Management

GOUT- TREATMENT [Ch.Chi29]

Blood letting

Blood letting is done with the help of needles, horn, leeches and bottle gourd. It can also be done through procedures like scraping / venesection. Selection of the means or procedure of blood letting depends on the dominant Dosha, symptoms and the physical condition of the patient.

Leech (Jalauka)is used if there is burning sensation, pain, redness, and pricking.

Horn (Shring) or bottle gourd (Alabu)is usedif there is numbness, tingling sensation, itching and feeling of warmth.

Venesection (cutting the vein) or scrapping is doneif the pain is migratory in nature.

Blood letting is contraindicated in the following conditions:

  • Vata dominant Vata Rakta
  • Vata rakta with complications like wasting of muscles, debility of the body, weakness or dryness.

Preparation before blood letting: Oleation therapy, sweat therapy,  mild purgation using drugs and enema are advised before blood letting.

Vasti karma (Enema) and mild purgation using drugs are effective in the treatment of Vata rakta. [Ch.Chi.29]

External therapy

Massage, fomentation, ointment / oil / medicinal paste applications, pouring warm liquid (oils and decoctions) over the body.

Treatment specific to different disease types [Ch.Chi.29]

Superficial type of Vata Rakta: Massage, application of ointment / poultice, immersing the body in fluids (Avgahan).

Deep type of Vata Rakta: Purgation, non-lubricant or decoction enema (Asthapan Vasti), ingestion of  fats such as oil, ghee.

Vata dominant Vata Rakta: Ingestion of ghee / oil / marrow, massage, enema, application of poultices, paste and fomentation.

Kaph dominant Vata Rakta:Drug-induced vomiting, application of warm pastes.

Pitta or Rakta dominant Vata Rakta:Purgation, enema, ingestion of ghee and milk, application of  paste that has a cooling effect on the body