A PRE-TEST AND POST-TEST CLINICAL STUDY DESIGN TO EVALUATE ARDHAMATRIKA NIROOHA BASTI AND NIMBAMRUTHADI ERANDA VIRECHANA IN HYPERURICEMIA W.S.R. TO VATARAKTHA

Abstract

Background: Vatarakta is caused by vitiated rakta and vata in an Avarana samprapti. The Nidana, Lakshana and Samprapthi of Vatarakta are having similarity with clinical presentation of Hyperuricemia / Gout explained in the modern medical science which is characterized by painful swelling of the joints and tenderness, redness in the affected areas. Gout pains are usually developed in the joints of the legs, especially the big toe. Apart from the big toe, other joints like ankle, toe heels, hand, wrist and elbows can also be affected. Purine is one of the nitrogen bases in the human body which is converted into uric acid & is eliminated through urination. The excessive deposit of uric acid in the body due to improper metabolism or reduced renal function will lead to gouty arthritis. Methods: Study was conducted on 40 subjects of Vatarakta, taken into two groups A and B, with 20 subjects in each group. Both groups received Amapachana with Hareetakyadi churna. Group A received Ardhamatrika Basti in Kala Basti Schedule. Group B received Snehapana with Panchatiktaguggulu ghruta and virechana with Nimbamruthadi eranda. In   both groups Abhyanga is done with Bala-guduchyadi taila. After Shodhana, Amrutha Guggulu and Kokilaksha kashaya is given as  shamanoushadhi. Results: The clinical study showed significant improvement in the signs & symptoms of Vatarakta, thereby improving the quality of life of the patients. Basti provided highly significant results in all symptoms and serum Uric acid. Virechana provided highly significant results in all symptoms whereas, in serum uric acid levels virechana showed not so significant results. Conclusion: After systematic and prompt clinical trial, the following conclusions were drawn taking into consideration observations & Results. As vataraktha / Hyperuricemia being a metabolic disorder; through proper Ayurvedic treatment principles, we can manage the condition very effectively, through sodhana and shaman chikitsa.