Rheumatoid Arthritis

RHEUMATOID ARTHRITIS is now-a-days a commonest disorder occurring due to changes in the lifestyle. On 
the basis of sign and symptoms, it can be correlated with Amavata described in Ayurveda.Amavata is one of the commonest disorders caused by the impairment of agni, formation of ama and vitiation of vata.As in Ayurveda, treatment is aimed towards complete cure from disease leading to reversal to healthy state and not merely the absence of symptoms, it has best answers to many diseases where modern medical science fails togive results. Amavata can be a best example. Ayurvedic treatment of Amavataleads to break in pathogenesis of the disease and hence provides complete cure. The treatment is safer, cost effective and traditionally proven. The case described in this article cannot prove it concretely as there’s no large data, but it can be helpful to show path towards the Ayurvedic management of 
Rheumatoid Arthritis.

SAMPRAPTI GHATAKA
Dosha: Tridosha (Vata dominated) 
Vyaktisthana: Sandhi
Dushya: Ras, Mamsa, Asthi, Majja. 
Rogamarga: Madhyama
Adhisthana: Sandhi, hridaya 
VyadhiAvastha: Jeerna
Samuthana: Ama-Pakvashya 
Agni: Manda
Srotas: Rasvaha, annavahaAsthivaha, 
Majjavaha, Udakavaha, Mutravaha, Purishavaha.


TREATMENT 
In Ayurveda, Rheumatoid Arthritis can be taken parallel to Amavata. Hence following Amavata Chikitsa Sutra, Deepana, Pachana, and snehana was done. After this, for apunarbhav, bringhan chikitsa should be done.
Following treatment :
-Simhanada guggulu 2 tablets (500 mg) twice a day
-ShunthiKwatha (20ml) with ErandaTaila (5ml) in morning on empty stomach.
After completion of 2 months’ therapy,
-Ashwagandha churna 2gm + Bala churna 2 gm BD for 1 month
DISCUSSION
Ama and vata are the important components in the pathogenesis of Amavata. As no disease occurs without impairment of agni ,the important issue in chikitsa is deepana and Amapachana. Deepana Pachana: As described in Amavata Chikitsa, at the start of the therapy. Deepana-Pachana was done using Eranda Taila and Shunthi Kwatha . Eranda Taila is described to be best for the treatment of Amavata , It is Katu, Ushna and Vataghna Due to its Sukshma Guna, it reaches Sandhi and breaks Doshasanghata. Shunthi is Deepana, Vibandhahara . Also due to its Pachana action, it helps in Aamapachana. Thus is helpful in Samprapti Vighatana.
Simhanada Guggulu: As a whole the qualities of drugs in Simhanada Guggulu can be considered as laghu, ruksha, ushna, tikshna 


Majority of the drugs are having vata-kaphashamaka action. Owing to this property, antagonism to kapha and ama it brings significant improvement in sign and symptom of disease.Apunarbhava and Balya Chikitsa: The disease was chronic one. The diseased state of patient leads to weakness of body and mind. Also,due to prolonged Agnimandya and Ama, Poshana gets disturbed. Thus to counteract all these problems and gain the patients bala, he was given Balya Chikitsa. As patient gains bala and the drugs are Rasayana, Rheumatoid Arthritisthere is no chance of recurrence, hence it is called as Apunarbhava Chikitsa. The drug used is Balya, Bringhana and Rasayana


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