The pathogenesis involves aggravation by ''avarana''(obstruction) of movement of ''vata'' by the vitiated ''rakta''. Therefore, the treatment is focused upon pacification of ''rakta'' to remove obstruction and pacification of ''vata''. The pathogenesis starts from small joints of lower extremities.3 The onset of disease is acute and the vitiation of ''rakta'' occurs quickly.2
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The pathogenesis involves aggravation by ''avarana''(obstruction) of movement of ''vata'' by the vitiated ''rakta''. Therefore, the treatment is focused upon pacification of ''rakta'' to remove obstruction and pacification of ''vata''. The pathogenesis starts from small joints of lower extremities.<ref name = "multiple2" /> The onset of disease is acute and the vitiation of ''rakta'' occurs quickly. <ref name = "multiple1" />