ISSN Print: 2277-4343
Article: A COMPARATIVE STUDY TO EVALUATE THE RUJAHARA (ANALGESIC) EFFECT OF VIRECHANA KARMA AND VAITARANA BASTI IN AMAVATA (RHEUMATOID ARTHRITIS)
Article Category: Original Research articles
Author: Divya Gupta *, Vishakha R. Wetal, Arun Gupta
Abstract: In Amavata the most responsible issue Ama is caused because of derangement of Agni particularly Jatharagni. Ama associated with the vitiated Vata Dosha is termed as Amavata. The same disease is mentioned in modern system with the name of Rheumatoid arthritis. In modern Medicine NSAIDs, Glucocorticoids, DMARDs are used. These medicines have many toxic effects like osteoporosis, hypertension, diabetes etc. In present study Virechana Karma and Basti Karma were selected as Shodhana Chikitsa. It is directly mentioned in the Chikitsa Sutra of Amavata by Chakradatta and other texts. The present clinical study was conducted in Patients of age more than 25 year up to 50 year. Patients were randomly divided in two Groups, irrespective of religion, sex, occupation etc. In Group A Virechana was given and Group B Vaitarana basti was given. Group A- There was relief in Sandhishool 21.1%, VAS pain16.1%, Tenderness 23.2 % Swelling 20.7%, DAS 10.8%.,12.1% in ESR. Group B-There was relief in Sandhishool 29.3%, VAS pain 18.2%, Tenderness 37.2 % Swelling 44.9%, DAS28 18%, ESR 23.3%. At follow-up of 30 days Virechana Karma and Vaitarana Basti were almost equally effective to reduce Sandhishool. Vaitarana Basti is significantly effective than Virechana Karma to reduce Tenderness, Swelling.
Keyword: Amavata, Rheumatoid arthritis, Panchakarma, Virechana, Basti.