AN ETIOPATHOLOGICAL STUDY OF RAKTAGATA VATA W.S.R. TO HYPERTENSION & THEIR UPSHAYATMAK PARIKSHANA WITH SUDHESH VATI (KALPITA YOGA)

Dr. Sudeep Singh Gangwar*, Dr. Avadhesh Kumar and Dr. D. N. Singh

ABSTRACT

The disease Raktagata vata is one of the nanatmaja vata vyadhi i.e., Raktagata vata disease occurs due to vitiation of vata dosha specially. As per Ayurvedic concepts, there are many other factors which are involve in the development of Raktagata Vata like Samaan, Vyaan and Praana vata, Saadhak and Paachaka pitta, Avalambak kapha, Rasa, Rakta, Meda dhatu, Pranavaha, Mutravaha, Swedavaha, Medavaha, Udakavaha srotas. Agni Dushti (mandagni) is principal causative factor, at the back of every disease. Agni mandhya give rise to Rasa dushti as a result of this, more and more Vikruta Kapha produced. Vikruta Kapha gives rise to Atherosclerotic changes (dhamni uplepa), which results in aggravation of Vata, hence leads to repeated spasm resulting increased peripheral resistance to the circulating fluid. Dushya Rasa, Rakta are considered under Bhaya Roga Marga, so in its initial stages disease is in bhaya roga marga. But in the advance stages of disease, involvement of the Madhyama Roga Marga namely Hridaya, Sira, and Basti (Trimarma) also occurs. So trimarma (heart, brain, and kidney) are the organ mainly affected in advance stage of disease. The symptomatology quoted under Raktagata vata roga by Acharyas almost coincides with Hypertension symptomatology like Anidra, Sirahashool, Bhrama, etc. So in few aspects it can be compared to hypertension. By reviewing the involvement of main factors, dosha & the possible pathogenesis, the drug selected for the trial was SUDESH Vati, which is the combination of sarpagandha, jatamanshi, gokshura, sankhpushpi, yasthimadhu & praval pisthi.. The dose adopted for the clinical trial was 1000mg in 2 divided doses, half hour after meal with koshna jala. Its effect on controlling HTN were analyzed. In newly diagnosed patients we observed very good control of BP & it worked as supportive drug in controlling rise of BP in patients who were taking antihypertensives since from long time.

Keywords: Raktagata vata, HTN, Samprapti of Raktagatavata, ayurvedic concept of HTN.