WHAT CAUSES GOUT ( Nidan ): WHAT HAPPENS [Su.Ni.1] The above mentioned factors can lead to aggravation of Vata dosha and blood impurity (Dooshit Rakta). The impure blood obstructs the pathway of Vata (which is already aggravated) leading to further Vata imbalance. This in turn leads to further blood impurity, like a vicious cycle that goes on. The disease is called Vata rakta and not rakta Vata because of dominance of Vata in this disease. Intake of pungent, spicy food associated with activities like horse/camel/elephant riding, swimming and jumping leads to improper digestion which may lead to blood impurity. This impure blood accumulates in the feet and combines with aggravated Vata causing Vata rakta.
The causes of gout, according to Ayurveda, are ascribed to a number of factors like:
Dosha
Vata and Rakta (Blood)
Dushya
Blood, skin, muscle
Location
Skin, Muscle and joint
Srotas
Rasvaha
[Su.Chi.1][Ch.Chi.29]