A form of arthritis distinguished by excruciating joint pain, redness, and tenderness. Excessive crystallisation and deposit of uric acid in the joints causes pain and inflammation. Vatarakta is a chronic joint and body pain disease accompanied by pain, stiffness, swelling over joints which involve vitiated Vatadosha as well as Raktadhatu. Aggravated Vata is blocked by vitiated Rakta, which leads to further aggravation of Vata Dosha. Symptoms severe pain, redness and swelling in joints, often the big toe. Attacks can come suddenly, often at night. Treatment Step 1 To eliminate the increased level of uric acid by panchakarma like virechana and basti. Also it helps to reduce vitiated vata dosha and corrects raktadhatu dushti. In acute conditions Jaluakavachan ( Leech Therapy) and Blood letting is very helpful. Step 2 Ayurved Medicines will help to restore the damaged joint structure. Other treatments like, Lepan, Navarakizhi, & dhara panchakarma Step 3 To avoid excess production and excretion of uric acid, suggest dietary and lifestyle optimisation helps to prevent recurrence of the disease.Joints remain a longer time in healthy condition. This treatment will take two to three months to complete.