffness of joints), कदििता (hardness of the part),अनतण(severe pain), श्यावनताम्र वणण(the colour of
the part involved becomes either blackish or coppery), िाह(burning sensation), तोि(pricking pain),
नफुरण(fasciculation) & पाक(suppuration).

रुस्ग्विाहास्न्वतोऽभीक्ष्णां वायुिः सन्ध्यस्नथमज्ज्िसु |

निन्िस्न्िव चरत्यन्तवणक्रीकुवंश्च वेगवाि ् ||

करोनत खञ्िां पङ्गांु वा शरीरे सवणतश्चरि ् |

सवैमलणङ्गश्च र्वञेयां वातासग
ृ ुभयाश्रयम ् ||(Ch.Chi 29/22-23) (Shloka not compulsory for 3 marks)

When Vata aggravates in Sandhi, Asthi & Majja, it causes रुक् (severe pain), र्विाह (burning sensation). The
aggravated Vata affects joints and cause pain & symptoms like वक्रता (crooked), खञ्िां (limping), पङ्गुां
(lameness). When the symptoms of both types – Uttana and Gambhira are present in a patient, it should
be considered as Ubhayashrita Vatarakta

Q.4.Uttana Vatarakta lakshanas

(3 marks) (KUHS,Sep 2019)

Answer:

Vatarakta can be broadly divided into Uttana Vatarakta & Gambhira Vatrakta. The Uttana is located
in twaka (skin) and mamsa (muscles) while the Gambhira is located in the deep dhatus. Acharya Caraka
describes Uttana Vatarakta as follows,

क्डूिाहरुगायामतोिनफुरणकुञ्चििः|
अस्न्वता श्यावरलता त्वग्बाह्ये ताम्रा तथेष्यते|| (च थच 29/20)

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Drona Foundation Course Caraka Chikitsa stana 2020-2021

Symptoms of Uttana vatashonita are क्डू (itching), िाह(burning sensation), रुक् (pain), आयाम(stretching
sensation),तोि( piercing pain), नफुरण(fasciculation),आकुञ्चि( feeling of constricting) and श्यावरलता ताम्रा त्वक्
(the colour of skin becomes blackish, red or coppery).

रुस्ग्विाहास्न्वतोऽभीक्ष्णां वायिःु सन्ध्यस्नथमज्ज्िसु |

निन्िस्न्िव चरत्यन्तवणक्रीकुवंश्च वेगवाि ् ||

करोनत खञ्िां पङ्गुां वा शरीरे सवणतश्चरि ् |

सवैमलणङ्गश्च र्वञेयां वातासग
ृ भ
ु याश्रयम ् ||(Ch.Chi 29/22-23) (Shloka not compulsory for 3 marks)

When Vata aggravates in Sandhi, Asthi & Majja, it causes रुक् (severe pain), र्विाह(burning sensation). The
aggravated Vata affects joints and cause pain & symptoms like वक्रता (crooked), खञ्िां (limping),पङ्गुां
(lameness). When the symptoms of both types – Uttana and Gambhira are present in a patient, it should
be considered as Ubhayashrita Vatarakta.

Q.5.Vatarakta Bheda
(5 marks) (KUHS, Sep 2019)
Answer:

Vatarakta is a disease afflicting Raktavaha srotas. The vitiated Vata & Rakta is responsible for the
manifestation of the same.

Classification of Vatarakta

I. Depending on the dhatus involved & lakshanas:

उत्तािमथ गम्भीरां द्र्वर्वधां तत ् प्रचक्षते |
त्वङ्माांसाश्रयमुत्तािां गम्भीरां त्वन्तराश्रयम ् ||
a) Uttana Vatarkta: Affecting twak & Mamsa dhatu
b) Gambheera Vatarakta : Affecting other deeper dhatus, causing deformities.
II. Based on doshas involved:
a) Vatadhika

र्वशेषतिः मसरायामशूलनफुरणतोििम ् |
शोथनय काष््यं रौक्ष्यां च श्यावतावद्
ृ थधहाियिः ||

धमन्यङ्गमु लसन्धीिाां सङ्कोचोऽङ्गग्रहोऽनतरुक् |

कुञ्चिनतम्भिे शीतप्रद्वेषश्चानिलेऽथधके ||(Ch.Chi 29/25)
If Vata is predominant, there is sirayama (stretching sensation in sira or veins), pain, fasciculation, pricking
pain, swollen part becomes blackish, dry, increasing and decreasing greyish hue, constrictions of dhamani
of fingers, stiffness of body parts and intense pain, constriction, stiffness and hatred towards cold by the
patient.
b)Pittadhika

र्विाहो वेििा मूर्चिाण नवेिनतष्ृ णा मिो भ्रमिः |

रागिः पाकश्च भेिश्च शोषश्चोलतानि पर्त्तके || (Ch.Chi 29/28)

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Drona Foundation Course Caraka Chikitsa stana 2020-2021

