Management of post COVID arthralgia by Amalaki Rasayana: A case report

Background: COVID-19 is an infectious disease caused by the newly discovered coronavirus. COVID-19 is caused by severe acute respiratory syndrome coronavirus 2 (SARS-COV2). Post-COVID syndrome for people who still have symptoms for more than 12 weeks after the start of acute symptoms. This may last up to one year. The most common symptoms reported are fatigue, anorexia, joint pain, dyspnoea, headache, anxiety, and critical manifestations like diabetes, hypertension, pulmonary fibrosis, renal failure, Rheumatoid Arthritis (RA), etc. Agnimandya (~diminution of Agni) is a residual symptom of COVID-19 which leads to Dhatukshya (~diminution of Dhatu). Methods: We describe a case of a 50-year-old male who developed arthralgia after the remission of acute COVID-19 infection and post-COVID symptoms. The patient was treated with Haritakyadi yoga for koshtha shuddhi followed by Rasayana chikitsa by Amalaki Rasayana for the next 30 days for post-COVID ailments. The prime aim of treatment was to recover the function of Agni and koshtha shuddhi by administering Haritakyadi yoga followed by rejuvenation treatment by Amalaki Rasayana. The patient was assessed using the WHO well-being index scale, signs- and symptoms of post-COVID, six-minute walk test on the 0th, 15th, and 30th day follow-up. Results: Haritakyadi yoga followed by Amalaki Rasayana reduced symptoms of post-COVID arthralgia, improved energy levels of post-COVID symptoms, and enhanced WHO- well-being score. Conclusions: It is suggested by the mentioned case that Amalaki Rasayana may be used for managing post-COVID arthralgia and for improving general well-being in long COVID.