Multidimensional Approach

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An individualised multidimensional approach based on drugs, dietary management, exercises and yoga is more effective in the management of Gout than the conventional approach focused solely on drug therapy.


Food items that are easily digestible and do not form gas (Flatus) are advisable.

  • Intake of vegetable juices and soups are advisable.
  • Intake of plenty of fluids.
  • Purine rich food like glandular meat (liver, brain, kidney,  etc.), seafood and yeast-based products like beer and sweet bread are to be avoided.


  • Daily Massage with Maha Narayan oil or castor oil is advisable.



An exercise plan needs to be personalised keeping in mind the joints involved and the extent of damage.

Exercise can help to:

  • Reduce joint stiffness
  • Enhance flexibility
  • Increase muscle strength and tolerance
  • Aid in weight reduction
  • Induce a sense of well being

There are three categories of exercises:

  • Range of motion exercises for enabling normal movement, increasing flexibility and reducing stiffness.
  • Strengthening exercise to strengthen muscles and maintain joint stability.
  • Aerobic exercisesfor weight reduction and inducing a sense of well being.

Exercise should be done under the supervision of a physiotherapist or doctor. If exercising increases pain and/or other symptoms then doctor’s advice should be sought.

Food to be preferred

  • Old Sathi, Shali (rice), barley and wheat, milk, green gram soup.

Foods one should avoid:

  • Excess of hot, spicy, pungent, fried and heavy food.
  • Sweets.
  • Gas forming food like cabbage, colocasia (arbi), ladies finger and potatoes.
  • Excess of tea, coffee and alcohol.
  • Food that obstruct body channels (Abhishyandi) e.g. curd.


  • Sleeping during day time
  • Exposure to heat
  • Excess of exercise.
  • Excess of sexual intercourse.
  • Emotional stress, anger, jealousy, gloominess and worries