If pitta is predominant, there is burning sensation over the part, pain, fainting, perspiration, thirst, narcosis,
giddiness, redness of the part affected, pain of tearing nature, inflammation and atrophy of the part.

c)Kaphadika

नतममत्यां गौरवां निेहिः सस्ु ततमणन्िा च रुक् कफे | (Ch.Chi 29/29)

If kapha is predominant there is feeling of wetness of the skin, heaviness, unctuousness, numbness and
mild pain.

d)Raktadhika

श्वयथुभश
ण ृ रुक् तोिनताम्रस्श्चममथचमायते |
स्निग्धरूक्षिः शमां िनत क्डूललेिास्न्वतोऽसस्ृ ि|| (Ch.Chi 29/27)

If rakta is predominant, there is swelling, severe pain of pricking nature, tingling sensation, colour of part
of skin becomes coppery, not diminished by application of either unctuous or dry substances associated
with itching and moistening over the part.

e)Dwandwaja

f)Sannipataja

When there is predominance of two dosha or all three dosha there will be combination of symptoms and
etiological factors as well.

III. Depending upon Sadhyasadhyata

a)Sadhya : Ekadoshaja,Nava, No upadravas

b)Yapya: Dwidoshaja, with upadravas, one year, Balavan rogi

c)Asadhya: Tridoshaja, Upadrava yukta, Ajanusphutita

Q.6.Relavance of Vasthi prayoga in Vathasonitha

(5 Marks) (KUHS, , September 2014)
Answer:

वात िर्ू षत रक्त यत्र: ||

Rakta which is vitiated by Vata is termed as Vatarakta.

Basti is the best treatment for the management of Vata dosha, it is effective in controlling Pitta & Kapha
doshas also.

निहणरेद्वा मलां तनय सघत

ृ िः क्षीरबस्नतमभिः|
ि दह बस्नतसमां ककस्ञ्चद्वातरलतथचककस्त्सतम ्|| (Ch.Chi 29/88)

Acharya Charaka explains Vatarakta as the Agrya chikitsa in the management of Vatarakta. For the
elimination of malas, Saghritha Ksheera basti can be done. Basti chikitsa is effective in the samprapti
vighatana of vatarakta.

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र्वरे र्चयिः निेहनयत्वाऽऽिौ निेहयुलतर्वणरेचििः|

रूक्षवाण मि
ृ मु भिः शनतमसकृद्वस्नतकमण च||४१||(Ch.Chi 29/41)

Considering the general line of management of Vatarakta, Snehana is indicated in the initial stage followed
by Snigdha virechana. Ruksha virechana is indicated if person is Atisnigdha. Mridu virechana is indicated in
Vatarakta in order to avoid Vataprakopa. Niruha & Anuvasana basti is also indicated in the management of
Vatarakta.

Asthapana basti is indicated in the Gambhira vatarakta chikitsa.

बस्नतवङ्क्षणपाश्वोरुपवाणस्नथििरानतणषु|
उिावते च शनयन्ते निरूहािः सािव
ु ासिािः||
िद्यात्तलानि चेमानि बस्नतकमणणण बुद्थधमाि ्|(Ch.Chi 29/89)

Both Anuvasana & Niruha Vasti is indicated in persons having pain over Basti, Vankshana, parshwa, Uru
Pradesha, Parva Sandhi and Jatara pradesha.

Basti Yogas

• Basti with Ruksha & Mridu dravyas

• Basti with Vasa, Majja of Mayura, Krouncha etc
• Madhuyastyadi Taila: For Anuvasana & Niruha vasti
• Nagabala taila basti: for 7 days
• Mustadi yapana basti
• Hapushadi Yapana basti
• Ksheera basti is widely emphasised in all types of Vatarakta.

If Niruha basti is administered, in Vatarakta the Karshana guna of Kashaya overrules the qualities of
Madhura rasa & Sheeta veerya drugs, and Karshana effects accelerates the Vata dosha. Therefore, to avoid
Karshana, Snigdha, sheeta veerya yukta Ksheerabasti is done to get Pittahara & Raktaprasadana effect.

Q.7.Relavance of Rakthamoksha in Vata sonitha

(5 marks) (KUHS,February 2015)
Answer:

Raktamokshana plays a significant role in the management of Vatashonita.

वायुर्वणवद्
ृ धो वद्
ृ धेि रलतेिावाररतिः पथथ||१०||
कृत्निां सन्िष
ू येद्रलतां तज्ज्ञेयां वातशोणणतम ्|
खुडां वातबलासाख्यमाढ्यवातां च िाममभिः||(Ch.Chi 29/10)

Due to the intake of Vata prakopa Ahara vihara, Vata gets obstructed due to increased dushta Rakta in the
Srotas, causing further Vata & Rakta dushti. The synonyms of Vatarakta are Khuda, Vatabalasa, Adhyavata.

