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#''Vatashonita'' occurs when aggravated ''vata'' is afflicted with vitiated ''shonita''. ''Vata'' is the constantly moving and ''shonita'' is also constantly flowing tissue, both need clear passage for uninterrupted movement. There is simultaneous aggravation of ''vata'', vitiation of ''rakta'' and damage to potency of channels (arteries and veins). When channels pass through narrow and circuitous path of small joints, vitiated ''rakta'' and aggravated ''vata'' gets seated there to start inflammation of local tissues.

#''Vatashonita'' occurs when aggravated ''vata'' is afflicted with vitiated ''shonita''. ''Vata'' is the constantly moving and ''shonita'' is also constantly flowing tissue, both need clear passage for uninterrupted movement. There is simultaneous aggravation of ''vata'', vitiation of ''rakta'' and damage to potency of channels (arteries and veins). When channels pass through narrow and circuitous path of small joints, vitiated ''rakta'' and aggravated ''vata'' gets seated there to start inflammation of local tissues.

#A combination of ''vata'' aggravating factors and ''pitta-rakta'' vitiating factors gives rise to ''vatarakta''.   

#A combination of ''vata'' aggravating factors and ''pitta-rakta'' vitiating factors gives rise to ''vatarakta''.   

#Etiological factors of ''vata'' vitiation are ''virudha ahara'' (incompatible food), ''adhyasana'' (taking food before complete digestion of previous one), ''ratri jagrana'' (vigil in night), ''kashaya'' (astringent), ''katu'' (pungents), ''tikta'' (bitter), ''alpabhojana'' (inadequate quantity of food), ''ruksha bhojana'' (food substances of low nutritional values), abhojana (starvation), excess travelling in uncomfortable vehicles, sporting in water, jumping, leaping, excessive walking in hot season, excessive sexual intercourse and suppression of natural urges.

#Etiological factors of ''vata'' vitiation are ''virudha ahara'' (incompatible food), ''adhyasana'' (taking food before complete digestion of previous one), ''ratri jagrana'' (vigil in night), ''kashaya'' (astringent), ''katu'' (pungents), ''tikta'' (bitter), ''alpabhojana'' (inadequate quantity of food), ''ruksha bhojana'' (food substances of low nutritional values), ''abhojana'' (starvation), excess travelling in uncomfortable vehicles, sporting in water, jumping, leaping, excessive walking in hot season, excessive sexual intercourse and suppression of natural urges.

 

#''Pitta, shonita'' and ''shonita vaha srotasa'', vitiating factors are ''lavana, amla, katu, kshara, ushna bhojana, ajeerna bhojana'' (salty, sour, pungent, alkaline, fatty substances, very hot food, taking food during indigestion), various pulses (''kulattha, masha'' etc), various beverages having quite good percentage of alcohol, excess walking in hot season, vigil during night are responsible for vitiation of ''pitta dosha'' as well as ''shonita'' and ''shonita vaha srotasa''.

Pitta, shonita and shonita vaha srotasa, vitiating factors are lavana, amla, katu, ksara, uṣṇa bhojana, ajīrna bhojana (salty, sour, pungent, alkaline, fatty substances, very hot food, taking food during indigestion), various pulses (kulattha, māṣa etc), various beverages having quite good percentage of alcohol, excess walking in hot season, vigil during night are responsible for vitiation of pitta dosha as well as shonita and shonita vaha srotasa.

#''Pitta'' predominant person leading a delicate life style is more susceptible for early progression of ''vatarakta''.

 

#There are two types of ''vatashonita'':

Pitta prdominant person leading a delicate life style is more susceptible for early progression of vatarakta.

##''Uttana'' or superficial, located in blood vessels between skin and muscles. It manifests as itching, burning, piercing pain in skin, constricting and expanding sensation of skin, black red and coppery boils of skin, and

There are two types of vatashonita, 1. Uttan or superficial, located in blood vessels between skin and muscles. It manifests as itching, burning, piercing pain in skin, constricting and expanding sensation of skin, black red and coppery boils of skin.

##''Gambhira'' or deep: Located in blood vessels of small joints of extremities but more in lower extremities and big toe is most affected. Manifested inflammation, hard, non- shifting and painful, pulsating inflammation with coppery black color and cause of disability.

2. Gambhir or deep: Located in blood vessels of small joints of extremities but more in lower extremities and big toe is most affected. Manifested inflammation, hard, non- shifting and painful, pulsating inflammation with coppery black color and cause of disability.

#Based on ''dosha, vatshonita'' is classified into four types, three of them due to one ''dosha'' and one due to three ''dosha'', the last one is incurable.

Based on dosha, vatshonita is classified into four types, three of them due to one dosha and one due to three dosha, the last one is incurable.

#Treatment is four-fold with six types of blood letting, therapeutic purgation, purifying enema and palliative treatment for ''vata''.  

Treatment is four-fold with six types of blood letting, therapeutic purgation, purifying enema and palliative treatment for vata.  

#In ''vatarakta, rakta'' obstructs pathway of ''vata'' and vice-versa i.e. ''vata'' obstructing pathway of ''rakta''. Bloodletting helps in the movement of ''vata''.  

In vatarakta, rakta obstructs pathway of vata and vice-versa i.e. vata obstructing pathway of rakta. Bloodletting helps in the movement of vata.  

#The purgation should be mild because strong purgation may cause ''vataprakopa''.  

The purgation should be mild because strong purgation may cause vataprakopa.  

#After proper oleation, ''vatarakta'' patient shall be treated with mild therapeutic purgation with unctuous substances or with dry substances (in case of excess oleated patient). After purgation, the patient should be given frequent ''basti'' (enema of medicated substances) including ''anuvasana basti'' (unctuous enema) and ''niruha basti'' (enema made from decoction of medicinal herbs). Besides fomentation, massage, ointments, food and ''sneha'' (unctuous substances) be given to the patient which do not cause burning sensation.  

After proper oleation, vatarakta paitent shall be treated with mild therapeutic purgation with unctuous substances or with dry substances (in case of excess oleated patient). After purgation, the patient should be given frequent basti (enema of medicated substances) including anuvāsana basti (unctuous enema) and niruha Basti (enema made from decoction of medicinal herbs). Besides foementation, massage, ointments, food and sneha (unctuous substances) be given to the patient which do not cause burning sensation.  

#In case of ''uttana vata shonita'' 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 case of uttana vata shonita 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 vāta rakta the patient should be treated with purgation, asthapana basti (enema with decoction of medicinal plants) and snehapana (drinking medicated oil/ghee).

In the case of gambhira vāta rakta the patient should be treated with purgation, asthapana basti (enema with decoction of medicinal plants) and snehapana (drinking medicated oil/ghee).

In the disease where the vata is predominant, one should over come the disease with medicated ghee, taila, vasa, majja (ghee, oil, fat, and bone marrow of animals) either by intake or massage or enema and the diseased part should be treated with warm upanaha (warm poultice).

In the disease where the vata is predominant, one should over come the disease with medicated ghee, taila, vasa, majja (ghee, oil, fat, and bone marrow of animals) either by intake or massage or enema and the diseased part should be treated with warm upanaha (warm poultice).