Amavata W.S.R. to Rheumatoid Arthritis - A Case Study

Abstract

Introduction: Rheumatoid arthritis (RA) is a systemic, chronic progressive autoimmune arthropathy characterized by polyarthritis, swelling, warmth and stiffness. The sign and symptoms of RA closely resemble Amavata. The global prevalence rate of RA is approximately 0.5 to 1% among adults [1] . The male to female ratio is 1:3. The management in the conventional system of medicine includesuse of NSAIDs, DMARDs and corticosteroids, long-term use of which leads to many side effects. Acharya Yogratnakara described line of treatment of Amavata which includes Langhana, Swedana, Tikta-deepanKatu action, Virechan, Snehapana and Bastichikitsa. Special type of bastii.e.,Vaitaran basti for Amavata prescribed by Acharya Chakradutta. Objective: The present case study is to explore the effects of the treatment regimen prescribed in Ayurveda for the chronic debilitating disorder Amavata i.e., RA and to encourage research on larger sample so as to benefit society. Material and Method: This article is about a single case study of 60 year female patient suffering from Amavata and treated with Shaman (Gokshuradiguggul, Agnitundivati, Rasnasaptak kwatha etc.) and Shodhana chikitsa as per Ayurveda for 15 days. Observation: Improvement in subjective criteria -Multiple joint pain, swelling, tenderness and stiffness were observed. Also improvement in standing and walking ability was noticed.Observation in objective criteria –The RA factor was tested as an objective criteria on, which was reduced to 27.6 mg/L from 32.5 mg/L and CRP was reduced to 5.1 mg/L from 5.7 mg/L. Discussion & Conclusion: The line of treatment prescribed by Yogratnakara and Chakradutta in Amavata was given to the patient and it can be revealed that Langhan, Swedan, Deepan-Pachan treatment along with Panchakarma therapy Like Ruksha sweda and Vaitaran basti gives remarkable effect in the management of Amavata.