Samprapti Khatakas

Dosha-Vata, Rakta

Dooshya- Rakta, Twak,Mamsa

Adhishtana- Rasavaha & Raktavaha Srotas

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रलतमागं निहन्त्याशु शाखासस्न्धषु मारुतिः|

निर्वश्यान्योन्यमावायण वेििामभहणरेिसूि ्||(Ch .Chi 29)

In Vatarakta, the aggravated Vayu located in Sakha & Sandhi causes obstruction in Raktamarga. These
Vata & Rakta causes obstruction to each other giving rise to pain & even death.

Raktamokshana Vidhi In Vatarakta

तत्र मञ्
ु चेिसक
ृ ् शङ्
ृ गिलौकिःसर्च
ू यलाबमु भिः|
प्रर्चििवाण मसरामभवाण यथािोषां यथाबलम ्|| (Ch. Chi 29/36)

According to the Bala, dosha predominance, Raktamokshana should be done using proper Anushastras.

रुग्िाहशूलतोिाताणिसक
ृ ् स्रा्यां िलौकसा|
शङ्
ृ गनतुम्बहणरेत ् सुस्ततक्डूथचममथचमायिात ्||
िे शाद्िे शां व्रित ् स्रा्यां मसरामभिः प्रर्चििेि वा| (Ch. Chi 29/37-38)

If there is,

• Ruk,Daha, shola, Toda---Jaloukavacharana

• Supti, kandu, Chumichimayana---Shrunga/Tumbi
• If pain moves from one part to another (िे शाद्िे शां व्रित ्)---Siravyadha or Pracchana

(If in Vatarakta, Pitta & Rakta are excessively vitiated, it may lead to paka, bursting open of wound &
discharge of putrid rakta & pus. This should be managed by Bhedana,shodhana & Ropana.)

Raktamokshana is a procedure that results in Vatarakta Samprapti Vighatana. Because of Raktamokshana,

vitiated Rakta gets out of the body & avarodha of Vata goes away & Vata prakopa does not happen or its
stops. Because of this break down of Samprapti, the Vata & Rakta gets free from Avarana, and the signs &
symptoms of Vatarakta reduces.

Q.8.Raktamoksha vidhi in Vatasonita

(5marks) (KUHS,September 2016,(2010 Scheme)
Answer:

Vatashonitha is a condition characterised by Vata prakopa & Rakta dushti. The normal gati of Vata gets
obstructed by the dushita Rakta.

In Vatarakta, the aggravated Vayu located in Sakha & Sandhi causes obstruction in Raktamarga. These
Vata & Rakta causes obstruction to each other giving rise to pain & even death.

Raktamokshana is a procedure that results in Vatarakta Samprapti Vighatana. Because of Raktamokshana,

vitiated Rakta gets out of the body & avarodha of Vata goes away & Vata prakopa doesnot happen or its
stops. Because of this break down of Samprapti, the Vata & Rakta gets free from Avarana, and the signs &
symptoms of Vatarakta reduces.

Raktamokshana Vidhi in Vatarakta

तत्र मुञ्चेिसक
ृ ् शङ्
ृ गिलौकिःसूर्चयलाबुमभिः|
प्रर्चििवाण मसरामभवाण यथािोषां यथाबलम ्|| (Ch. Chi 29/36)

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According to the Bala, dosha predominance, Raktamokshana should be done using proper Anusastras.

रुग्िाहशूलतोिाताणिसक
ृ ् स्रा्यां िलौकसा|
शङ्
ृ गनतम्
ु बहणरेत ् सस्ु ततक्डूथचममथचमायिात ्||
िे शाद्िे शां व्रित ् स्रा्यां मसरामभिः प्रर्चििेि वा| (Ch. Chi 29/37-38)

If there is,

• Ruk,Daha, shola, Toda---Jaloukavacharana

• Supti, kandu, Chumichimayana---Shrunga/Tumbi
• If pain moves from one part to another (िे शाद्िे शां व्रित ्)---Siravyadha or Pracchana

Contraindication of Jaloukavacharana

अङ्गग्लािौ ि तु स्रा्यां रूक्षे वातोत्तरे च यत ् [४] ||३८||

गम्भीरां श्वयथांु नतम्भां कम्पां निायमु सरामयाि ्|
ग्लानिां चार्प ससङ्कोचाां कुयाणद्वायुरसल
ृ क्षयात ्||३९||
खाञ्ज्ज्यािीि ् वातरोगाांश्च मत्ृ युां चात्यवसेचिात ्|
कुयाणत्तनमात ् प्रमाणेि स्निग्धाद्रलतां र्वनिहणरेत ्||४०||

If there is lakshanas such as, Angaglani, Rookshata in body and other symptoms of Vata dominance, then
bloodletting should not be done. If done it can lead to Shwayathu(edema), Sthambha(stiffness),
Kampa(tremors), Sirasnayu aamaya (diseases affecting vessels), Glaani(weakness), Sankocha
(contractures) etc.

Atiyoga of Raktamokshana can lead to disabilities such as Khanjatwa, Vatarogas, Mrityu etc. Therefore, it
should be in appropriate quantity after giving proper Snigdhada.

