An effort to differentiate 'RAKTAGAT-VAT' & RAKTAVRUTTA-VAT'.

 An effort to differentiate 'RAKTAGAT-VAT' & RAKTAVRUTTA-VAT' as per Ch.Chi.-28.

Sr. No	VIBHEDAKATVA	RAKTAGATA VATA	RAKTAAVRUTA VATA
1.	VYADHITVA	These both conditions are Vishistha Avastha as per Vatavyadhi & not been established as vyadhi.
2.	REFERENCE SHLOKA	रुजस्तीव्राः ससन्तापा वैवर्ण्यं कृशताऽरुचिः| गात्रे चारूंषि भुक्तस्य स्तम्भश्चासृग्गतेऽनिले||Ch.Chi.-28	रक्तावृते सदाहार्तिस्त्वङ्मांसान्तरजो भृशम्||६३|| भवेत् सरागः श्वयथुर्जायन्ते मण्डलानि च| Ch.Chi.-28
3.	NIDANA	As per Vatavyadhi:	As per Vatarakta:
4.	Purvaroop	None as per Vatavyadhi	As per Vatarakta:
4.	SHLEHSMA STHITI	Shleshmaguna Kshaya is present because of vata-prakop & Dhatu Kshaya condition.	Shleshmaguna kshaya is usually not present.
5.	RAKTA STHITI	Rakta  vriddhi is not present, eventually there is possibility of Rakta dhatu Ksaya in present of vata-prakop & dhatu ksaya.	Rakta Vriddhi is present and this is cause of obstructive pathology.
6.	LAKSHANA	Vaivarnyata(Discolouration): Shyavata present which indicate Vata Prakopa because of Dhatu Kshaya(Traumatic or infective)	Saraga(Redness): redness (Raktabha) present because of Rakta Vriddhi.
		Tivra Ruja(Severe Pain): Relatively severe pain in presence of Dhatukshaya(Traumatic or infective).	Arti(Pain): Relatively less severe pain because of Raktavaran to Vat-dosha.
		Santapa(Fever): Because of Jwara which indicates infective/ inflammatory pathology in presence of dhatu Kshaya.	Santapa (fever) is not mentioned in raktavritvata. But if vatashonita pathology takes place  deep with pitta dominance than that may be santapa (fever)
		Gatre Arunsh (same as santapa above)	Sotha and Mandala because of Raktavaran to Vat-dosha along with associated pitta dominance.
		Daha(Burning): It presents because of sleshma (Dhatu) kshaya along with Pitta Prakriti or Pitta Anubandha.	Sadaha(Burning): because of obstruction of Vata pathway by Rakta (Pitta).
		Aruchi(Anorexia): It is present because of “Ashayaapakrsha Agni” as per pattern of Fever.	There may be Aruchi because of Rakta prakopa. (Cha.su. 24). No Ashayaapakrsha of Agni.
7.	SAMPRAPTI	“Vayurkopo dhatukshayat….	Margasyavaranen Ch…..”
8.	DOSHA	Vata (in presence of sleshma/Dhatu kshaya)	Vata and Rakta/Pitta (Swa and Vata prakopakahetu)
9.	ROGA-MARG	Mainly Shakha(Affected-part).	Mainly Shakhagat & Marma in advance stage.
10.	DUSHYA	Rasa, Rakta only. There is no involvement of other Dushyas usually.	Rasa, Rakta, Mamsa mainly. There may be involvement of additional Dushyas as per progress of disease.
11.	SROTAS	Rasavaha, Raktavaha, Udakavaha, Annavaha	Rasavaha, Raktavaha, Mamsavaha mainly.
12.	SROTO DUSTI LAKSHANA	Vimarga Gamana	Sanga, Sira Granthi, Vimarga Gamana
13.	ADHISTHANA	Sharirika, Manasika	Sharirika
14.	AGNI	Manda	Sama, Tikshna
15.	DHATU GATATVA	Raktagat	As per Vatarakta
16.	ASHAYA	Pakwashaya Samuttha	Ama/Pakwashaya Samuttha
17.	SADHYAASADHYATA	Sukha Sadhya	Kriccha Sadhya
18.	CHIKITSA SIDDHANTA	शीताः प्रदेहा रक्तस्थे विरेको रक्तमोक्षणम् ॥९२॥ Ch. Chi.-28 Sita Pradeha, Virechana, Rakta Mokshana	शोणितेनावृते कुर्याद्वातशोणितकीं क्रियाम् ॥१९४॥ Ch. Chi.-28 Vatarakta Chikitsa
19.	CONCLUSIONS	It seems an Infective / Traumatic or both, superficial pathology esp. localised because following references are there: तत्राभिघातजो वायुना दुष्टशोणिताधिष्ठानेन, & तत्राभिघातजे वायुः प्रायो रक्तं प्रदूषयन् ॥११३॥ सव्यथाशोफवैवर्ण्यं करोति सरुजं ज्वरम् । Ch. Chi.-3	It seems an Obstructive superficial/deeper or both Pathologies esp. generalised wider than RGV and closer/similar to 'Vata-shonita'.

 

Presented by

*Vd. Nihal Kanjia

M.D. Ist Scholar

P.G. Dept. of Kayachikitsa

Govt. Akhandanand Ayu. College,

Bhadra, Ahmedabad, Gujarat, India.

**Vd. Kishan Senjaliya

        M.D. Ayu.

Ex- Scholar

P.G. Dept. of Kayachikitsa

Govt. Akhandanand Ayu. College,

Bhadra, Ahmedabad, Gujarat, India.

 

***Prof. Vd. Surendra A. Soni

H.O.D.

P.G. Dept. of Kayachikitsa

Govt. Akhandanand Ayu. College,

Bhadra, Ahmedabad, Gujarat, India.