ISSN Print: 2277-4343
Article: MANAGEMENT OF AMAVATA (RHEUMATOID ARTHRITIS) THROUGH AYURVEDA PRINCIPLE: A CLINICAL CASE STUDY
Article Category: Case Reports
Author: M Jawaad Ali M Yunus Ali Khan, Vinod N Ade *
Abstract: Amavata is a disease in which vitiation of Vata Dosha and accumulation of Ama takes place in joints. Vitiated vayu circulates Ama all over body through Dhamnies which takes shelter in shleshmasthanas. Symptoms of Amavata show more resemblance with Rheumatoid arthritis based on clinical presentation. Rheumatoid arthritis is managed by DMARDs (Disease modifying anti-rheumatic drugs) and corticosteroids, but still remains a challenging problem to the medical field as it won’t completely cures the disease. In Ayurveda detailed description for management of amavata mentioned. Chakrapanidatta has described the treatment principles and line of management for amavata which includes, Langhana (fasting), Swedana (sudation) use of drugs of Tikta (bitter) and katu (Pungent) Rasa, Deepan drugs (Stimulating hunger) Virechan (Purgation Therapy), anuvasanabasti (enema) are beneficial in the management of Amavata. We hereby present case study with regards to a patient who has been successfully treated for 15 days with follow up for next 15 days. The combined interventions included internal medications i.e. Amrutadi Guggul, Avipattikar Churn, Amrutarishta, Erandtail with Sunthi Qwath, externally Snehan with vishgarbha tail and Valukapottali sweda (Sudation with heated sand pack). Internal medications were continued for another 15 days. Subjective and objective assessment criteria including ARA (American Rheumatoid Association) criteria for diagnosing Rheumatoid Arthritis were assessed before and after treatment to see the effect of line of management. Satisfactory clinical improvement in the symptoms was reported after one month of Ayurvedic treatment which improving the quality of life.
Keyword: Amavata, Rheumatoid Arthritis, Dosha, Dhamnies, Shleshmasthana, Snehana.