Hyperuricemia is a widespread metabolic condition seen in individuals of all age groups and genders. Uric acid, which is the end product of purine metabolism, may accumulate in the body, and its deposition as monosodium urate and monohydrate crystals in joints and surrounding tissues leads to the development of gout. The presence of elevated serum uric acid levels along with crystal deposition is a key feature of gout and is responsible for severe joint pain and inflammation. Conventional treatment options include analgesics, glucocorticoids, and urate-lowering medications such as xanthine oxidase inhibitors and uricosuric agents; however, achieving effective and sustained disease control often remains difficult. According to Ayurveda, the clinical features of gout closely resemble Vata-Rakta, a disorder caused by the simultaneous aggravation of Vata and Rakta Dosha affecting multiple joints. This article reports a case study of a 46-year-old male who presented with pain in left knee and left great toe associated with restriction of movement since 8 months and elevated serum uric acid levels. Ayurvedic intervention included Shamana Chikitsa with oral medication along with administration of Niruha Basti & Anuvasana Basti in Kala regimen for 16 days. Notable improvement was observed, with serum uric acid levels reducing from 10.2 mg/dL to 6.4 mg/dL, along with significant relief in pain, swelling, burning sensation. The treatment was carried out with dietary modifications, and no adverse effects were reported during or after therapy.
Neetika Nirmal2 Akshay Khanna1* (2026) studied this question.