The wide description available about vatarakta in all classics itself suggests its prevalence since ancient period.The disease initiated by the vitiated vata and raktais vatarakta.This literature can be very well correlated with gout, connective tissue disorders, peripheral vascular diseases etc in contemporary science. Every Ayurvedic scholar has described Uttana and gambhiravatarakta as the basic two categories based on its presentation. AcharyaSharangdharaenlightens eight types considering its doshika predominance.
To understand its pathophysiology there exists two types of vataraktanamely santarpanjanya and apatarpanajanya.Santarpanajanyavatarakta manifests by excessive kaphakaranidanasevan increasing kapha and medaby obstructingvatagatiand hampersrasarakta circulation. By its own etiological factorsvata and rakta gets vitiated and obstructs the path of each other producing apatarpanajanyavatarakta.
Treatment should be planned based on doshika dominancy, sama-niramavastha, santarpanjanya or apatarpanajanyasampraptiandavagadha-anavagadhaawastha. In niramawasthaorvaatadhikyaorapatarpanaawastha, the vaatpradhanavataraktachikitsa has to be adopted. Insantarpanjnya and avarana type ofpathology main aim is to reduce the magarvarodha, to reduce medaand to clear obstructed srotas.