EVALUATION OF THE EFFICACY OF SIRAVYADHA AND GUDUCHI SIDDHA YOGA BASTI IN THE MANAGEMENT OF VATARAKTA WITH SPECIAL REFERENCE TO GOUT

Gout is a heterogeneous disorder that results in the deposition of uric acid salts and crystals in and around joints and soft tissues. Gouty arthritis comes under the purview of vatarakta. Various modalities of treatment for vatarakta have shown good outcome. A study was undertaken to evaluate the efficacy of raktamokshana by siravyadha method which is ardhachikitsa according to Sushrutaacharya and this was compared to the efficacy of Basthichikitsa which is also ardha chikitsa recommended by Charakaacharya hence a Comparative clinical randomized two groups study on 40 patients with Gout was undertaken. Patients of Group A (n=20) were subjected to siravyadha twice with an interval of 11 days and patients of Group B (n=20) were subjected to Guduchi siddha Yoga basti, completed in 8 days. Assessments were done before and after the therapy in both groups using subjective parameters - pricking pain (Toda), burning sensation (Daaha), numbness (Supti) in joints and objective parameters –serum uric acid, tenderness (Sparshaasahyatha), swelling (Shotha), discoloration (Raaga) of joints which were graded and analysed statistically. In group A the overall response of the treatment includes, 0(0%) patients showed marked response, 19(95%) patients showed moderate improvement, 1(5%) patient showed mild improvement and 0(0%) patient showed no response. In group B the overall response of the treatment includes, 7(35%) patients showed marked response, 13(65%) patients showed moderate improvement, 0(0%) patient showed mild improvement and 0(0%) patient showed no response. So Overall response was significantly more in group B (Marked response 35%) when compared to group A (0%) with P= 0.008**