Q.9.Line of treatment of Vathasonitha

(5marks) (KUHS,October 2016,(2012 Scheme)
Answer:

Vatashonitha is a condition characterised by Vata prakopa & Rakta dushti. The normal gati of Vata gets
obstructed by the dushita Rakta.

रलतमागं निहन्त्याशु शाखासस्न्धषु मारुतिः|

निर्वश्यान्योन्यमावायण वेििामभहणरेिसूि ्||३५|| (Ch chi 29)

In Vatarakta, the aggravated Vayu located in Sakha & Sandhi causes obstruction in Raktamarga. These
Vata & Rakta causes obstruction to each other giving rise to pain & even death. So Samprapti Vighatana
plays an important role in alleviating the signs & symptoms of Vatarakta.

तत्र मुञ्चेिसक
ृ ् शङ्
ृ गिलौकिःसूर्चयलाबुमभिः|
प्रर्चििवाण मसरामभवाण यथािोषां यथाबलम ्||३६|| (Ch. Chi 29)
According to the Bala, dosha predominance, Raktamokshana should be done using proper Anusastras like
sringa,Jalouka,Suchi,Alabu etc.

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रुग्िाहशूलतोिाताणिसक
ृ ् स्रा्यां िलौकसा|
शङ्
ृ गनतुम्बहणरेत ् सुस्ततक्डूथचममथचमायिात ्||३७||
िे शाद्िे शां व्रित ् स्रा्यां मसरामभिः प्रर्चििेि वा| (Ch. Chi 29)

If there is,

• Ruk,Daha, shola, Toda---Jaloukavacharana

• Supti, kandu, Chumichimayana---Shrunga/Tumbi
• If pain moves from one part to another (िे शाद्िे शां व्रित ्)---Siravyadha or Pracchana

If there is lakshanas such as, Angaglani, Rookshata in body and other symptoms of Vata dominance, then
bloodletting should not be done. If done it can lead to Shwayathu(edema), Sthambha(stiffness),
Kampa(tremors), Sirasnayu aamaya (diseases affecting vessels), Glaani(weakness), Sankocha
(contractures) etc.

Atiyoga of Raktamokshana can lead to disabilities such as Khanjatwa, Vatarogas, Mrityu etc. Therefore, it
should be in appropriate quantity after giving proper Snigdhada.

र्वरे र्चयिः निेहनयत्वाऽऽिौ निेहयुलतर्वणरेचििः|

रूक्षवाण मि
ृ मु भिः शनतमसकृद्वस्नतकमण च||४१||
सेकाभ्यङ्गप्रिे हान्िनिेहािः प्रायोऽर्विादहििः|
वातरलते प्रशनयन्त र्वशेषां तु निबोध मे|| (Ch.Chi29/41)

Snehana should be done in the beginning phase of Vatarakta chikitsa, after proper oleation, patient shall
be treated with mild therapeutic purgation with unctuous substances or with dry substances (in case of
excess snigdha patient). After purgation, the patient should be given frequent basti (Anuvasana
Basti and Niruha basti). Besides fomentation, massage, ointments, food and sneha be given to the patient
which do not cause burning sensation.

Vatarakta chikitsa Uapkrama

Antah parimarjana Bahir Parimarjana

1. Avagahana
Sodhana Shamana 2. Lepa
3. Seka
1.Raktamokshana 1.Pathya sevana 4. Upanaha
5. Abhyanga
a)Jalouka 2. Shamana dravya

b)Alabu

c) Sringa

d)prachana

e) Siravyadha

2.Vamana

3.Virechana

4. Vasti

a)Anuvasana vasti 11
b) Niruha Vasti
Drona Foundation Course Caraka Chikitsa stana 2020-2021

निहणरेद्वा मलां तनय सघत

ृ िः क्षीरबस्नतमभिः|
ि दह बस्नतसमां ककस्ञ्चद्वातरलतथचककस्त्सतम ्|| (Ch.Chi 29/88)

Acharya Caraka explains Vatarakta as the Agrya chikitsa in the management of Vatarakta. For the
elimination of malas, Saghritha Ksheera basti can be done.Basti chikitsa is effective in the samprapti
vighatana of vatarakta.

बस्नतवङ्क्षणपाश्वोरुपवाणस्नथििरानतणषु|
उिावते च शनयन्ते निरूहािः सािुवासिािः||
िद्यात्तलानि चेमानि बस्नतकमणणण बद्
ु थधमाि ्|(Ch.Chi 29/89)

Both Anuvasana & Niruha Vasti is indicated in persons having pain over Basti, Vankshana, parshwa, Uru
Pradesha, Parva Sandhi and Jatara pradesha.

