KAPHAVRUTA VATA, MEDOGATAVATA, MEDOAVRUTA VATA

📘 MANAGEMENT OF AVARANAJANYA VATA VYADHIS – KAPHAVRUTA VATA, MEDOGATAVATA, MEDOAVRUTA VATA 📘

INTRODUCTION TO AVARANA

Avarana refers to the obstruction of the normal gati (movement) of Vata dosha by other doshas, dhatus, malas, or margavarodha (srotas obstruction). The Vata gets functionally impaired, leading to either Avarana Vata (obstructed Vata) or Dhatukshayajanya Vata (Vata due to depletion).

KAPHAVRUTA VATA

SAMPRAPTI (PATHOGENESIS)

• Kapha, being guru, snigdha, manda, obstructs the gati of Vata

• Causes dysfunction in Vyana Vata, Udana Vata, Apana Vata, depending on location

• Common in Kapha prakopa kala and individuals with sedentary lifestyle

Reference:
चरकसंहिता, चिकित्सास्थानम् 28/189
“वातः प्रकुप्यते यस्मात्कफेनावृत्य सन्निभः।
प्रसक्तमथ वा स्थानं तं प्रकारं वदन्त्यलम्॥”

SAMPRAPTI VIGHATANA

• Kapha shodhana and kapha-vata balancing

• Use of ushna, ruksha, laghu, tikta, katu dravyas

• Agni deepana, srotoshodhana to restore normal Vata gati

CHIKITSA SUTRA

• Shodhana: Vamana for Kapha, Basti for Vata

• Shamana: Vata-Kapha hara dravyas

• Swedana: Ruksha, Ushna swedana

• Vyayama to restore vata mobility

CHIKITSA

• Trikatu Churna, Shunthi, Haritaki, Pippalimula

• Dashamula Kwatha

• Nirgundi Taila abhyanga

• Rooksha Udvartana

MEDOGATAVATA

SAMPRAPTI (PATHOGENESIS)

• Excessive meda dhatu due to santarpana nidana gets vitiated

• Vata moves abnormally in the meda dhatu srotas

• Symptoms resemble early degenerative joint diseases or neurological complications in obesity

Reference:
माधव निदान, वातव्याधि निदान
“मेदःप्रकोपेऽवृणुते वातं… मेदोगते च दोषे स्युः स्तम्भगौरवशूलिनः॥”

SAMPRAPTI VIGHATANA

• Reducing meda through lekhan, rukshana

• Restoring Vata gati through srotoshodhana

• Stimulating Agni and Meda metabolism

CHIKITSA SUTRA

• Apatarpana, Langhana, Lekhana

• Basti with tikta and ruksha dravyas

• Meda hara and Vata anulomana measures

CHIKITSA

• Triphala Guggulu, Medohara Guggulu, Punarnavadi Guggulu

• Ruksha Udvartana – Kolakulathadi churna

• Takra shodhana

• Lekhana basti with triphala kvatha

MEDOAVRUTA VATA

SAMPRAPTI (PATHOGENESIS)

• Here, Meda acts as an Avaraka of Vata, blocking its movement and function

• Seen in individuals with obesity, fatty infiltration of tissues

• May result in neurological or musculoskeletal dysfunctions

Reference:
अष्टाङ्गहृदयम्, सूत्रस्थान 13/26
“स्निग्धत्वाद् वृणुते मेदो वातं मार्गेषु सन्निधौ।
गौरवं स्तम्भमायासं चेष्टाहानिं करोति च॥”

SAMPRAPTI VIGHATANA

• Elimination of meda as Avaraka

• Restoration of Vata’s free movement

• Rukshana, deepana, basti to cleanse the obstructed pathways

CHIKITSA SUTRA

• Lekhana, Rukshana, Langhana

• Medovaha srotoshodhana

• Agni deepana, Basti chikitsa

CHIKITSA

• Chitrakadi vati, Guggulu tikta ghrita

• Dashamula kashaya, Hingwastaka churna

• Medohara yoga – Navaka Guggulu, Triphala Guggulu

• Lekhana basti with trikatu, triphala, guduchi

• Pathya ahara – Yava, Takra, Kulattha

MODERN CORRELATION

• These conditions are comparable to neuromuscular disorders in obesity, fatty infiltration of nerves, sciatica due to adiposity, or lipotoxicity-related degenerative changes

• Management includes weight reduction, metabolic balance, and anti-inflammatory support

• Use of omega-3s, exercise, lipid-lowering agents