The patient suffering from gout should avoid red meat completely, alcoholic beverages, carbonated drinks should be avoided, so diet plays a very important role because is due to deposition of uric acid in the body. There is a substance called purine in our diet which converted into uric acid through metabolism. So if we have substances with less of urine then uric acid levels also get reduced in our body and patients would not have more pain. We can do raktamokshana that is removing of impure blood can be done with sewage or even with litches also. In extreme cases of gout where there is lots of pain dahan karma can also be done. Vasthanam and dhara also a important part in gout. vasthanam is take a clean clear cotton wap dip it in warm castor oil and roll it on the effected area, this can also be done with castor leaves also as the leaves are big just dip them in the warm castor oil and wrap it on the affected area. Dhara is nothing but the decoctions made out of different herbs like neem dhara, the decoction should be lukewarm and should pour it from a certain height in the affected area. Now the diet part, uric acid can be neutralised with vitamin C, it plays a very important role in controlling of gout. When gout is severe having 3 liters of orange juice for first two days, complete fasting with orange juice drastically the uric acid levels come to a normal phase and then we can start with external remedies. Citric acid is also necessary patients can have orange juice, lime juice on daily basis, they can eat one amla indian gooseberry every day. Gaut patient should be very cautious about their diet and maintain it. Other ayurvedic remedies like oil massages may be really useful.

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