Gout or gouty arthritis is the common form of arthritis characterized by severe pain, swelling, redness, and tenderness in joints.
- SIGNS AND SYMPTOMS OF GOUT
- CAUSES OF GOUT
- PATHOPHYSIOLOGY OF GOUT
- DIAGNOSIS OF GOUT
- TREATMENTS FOR GOUT
- PROGNOSIS OF GOUT
- COMPLICATIONS OF GOUT
- GOUT AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF GOUT
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF GOUT
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF GOUT
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF GOUT
- AYURVEDIC PROGNOSIS OF GOUT
- CHIKITSA- AYURVEDIC TREATMENT FOR GOUT
- AYURVEDIC LOCAL TREATMENT FOR GOUT
- AYURVEDIC SAMANA TREATMENT FOR GOUT
- AYURVEDIC SHODHANA TREATMENT FOR GOUT
- COMMONLY USED AYURVEDIC MEDICINES FOR GOUT
- HOME REMEDIES FOR GOUT
- DIET AND BEHAVIOUR FOR GOUT
- YOGA FOR GOUT
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF GOUT
SIGNS AND SYMPTOMS OF GOUT
- Sudden severe pain.
- Pain manifested in almost all joints.
- It is commonly experienced in the base of the big toe.
- Pain aggravated during body movement.
- Swelling
- Redness
CAUSES OF GOUT
- Accumulation of uric acid crystals
- Certain medications
- Family history
- Metabolic diseases like diabetes
- Kidney diseases
- Diet
PATHOPHYSIOLOGY OF GOUT
Hyperuricemia (typically defined as serum urate concentration >6.8 mg/dL) is a common and necessary pathogenic factor in the development of gout. The accumulation of urate crystals in the joints causes inflammation.
DIAGNOSIS OF GOUT
- EXAMINATIONS
- Inspection – swelling, redness
- Palpation – temperature, tenderness
- Movements
- INVESTIGATIONS
- X – rays
- MRI
- CT Scan
- Laboratory tests – to find out the underlying pathology, the uric acid value in blood
TREATMENTS FOR GOUT
- Medications – Non-steroidal anti-inflammatory drug, Analgesics
- Treatment of underlying pathology
- Physiotherapy
- Uric acid-reducing agents
PROGNOSIS OF GOUT
- Prognosis is based on the stage of the disease, duration and condition of the patient
COMPLICATIONS OF GOUT
- Stiffened joint
- Permanent damage of joint
- Unable to do any movement
GOUT AND AYURVEDA
- In Ayurveda, gout falls under Vata vyadhi or a Vata dosha imbalance disorder. Particularly the symptoms are related to ‘vataraktha’.
- Vata vyadhi can be correlated to neurological or neuromuscular disorders. The causes and pathogenesis of diseases caused by vitiation of Vata dosha, in general, are the exclusive cause and pathogenesis of pain, numbness, weakness.
- Vata dosha and asthi dhatu are involved.
NIDANA- AYURVEDIC CAUSES OF GOUT
- Excess consumption of ununctuous, cold food
- Excessive physical exercise.
- Suppression of natural urges.
- Trauma
- Injuries
- Asthi dhatu kashaya – degeneration of bone tissue
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF GOUT
- Sudden sharp pain in the joints
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF GOUT
- Vata, pitta and kapha dosha move through all channels of circulation. Due to the subtle nature of vata it impels the remaining two doshas.
- The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moves greatly inside them or by getting enveloped by the other doshas.
- The aggravated vata resides in the joints and produces different kinds of aches and pains.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF GOUT
- Toda – aching pain
- Ruk – Pain on the joints
- Redness on joints
- Pain aggravates on movement
- Sopha – edema
- Sada – weakness
AYURVEDIC PROGNOSIS OF GOUT
- Pain associated with traumatic injuries is difficult to cure – krichra sadhya
CHIKITSA- AYURVEDIC TREATMENT FOR GOUT
Ayurvedic local treatment for gout
- Svedam – Fermentation
- Pain-relieving lepa application
- Abhyanga – oil massaging
AYURVEDIC SAMANA TREATMENT FOR GOUT
- Dasamoolarishtam
- Maharasnadi kashayam
- Dhanwantharam ghritam
- Rasna panchakam kashayam
- Rasnasaptakam kashayam
- Amrita guggulu
- Punarnava guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
AYURVEDIC SHODHANA TREATMENT FOR GOUT
- VASTHI- Erandamooladi yapana vasthi , madhuyashtyadi taila vasthi
- SNEHAVIRECHANAM-Eranda tailam
- NASYA-Ksheerabala
COMMONLY USED AYURVEDIC MEDICINES FOR GOUT
Internal administration
- Balarishtam
- Amrutharishtam
- Sudarsanasavam
- Rasnerandadi kashayam
- Rasna panchakam kashayam
- Rasna saptakam kashayam
- Amrita guggulu
- Punarnava guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
- Dhanwantharam ghrita
External application
- Snehadhara – with balaswagandha tailam and ksheerabala tailam
- Shashtika Sali panda sweda
HOME REMEDIES FOR GOUT
- Proper rest
- Heat application on the affected area by a towel dipped with hot water
- Massage the painful area for 15 minutes ( NOT too much pressure )
- Drinking plenty of fluids
- Bathing in warm water
- Body massaging
DIET AND BEHAVIOUR FOR GOUT
- Avoid food items that produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Avoid heavy exercises which further aggravate the conditions.
- Oil massage on the whole body is advised. This alleviates Vata dosha.
- Take proper rest.
YOGA FOR GOUT
- Nadi Shuddi Pranayam – calms the mind and gets relief from aches and pains
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Savasana – relaxes body and mind
- Dhanurasana
- Ardhamatsyendrasana
- Salabhasana
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF GOUT
1. Efficacy of Ayurvedic drugs in the management of gouty arthritis -A case study
2. Ayurvedic management of vatarakta w.s.r.to gout- a case study
https://www.ayurlog.com/index.php/ayurlog/article/view/697