Gout Ayurvedic Treatment

Gout is a type of arthritis (inflammation of joints) with sudden onset. Most often it starts from the big toe/ feet. Gradually it affects more than 2 joints (especially the small joints- like finger, wrist etc). There may have on and off periods of the symptoms. 

Gout Signs and Symptoms

The symptoms usually begin all of a sudden and most of the time, the first symptom is sudden onset of pain over big toe. It may also start from other joints. The common symptoms are multiple joint pain (over fingers, wrist, elbow etc), swelling, burning sensation, tenderness (pain on touching the joint) and reduced joint mobility. 

Gout Ayurvedic Analysis

The disease which is characterised by pain on feet/ toes is termed as ‘Vatashonita’ in Ayurveda. It develops when vata and pitta are vitiated in body and they get lodged at toes. 

Gout Causative Factors (Ayurveda)

As per Ayurveda, the causative factors of Vatashonita are- vitiation of rakta (blood) due to vidahi ahara (food that produces acidity/ burning sensation during or after digestion), viruddha ahara (incompatible food), food that causes vitiation of rakta dhatu (asruk dushana), altered sleep patterns, delicate body, sedentary habit, trauma, accumulation of mala in body; and vitiation of vata mainly due to cold and other factors responsible for aggravation of vata. Vata thus aggravated moves to channels other that its normal pathway and blocks the channels of rakta resulting in further vitiation of rakta. Together they produce vatashonita. Feet are the first site to develop the disease, and the symptoms aggravate by prolonged sitting with legs hanging downward, and travelling.  

Its symptoms are- skin lesions, increased hotness/ sweating over the joints, changes in the skin texture and colour over the affected joints, pricking or burning sensation, lethargy, weakness of joints and itching/ numbness/ different types of pain/ heaviness over the joints. All these symptoms relapse and subside intermittently. 

Ayurveda classifies vatashonita as 2 stages- ‘Uttana’ (acute) and ‘Gambheera’ (chronic). Uttana stage of vatashonita affects skin and muscle tissue, and Gambheera stage affects all the deep tissues (like bones, joints etc). In some person, the disease starts as Gambheera stage without Uttana stage. Itching and pain over joints, skin discolouration and burning sensation are the major symptoms of Uttana stage, while the Gambheera stage is characterised by severe pain, swelling, bumps over tip of fingers/ toes, joint deformities and disabilities like limping. 

There are variations in presentation from person to person, depending on the dosha with more vitiation. 

Possible Complications of Gout Disease

The major complications of untreated vatashonita are joint deformities/ damages, disabilities (eg: limping while walking). 

Other systemic diseases and precautions to be taken

Heart diseases are often associated with vatashonita. Other diseases that should be considered while planning the treatment are diabetes, kidney diseases etc.

Gout Disease Management with Ayurveda Treatment

Depending on the stage of vatashonita and the state of dosha, internal medicine and treatment procedures vary from patient to patient. Rukshana (eg: dhanyamla dhara) should be done at first, if there is ama (immature state of dosha). The common treatment protocol includes- internal/ external/ both snehana therapy, mild swedana therapy, virechana with suitable oil, kashaya vasti/ ksheera vasti, anuvasana vasti, raktamoksha (blood-letting), external application of medicated oil/ powder over the affected area etc. internal medication is also given according tom patient condition. Mild yoga therapy, meditation or psychotherapy is given for those who are in need. 


Avoid food having more pungent/ salty/ sour tastes, alkaline substances, oil and hot items; black gram, Bengal gram, sugar products, anupa mamsa (red meat), curd, buttermilk, vinegar, nishapava (flat beans) and alcohol; unhealthy eating pattern- skipping of meals, over eating, taking very less quantity of food and very dry food. 

 Take more wheat/ unpolished rice, njavara rice, white meat, green gram, horse gram, pigeon pea, green leafy vegetables, milk etc. 


Vigorous exercise is not recommended for patients with vatashonita. They can do mild exercises/ minute joint movements/ brisk walking as per physician’s advice. 

Gout Preventive Aspects in Ayurveda

Reduce the intake of very hot, spicy, alkaline food, red meat, Bengal gram and vinegar. Avoid day sleep and keeping awake at night. Do not travel for long time with legs hanging down. Avoid sedentary habit. Reduce the intake of alcohol, quit smoking. 

Importance of Diet

Rakta is vitiated easily by wrong diet, and the person with vatashonita often develop itching, burning sensation, swelling etc following consumption of food articles which are contraindicated in the disease. Therefore, strictly follow the diet pattern advised by the physician. 


Vatashonita patients should stick on to healthy diet that won’t vitiate rakta and vata. Avoid day sleep/ keep awake at night, sedentary habit, over exertion, stress, mental agony, sitting/ travelling with legs keeping downwards for long period, spending more time in cold water (eg: swimming), very hot and spicy food etc. Apply suitable oil all over the before bath. Mild walking/ minute exercise of joints is good.

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