Vishesha Chikitsa of Uttana & Gambheera Vatarakta

बाह्यमालेपिाभ्यङ्गपररषेकोपिाहििः|
र्वरे कानथापिनिेहपािगणम्भीरमाचरे त ्||(Ch.Chi 29/43)

In case of Uttana Vatashonita affecting superficial tissues only, the patient should be treated
with Alepana (affected part is covered with medicinal paste), Abhyanga (massage), Parisheka (bathing in
warm decoction or unctuous substances) and Upanaha (application of poultice).
In the case of Gambhira vatarakta the patient should be treated with purgation, Asthapana basti (enema
with decoction of medicinal plants) and Snehapana (drinking medicated oil/ghee).

Vishesha Chikitsa according to Doshas

सर्पणनतलवसामज्ज्िापािाभ्यञ्ििबस्नतमभिः |
सुखोष्णरुपिाहश्च वातोत्तरमप
ु ाचरे त ् ||४४||

र्वरे चिघत
ण ृ क्षीरपाििः सेकिः सबस्नतमभिः |
शीतनिणवाणपणश्चार्प रलतर्पत्तोत्तरां ियेत ् ||४५||

वमिां मि
ृ ु िात्यथं निेहसेकौ र्वलङ्घिम ् |
कोष्णा लेपाश्च शनयन्ते वातरलते कफोत्तरे ||४६|| (Ch.Chi 29/44)

DOSHA CHIKITSA

Vata Medicated ghee, taila, vasa, majja (ghee, oil,

fat, and bone marrow of animals) either by
intake or massage or enema(Basti)
Upanaha

Pitta & Rakta Mridu virechana after ghrita pana (intake of

medicated ghee), intake of milk, bathing in
decoction made from medicinal plants
and basti (enema).

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Sheeta alepa

Kapha Mridu vamana

Avoid excessive oleation, swedana and
langhana.
Kavoshna lepa

Important yogas
1. Sravani Ghritha
2. Parushaka Ghritha
3. Pinda taila
4. Sahasradouta Bala taila
5. Jeevaneeya Ghritha etc

Q.10. Shodhana in Vatarakta

(5 marks) (KUHS, Nov 2020)
Answer:

Shodhana chikitsa plays an important role in the management of vatarakta. Vamana, Virechana,
Raktamokshana ,basti chikitsa is indicated in the Vatarakta chikitsa.

र्वरे र्चयिः निेहनयत्वाऽऽिौ निेहयल

ु तर्वणरेचििः|
रूक्षवाण मि
ृ मु भिः शनतमसकृद्वस्नतकमण च||४१||
सेकाभ्यङ्गप्रिे हान्िनिेहािः प्रायोऽर्विादहििः|
वातरलते प्रशनयन्त र्वशेषां तु निबोध मे|| (Ch.Chi29/41)

Considering the general line of management of Vatarakta, Snehana is indicated in the initial stage followed
by Snigdha virechana. Ruksha virechana is indicated if person is Atisnigdha. Mridu virechana is indicated in
Vatarakta in order to avoid Vataprakopa.Niruha & Anuvasana basti is also indicated in the management of
Vatarakta.

Asthapana basti is indicated in the Gambhira vatarakta chikitsa.

Basti is the best treatment for the management of Vata dosha, it is effective in controlling Pitta & Kapha
doshas also.

निहणरेद्वा मलां तनय सघत

ृ िः क्षीरबस्नतमभिः|
ि दह बस्नतसमां ककस्ञ्चद्वातरलतथचककस्त्सतम ्|| (Ch.Chi 29/88)

Acharya Caraka explains Vasti as the Agrya chikitsa in the management of Vatarakta. For the elimination of
malas, Saghritha Ksheera basti can be done.Basti chikitsa is effective in the samprapti vighatana of
vatarakta.

बस्नतवङ्क्षणपाश्वोरुपवाणस्नथििरानतणषु|
उिावते च शनयन्ते निरूहािः सािुवासिािः||
िद्यात्तलानि चेमानि बस्नतकमणणण बुद्थधमाि ्|(Ch.Chi 29/89)

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Both Anuvasana & Niruha Vasti is indicated in persons having pain over Basti, Vankshana, parshwa, Uru
Pradesha, Parva Sandhi and Jatara pradesha.

Basti Yogas

• Basti with Ruksha & Mridu dravyas

• Basti with Vasa, Majja of Mayura, Krouncha etc
• Madhuyastyadi Taila: For Anuvasana & Niruha vasti
• Nagabala taila basti: for 7 days
• Mustadi yapana basti
• Hapushadi Yapana basti
• Ksheera basti is widely emphasised in all types of Vatarakta.

If Niruha basti is administered, in Vatarakta the Karshana guna of Kashaya overrules the qualities of
Madhura rasa & Sheeta veerya drugs, and Karshana effects accelerates the Vata dosha. Therefore, to avoid
Karshana, Snigdha, sheeta veerya yukta Ksheerabasti is done to get Pittahara & Raktaprasadana effect.

