Ayurvedic Management Of Amavata w.s.r. to Rheumatoid Arthritis : A Case Report

Abstract

Amavata the name itself suggests that the disease is caused by formation of Ama and vitiated Vata dosh.The formation of Ama is due to impairment of Agni. The vitiated Vata along with Ama deposit in shleshmasthana especially Asthi-Sandhi ,circulates through dhamani ,got vitiated by Tridosha ie Vata,Pitta and Kapha and produces symptoms of Amavata. Thus Amavata is a chronic inflammatory systemic disease affecting mainly synovial joints.It is corelated with Rheumatoid Arthritis in modern medicine due to similarities in clinical features.Amavata disease affects patient’s routine life due to its chronicity causing crippling condition in the patient.In modern medicine the treatment of Rheumatoid Arthritis which resembles Amavata is use of NSAID(non steroidal anti inflammatory drugs),Corticosteroids,DMARDs(disease modifying anti inflammatory drugs) and the use of biologics.Due to various side effects and substantial toxicity of these drugs patient do not get complete relief and leads to progression of disease causing deformity and disability.In Ayurveda, treatment of Amavata is mentioned by Acharya Chakradatta.It includes Langhana,Swedan,use of tikta-katu rasatmak dravyas,Virechan,Snehpan and Basti.By using this treatment modality a case of Amavata was successfully treated.There was marked relief in symptoms of patient.