A MULTIMODAL INTERVENTION IN AMAVATA (RHEUMATOID ARTHRITIS): A CASE STUDY

Abstract

Amavata is a chronic disorder that has both skeletal and extra skeletal manifestations. The chief pathogenic constituents are Ama and Vata which simultaneously affect the joints and causes stiffness of the body. Based on the clinical presentation, RA (Rheumatoid arthritis) shows more resemblance with Amavata. The condition is managed by DMARDs (Disease Modifying Anti-rheumatic drugs) and corticosteroids, but still remains a challenging problem to the medical field as it doesn't completely eradicate the disease. Ayurveda has given a detailed description regarding the management of Amavata which includes Langhana (procedures like fasting, drying etc.) ,Swedana(sudation), Deepana(appetizing) with Tikta -Katu rasa (astringent-pungent), Virechana (therapeutic purgation) etc. After analysing the treatment principle of Amavata, by Acarya (preceptor) Cakradatta, a combined intervention of Langhana, Swedana, Deepana and Virechana was undertaken. We hereby present a case report with regards to a patient who has been successfully treated for one month with follow up for another one month. The combined interventions included internal medications with Rasnasaptaka kashaya and Dasamoola haritaki avaleha, externally with Valuka sweda (Sudation with heated sand pack) & Patrapotali sweda (sudation with pack of medicated leaves) and Virechana with Moorchita (processed form) eranda taila. Internal medications were continued for another 15 days. Subjective and Objective assessment criteria including Visual Analogue Scale (VAS) for pain and ARA (American Rheumatoid Association) criteria for diagnosing Rheumatoid Arthritis were assessed before and after trial for the efficacy of treatment. Substantial clinical improvement in the symptoms was reported after two months of Ayurvedic treatment protocol thus improving the quality of life.