Ayurvedic Management of Utthana Vatarakta – A Case Report

A 59-year-old upper-middle-class woman residing in Shornur for the past 10 years and having worked as a nurse for  33 years was admitted to Vaidyaratnam Ayurveda College hospital on September 27, 2023, for a 15-day duration,  presenting with complaints of multiple joint pain, left-sided headache, itching of the whole body, crawling sensation  persisting for a decade, and blackish discoloration of nails in both upper and lower limbs consistent with nail  psoriasis. The diagnosis for this case was established as Utthana Vatarakta, seronegative arthritis. Comprehensive  treatment approach involving internal medicines, Rukshana, Snehana, Swedana, Sodhana, and Samana therapies was  implemented. Following the 15-day treatment regimen, the patient experienced significant alleviation of complaints  improvement in Ama Assessment tool scoring, Visual Analog Scale and Clinical disease activity index.