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Thus ends the 29th Chapter ([[Vatarakta Chikitsa]]) in [[Chikitsa Sthana]] in treatise composed by Agnivesha, redacted by Charak and reconstructed by Dridhabala. [163–165]
Thus ends the 29th Chapter ([[Vatarakta Chikitsa]]) in [[Chikitsa Sthana]] in treatise composed by Agnivesha, redacted by Charak and reconstructed by Dridhabala. [163–165]
=== ''Tattva Vimarsha'' ===
=== ''Tattva Vimarsha'' / Fundamental Principles===
#''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.
#If ''vata'' is vitiated due to obstruction either by excessive aggravated ''meda'' or ''kapha'', one should not apply unctuous and stouting drugs in the beginning. Instead ''kapha'' and ''meda'' subjugate with physical exercises, ''shodhana'' (purification), ''virechana'' (purgation), and intake of ''arishta'' (fermentated preparation of medicinal herbs etc.) and butter milk with ''abhaya''.
#If ''vata'' is vitiated due to obstruction either by excessive aggravated ''meda'' or ''kapha'', one should not apply unctuous and stouting drugs in the beginning. Instead ''kapha'' and ''meda'' subjugate with physical exercises, ''shodhana'' (purification), ''virechana'' (purgation), and intake of ''arishta'' (fermentated preparation of medicinal herbs etc.) and butter milk with ''abhaya''.
=== ''Vidhi Vimarsha'' ===
=== ''Vidhi Vimarsha'' / Applied Inferences===
''Vatarakta'' is a group of inflammatory rheumatic diseases. Pathogenesis of these ailments is related to aggravation of v''ata dosha'' due to vitiation of ''rakta dhatu''. The primary sites of involvement are small joints of hands and feet.
''Vatarakta'' is a group of inflammatory rheumatic diseases. Pathogenesis of these ailments is related to aggravation of v''ata dosha'' due to vitiation of ''rakta dhatu''. The primary sites of involvement are small joints of hands and feet.