Raktamokshana is a procedure that results in Vatarakta Samprapti Vighatana. Because of Raktamokshana,

vitiated Rakta gets out of the body & avarodha of Vata goes away & Vata prakopa doesnot happen or its
stops. Because of this break down of Samprapti, the Vata & Rakta gets free from Avarana, and the signs &
symptoms of Vatarakta reduces.

Raktamokshana Vidhi In Vatarakta

तत्र मुञ्चेिसक
ृ ् शङ्
ृ गिलौकिःसूर्चयलाबुमभिः|
प्रर्चििवाण मसरामभवाण यथािोषां यथाबलम ्|| (Ch. Chi 29/36)

According to the Bala, dosha predominance, Raktamokshana should be done using proper Anusastras.

रुग्िाहशूलतोिाताणिसक
ृ ् स्रा्यां िलौकसा|
शङ्
ृ गनतुम्बहणरेत ् सुस्ततक्डूथचममथचमायिात ्||
िे शाद्िे शां व्रित ् स्रा्यां मसरामभिः प्रर्चििेि वा|
अङ्गग्लािौ ि तु स्रा्यां रूक्षे वातोत्तरे च यत ् ||(Ch. Chi 29/37-38)

If there is,

• Ruk,Daha, shola, Toda---Jaloukavacharana

• Supti, kandu, Chumichimayana---Shrunga/Tumbi
• If pain moves from one part to another(िे शाद्िे शां व्रित ्)---Siravyadha or Pracchana

Vishesha Chikitsa according to Doshas

सर्पणनतलवसामज्ज्िापािाभ्यञ्ििबस्नतमभिः |
सुखोष्णरुपिाहश्च वातोत्तरमप
ु ाचरे त ् ||४४||

र्वरे चिघत
ण ृ क्षीरपाििः सेकिः सबस्नतमभिः |
शीतनिणवाणपणश्चार्प रलतर्पत्तोत्तरां ियेत ् ||४५||

वमिां मि
ृ ु िात्यथं निेहसेकौ र्वलङ्घिम ् |
कोष्णा लेपाश्च शनयन्ते वातरलते कफोत्तरे ||४६|| (Ch.Chi 29/44)

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DOSHA CHIKITSA

Vata Medicated ghee, taila, vasa, majja (ghee, oil,

fat, and bone marrow of animals) either by
intake or massage or enema(Basti)
Upanaha

Pitta & Rakta Mridu virechana after ghrita pana (intake of

medicated ghee), intake of milk, bathing in
decoction made from medicinal plants
and basti (enema).
Sheeta alepa

Kapha Mridu vamana

Avoid excessive oleation, swedana and
langhana.
Kavoshna lepa

Virechana yogas in vatarakta

1. Dharoshna paya + Gomutra in equal quantity
2. Trivrit choorna + Dharoshna paya
3. Eranda taila +milk
4. Ghritha brishta Abhaya etc.

Q.11.Briefly describe the line of treatment of gambheera vathasonitha

(5 Marks) (KUHS,March 2017 (2012 Scheme)
Answer:

Vatarakta can be broadly divided into Uttana Vatarakta & Gambhira Vatrakta.

त्वङ्माांसाश्रयमत्त
ु ािां गम्भीरां त्वन्तराश्रयम ्||(Ch. Chi 29/19)

The Uttana is located in twaka (skin) and mamsa (muscles) while the Gambhira is located in the deeper
dhatus. Acharya Caraka describes Gambira Vatarakta as follows,

गम्भीरे श्वयथिःु नतब्धिः कदििोऽन्तभश

णृ ानतणमाि ्|
श्यावनताम्रोऽथवा िाहतोिनफुरणपाकवाि ् ||(Ch.Chi 29/21)

In Gambhira Vatarakta, patient experiences श्वयथुिः (edema in the involved parts of the body)
नतब्धता(stiffness of joints), कदििता (hardness of the part),अनतण(severe pain), श्यावनताम्र वणण(the colour of
the part involved becomes either blackish or coppery), िाह(burning sensation), तोि(pricking pain),
नफुरण(fasciculation) & पाक(suppuration).

Management of Gambhira Vatarakta

र्वरे कानथापिनिेहपािगणम्भीरमाचरे त ्||(Ch.Chi 29/43)

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Gambhira vatarakta can be managed with Virechana, Asthapana Vasti and snehapana.

Virechana yogas in vatarakta

1. Dharoshna paya + Gomutra in equal quantity
2. Trivrit choorna + Dharoshna paya
3. Eranda taila +milk
4. Ghritha brishta Abhaya
5. Triphala Kashaya + Madhu
6. Dhatri,Haridra & Musta Kashaya etc
Basti chikitsa is considered as the Agryachikitsa in Vatarakta. For the elimination of malas, Saghritha Ksheera
basti can be done.Basti chikitsa is effective in the samprapti vighatana of vatarakta. Asthapana vasti is
indicated in Gambhira Vatarakta.

The following yogas are used as Sneha dravyas in Niruha vasti.

