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Line 1,893: − + − + − + + − + − The pathogenesis involves aggravation by avarana/obstruction of movement of vata by the vitiated rakta. Therefore, the treatment is focused upon pacification of rakta to remove obstruction and pacification of vata. The pathogenesis starts from small joints of lower extremities.3 The onset of disease is acute and the vitiation of rakta occurs quickly.2 − Clinical features:+ − + + + + + + + + + + + + + + − Itching, burning, pricking, pulsating, breaking pain in skin − Greyish, copperish discolouration of skin − In case of involvement of deeper tissues, swelling, hardness of affected site, discoloration, suppuration, pulsating, pricking or burning sensation can occur. − Above features are observed at sites of joints, ligaments and blood vessels as per the dosha dominance in vatarakta. − Types: − Uttana vatarakta involves twacha (skin) and mamsa (muscular tissue). Gambhira vatarakta involves all other tissues. The uttana vatarakta progresses to gambhira vatarakta in due course of time.2,3 − Differential diagnosis:
→Lifestyle habits
===== Lifestyle habits =====
===== Lifestyle habits =====
Sleeping in daytime and vigil during the night; injuries, not purifying the body (by shodhana karma); starvation, excess travelling, sporting in water, jumping, leaping, excessive walking in hot season, excessive sexual intercourse and suppression of natural urges are responsible for vitiation of vata.
Sleeping in daytime and vigil during the night; injuries, not purifying the body (by ''shodhana karma''); starvation, excess traveling, sporting in water, jumping, leaping, excessive walking in hot season, excessive sexual intercourse and suppression of natural urges are responsible for vitiation of ''vata''.
In general, the delicate persons who are indulged in sweet and rich food substances and are not in habit of physical activities, the vata and rakta are vitiated. Those who have sedentary lifestyles with least walking are most prone to vatarakta. 2,3,
In general, the delicate persons who are indulged in sweet and rich food substances and are not in habit of physical activities, the ''vata'' and ''rakta'' are vitiated. Those who have sedentary lifestyles with least walking are most prone to ''vatarakta''. 2,3
The above factors can cause vitiation of blood by aggravation of its tikshna (sharply acting) property and vitiation of vata dosha by aggravation of its ruksha (dry) property. The properties like sukshma (minuteness) and sara (moving) of both vata and rakta are affected to cause the disease process. Drava (fluidity) of rakta is affected leading to obstruction in free movement of vata.
The above factors can cause vitiation of blood by aggravation of its ''tikshna'' (sharply acting) property and vitiation of ''vata dosha'' by aggravation of its ''ruksha'' (dry) property. The properties like ''sukshma'' (minuteness) and ''sara'' (moving) of both ''vata'' and ''rakta'' are affected to cause the disease process. ''Drava'' (fluidity) of ''rakta'' is affected leading to obstruction in free movement of ''vata''.
Pathogenesis :
==== Pathogenesis ====
The pathogenesis involves aggravation by ''avarana''(obstruction) of movement of ''vata'' by the vitiated ''rakta''. Therefore, the treatment is focused upon pacification of ''rakta'' to remove obstruction and pacification of ''vata''. The pathogenesis starts from small joints of lower extremities.3 The onset of disease is acute and the vitiation of ''rakta'' occurs quickly.2
Pain, swelling, redness, increased temperature and tenderness of small joints especially thumb or big toes. This slowly spreads to affect all joints.
==== Clinical features ====
#Pain, swelling, redness, increased temperature and tenderness of small joints especially thumb or big toes. This slowly spreads to affect all joints.
#Itching, burning, pricking, pulsating, breaking pain in skin
#Greyish, copperish discolouration of skin
#In case of involvement of deeper tissues, swelling, hardness of affected site, discoloration, suppuration, pulsating, pricking or burning sensation can occur.
Above features are observed at sites of joints, ligaments and blood vessels as per the ''dosha'' dominance in ''vatarakta''.
===== Types =====
''Uttana vatarakta'' involves ''twacha'' (skin) and ''mamsa'' (muscular tissue). ''Gambhira vatarakta'' involves all other tissues. The ''uttana vatarakta'' progresses to ''gambhira vatarakta'' in due course of time.2,3
==== Differential diagnosis ====
Vatarakta, aamavata and sandhigata vata are three most common rheumatological clinical conditions. The clinical presentations need to be differentiated for diagnosis and designing treatment protocol.
Vatarakta, aamavata and sandhigata vata are three most common rheumatological clinical conditions. The clinical presentations need to be differentiated for diagnosis and designing treatment protocol.
Criteria Vatarakta Aamvata Sandhigata vata
Criteria Vatarakta Aamvata Sandhigata vata