MANAGEMENT OF HYPERURICEMIA(GOUT) THROUGH AYURVEDA: A CASE STUDY

The rapid modernization in India, fast-food culture, stressful and speedy life is causing several lifestyle disorders. Gout is a metabolic disease that most often affects middle-aged to elderly men and post-menopausal women. It results from an increased body pool of urate with hyperuricemia. It is typically characterized by episodic acute arthritis or chronic arthritis caused by deposition of monosodium urate crystals in joints and connective tissue tophi and the risk for deposition in kidney interstitium or uric acid nephrolithiasis. Vatarakta (gouty arthritis) is a chronic disease in which derangement of metabolism, occurs due to indulgence in unwholesome dietary habits and lifestyle. Vatarakta is caused by vitiated Vata and Rakta simultaneously. Initially vitiated Vata obstructs the path of vitiated Rakta and then gets obstructed by Rakta itself. It can be correlated with Gouty Arthritis due to their similarity in the clinical presentation. It is characterised by severe pain, tenderness, inflammation and burning sensation in the affected joints. A 34-year-old male patient came to Kayachikitsa OPD of Government Ayurvedic College and Hospital, Guwahati presenting with complaints of pain and swelling in the right first metatarsophalangeal joint, burning sensation of both the sole, right ankle joint pain and swelling along with pain in the right elbow from last 4 months. The patient was subjected to both panchakarma therapy and oral medication and at the end of the treatment Serum Uric acid level came down from 8.6mg/dl to 5.4mg/dl.Keywords: Gout, Vatarakta, Ksheera basti, Amritadi guggulu, Kokilaksha Kasaya.