European Journal of Biomedical and Pharmaceutical Sciences

STEPWISE AYURVEDA MANAGEMENT OF RHEUMATOID ARTHRITIS (AMAVATA) – A CASE STUDY

Dr. Santoshkumar Bhatted, Dr. Ujwala Samadhan Hivale* and Dr. Nirmal Bhusal

ABSTRACT

A female patient aged 38 years was admitted in IPD of Panchakarma, with complaining of bodyache, multiple joints pain, Stiffness, swelling, reduced range of movement of joints, difficulty in walking, since 11 years. It was diagnosed case of chronic Rheumatoid Arthritis,with RA test positive, CRP (C reactive protein ) test positive and raised ESR . Rheumatoid Arthritis (RA) is a chronic systemic inflammatory joint disease. RA is a destructive and deforming polyarthritis affecting small and large synovial joints. Disease modifying antirheumatic drugs [DMRAD] are widely used for improving and maintaining the function of joints and prevention of deformity,but these medicines are associated with sever adverse effect. In Ayurveda based on clinical menifastations there is a close resemblance between Amavata and Rheumatoid Arthritis, hence patient was treated methodically as per line of management of Amavata, by employing Langhana (alpa Bhojana) for 7 days,Valuka Swedana (Rruksha Sweda) for 7 days, classical Virechana karma, classical Basti Karma followed by oral administration of some Shamana Aushadhi as Rasnasaptak kashayam, Amritadi guggulu, Avartita Kshirabala oil (101). This treatment shows an excellent result as swelling, stiffness, pain were markedly reduced with improved range of movement of joints.

Keywords: Amavata, Rheumatoid Arthritis, Valuka Swedana, Virechana Karma, Basti Karma.