1. Madhuparnyadi taila
2. Sukumaraka taila
3. Amritadya taila etc
Snehapana is also indicated in Gambhira vatarakta. The following yogas are indicated for snehapana,
1. Sravanyadi Ghritha
2. Bala ghritha
3. Parushaka ghritha
4. Jivaniya ghritha
5. Stjiradya ghritha etc

Q.12.Treatment of उत्तान वातरक्त (Uttana-Vatarakta)

(5 marks) (KUHS, October 2017 (2012 Scheme)

Answer:

Vatarakta can be broadly divided into Uttana Vatarakta & Gambhira Vatrakta.

त्वङ्माांसाश्रयमुत्तािां गम्भीरां त्वन्तराश्रयम ्||(Ch. Chi 29/19)

The Uttana is located in twaka (skin) and mamsa (muscles) while the Gambhira is located in the deeper
dhatus. Acharya Caraka describes Uttana Vatarakta as follows,

क्डूिाहरुगायामतोिनफुरणकुञ्चििः|
अस्न्वता श्यावरलता त्वग्बाह्ये ताम्रा तथेष्यते|| (च थच 29/20)

Symptoms of Uttana vatashonita are क्डू (itching), िाह(burning sensation), रुक् (pain), आयाम(stretching
sensation),तोि( piercing pain), नफुरण(fasciculation),आकुञ्चि( feeling of constricting) and श्यावरलता ताम्रा त्वक्
(the color of skin becomes blackish, red or coppery).
Management of Uttana Vatarakta

बाह्यमालेपिाभ्यङ्गपररषेकोपिाहििः|(च थच 29/43)

Uttana Vatarkta is managed with Bahya Alepana (external application), Abhyanga(massage),Parisheka

(affusion) and Upanaha(poultice).
Yogas for Alepa

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1. Tagaradi lepa in Vata-Kaphaja vatarakta

2. Ghrihadhumadi lepa Vata-Kaphaja vatarakta

गह
ृ धूमो वचा कुष्िां शताह्वा रििीद्वयम ्|
प्रलेपिः शूलिुद्वातरलते वातकफोत्तरे ||१४९||(Ch.Chi 29)

3. Sarshapadi lepa Kaphaja vatarakta

4. Sahachara,jeevanti,made to paste by adding ghee & goat’s milk etc
Yogas for Abhyanga
1. Pindataila

समधूस्र्चिष्टमास्ञ्िष्िां ससिणरससाररवम ्|
र्प्डतलां तिभ्यङ्गाद्बातरलतरुिापहम ्||१२३||(Ch.Chi 29)

2. Sahasrapaka bala taila

3. Madhuparnyadi taila
4. Sukumaraka taila
5. Amritadya taila etc
Yogas for Parisheka

1. िशमूलशत
ृ ां क्षीरां सद्यिः शूलनिवारणम ्|
पररषेकोऽनिलप्राये तद्वत ् कोष्णेि सर्पणषा||१२४||(Ch.Chi 29)

Milk boiled by dashamoola instantaneously cures Vatarakta

2. Ghritha, Taila,vasa,majja cooked with Jivaniya gana can be used as kavoshna parisheka to cure
sthambha,akshepaka and shula.
Yogas for Upanaha

1. Saksheera mudga payasa cooked with vatahara dravyas

2. Vesavaras prepared with auduka,prasaha,Anupa mamsa processed with Jivaniya gana cures
sthambha,toda,Ruk etc

Q.13.Pathyapathya in Vatasonita
(5 marks) (KUHS,September 2017 (2010 Scheme)
Answer:

There are Aharaja as well as viharaja pathya Apathyas in Vatashonita

Pathya in Vatarakta

पुराणा यवगोधूमिीवारािः शामलषस्ष्टकािः|

भोििाथं रसाथं वा र्वस्ष्करप्रतुिा दहतािः||५०||
आढलयश्चणका मुद्गा मसूरािः समकुष्िकािः|
यूषाथं बहुसर्पणष्कािः प्रशनता वातशोणणते||५१||
सुनिष्णकवेत्राग्रकाकमाचीशतावरी|
वानतुकोपोदिकाशाकां शाकां सौवचणलां तथा||५२||

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घत
ृ माांसरसभष्णृ टां शाकसात्म्याय िापयेत ्|
्यञ्ििाथं, तथा ग्यां मादहषािां पयो दहतम ्||५३|| (Ch chi 29)

• Cereals like barley, wheat,Nivara,shali, Shastika etc

• Soup of Vishkira(heavy bodied/poultry birds) mamsa & Pratuda(Peckers)
• Soup of Adhaki,chanaka,mudga,masura with excess ghee.
• Leafy vegetables sizzled with ghee & mamsa rasa
• Milk of cow, buffalo & goat.

Apathyas in Vatarakta

दिवानवतिां ससन्तापां ्यायामां मथुिां तथा|

कटूष्णां गुवमण भष्यस्न्ि लवणाम्लां च विणयेत ्||४९|| (Ch chi 29)

Day sleep, heat exposure, exercise, sexual intercourse and intake of Katu, Ushna,Guru, Abhisyandi
bhojanas, excess salty and sour foods are also not advised in Vatarakta.

