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Introduction: Gout is a type of arthritis that leads to inflammation and severe pain in the joints. Gout can be a very painful and debilitating type of arthritis that can greatly affect a person's quality of life.

Methodology: A female patient aged 44 years prediagnosed as gouty arthritis with serum uric acid level 6.8 mg/dL presented with clinical symptoms of pain, swelling, and burning sensation in the in bilateral (B/L) knee joints, and in lower limbs suffering from 1 year. She again got attack of pain and stiffness and was not ready to do any Panchakarma process. She given Ayurvedic medications namely Tab Panchatikta Ghrita Guggulu, Maharasnadi kadha and external application of Murivenna tailam for 2 months and was advised with healthy diet and lifestyle.

Result: After 20 days, she found significant relief in subjective parameters like joint pain, tenderness, swelling, stiffness and restricted joint movement. Objectively, significant reduction in serum uric acid level has been observed after 2 months.

Discussion: Tab Panchatikta ghruta guggulu and Maharasnadi kadha are anti-inflammatory and analgesic medicines. As per Ayurveda, it works by purifying Rakta dhatu and pacifying Vata-Pitta dosha and improves metabolism. Panchatikta ghruta guggulu is best Rasayana, Balya formulation for management of Vatarakta. Patient was suggested Raktamokshana to prevent further attacks of pain. This case paper provides evidence based support of Ayurvedic treatment for gout management.

Keywords: Ayurveda, Gout, Inflammatory arthritis, Uric acid, Vatarakta