Q.14.Discuss Sadhyasadhyata & upadrava of Vatarakta

(5 marks) (Amrita,July 2010)
Answer:

Sadhyasadhyata of Vatarakta

एकिोषािुगां साध्यां िवां, यातयां द्र्विोषिम ्|

त्रत्रिोषिमसाध्यां नयाद्यनय च नयुरुपद्रवािः||३०|| (Ch.Chi 29)

a) Sadhya : Ekadoshaja,Nava, No upadravas

b) Yapya: Dwidoshaja, with upadravas
c) Asadhya: Tridoshaja, Upadrava yukta

Upadravas of Vatarakta

अनवतिारोचकश्वासमाांसकोथमशरोग्रहािः|
मूर्चिाणयमिरुलतष्ृ णाज्ज्वरमोहप्रवेपकािः||३१||
दहलकापाङ्गुल्यवीसपणपाकतोिभ्रमललमािः|
अङ्गुलीवक्रता नफोटा िाहममणग्रहाबि
ुण ािः||३२||
एतरुपद्रववणज्ज्यं मोहे िकेि वाऽर्प यत ्|
सम्प्रस्रार्व र्ववणं च नतब्धमबि
ुण कृर्चच यत ्||३३||
विणयेर्चचव सङ्कोचकरममस्न्द्रयतापिम ्|
अकृत्निोपद्रवां यातयां साध्यां नयास्न्िरुपद्रवम ्||३४||(Ch.Chi 29)

Insomnia, anorexia, dyspnea, gangrene, stiffness in the head, fainting, necrosis, pain, thirst, fever, mental
confusion, shivering, hiccup, lameness, eryseplas, inflammation and ulceration, pricking pain, giddiness,
exhaustion, crook like deformity of fingers, appearance of blisters, burning sensation, stiffness
in marma (vital part of the body), appearance of tumors, if these symptoms have appeared the disease is
incurable.

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Even if there is mental confusion alone, then also the disease is incurable. The patient should not be treated
if there is profuse discharge from the ulcer, discoloration, stiffness, the lesion has become like tumor,
constriction of the part and damage to the senses.
If all the above complications are not present, then the disease is yapya (palliable). If the complications are
not present, then it is curable.

Q.15.What are the features of Gambhira vata rakta

(2 Marks) (Amrita,Aug 2013)
Answer:

गम्भीरे श्वयथुिः नतब्धिः कदििोऽन्तभश

णृ ानतणमाि ्|
श्यावनताम्रोऽथवा िाहतोिनफुरणपाकवाि ् ||(Ch.Chi 29/21)

In Gambhira Vatarakta, patient experiences श्वयथुिः (edema in the involved parts of the body)
नतब्धता(stiffness of joints), कदििता (hardness of the part),अनतण(severe pain), श्यावनताम्र वणण(the colour of
the part involved becomes either blackish or coppery), िाह(burning sensation), तोि(pricking pain),
नफुरण(fasciculation) & पाक(suppuration).

Q.16.What are the features of Uttana Vatarakta

(2 Marks) (Amrita,July 2015)
Answer:

क्डूिाहरुगायामतोिनफुरणकुञ्चििः|
अस्न्वता श्यावरलता त्वग्बाह्ये ताम्रा तथेष्यते|| (च थच 29/20)

Symptoms of Uttana vatashonita are क्डू (itching), िाह(burning sensation), रुक् (pain), आयाम(stretching
sensation),तोि( piercing pain), नफुरण(fasciculation),आकुञ्चि( feeling of constricting) and श्यावरलता ताम्रा त्वक्
(the color of skin becomes blackish, red or coppery).

Q.17.Write any 2 taila yogas in vatarakta

(2 Marks) (Amrita,Aug 2014)
Answer:

1. Pindataila

समधस्ू र्चिष्टमास्ञ्िष्िां ससिणरससाररवम ्|

र्प्डतलां तिभ्यङ्गाद्बातरलतरुिापहम ्||१२३||(Ch.Chi 29)

2. Sahasrapaka bala taila

3. Madhuparnyadi taila
4. Sukumaraka taila
5. Amritadya taila etc (Write any 2)

Q.18.Vastiprayoga in Vatarakta

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(5 Marks) (Amrita,March 2011)

Answer:

Refer Q.6
Q.19.Explain lakshanas & chikita of Gambhira vatarakta.
(5 Marks) (Amrita,Aug 2014)
Answer:

Refer Q.11

Q.20.write the wholesome foods & drinks in Vatarakta.

(5 Marks) (Amrita,Mar 2015)
Answer:

Refer Q.13

Q.21.Relevance of Rakthamoksha in Vata sonitha

( 3marks) (KUHS September 2015(2010SCHEME),March 2016,(2012 scheme)
Answer:

Refer Q.7

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