MANAGEMENT OF AMAVATA (RHEUMATOID ARTHRITIS) THROUGHMULTIMODAL AYURVEDIC APPROACH: A TRUE STORY OF LONG-TERMRECOVERY

Amavata is one of the most common diseases caused by the impairment of Agni (digestive fire) formation of Ama and vitiation of Vatadosha. Acharya chakradatta mentioned langhana, swedana and use of drugs having tikta, katu rasa and deepana properties, Snehapana, and Virechanakarma, which are free from side effects. Rheumatoid Arthritis is an autoimmune disease causing chronic symmetrical polyarthritis with systemic involvement of unknown. Although there are a variety of systemic manifestations, the characteristic feature of RA is persistent inflammatory synovitis, usually involving peripheral joints, which is a symmetric distribution. The potential of synovial inflammation to cause cartilage destruction, bone erosion, and joint deformities is the hallmark of the RA. The treatments are advised in modern medicine, whereas anti-inflammatories, analgesics, steroids, disease-modifying antirheumatic drugs, immunosuppression therapies, and long-term use lead to many side effects. A 50year's old female was suffering from multiple joints pain with swelling, severe morning stiffness, restricted movements, malaise, and mandagni (poor appetite) for the past 5½ year, Considering the signs and symptoms, patient was treated on the line of Aamavata. The administration of Trivrut Avaleha did Langhana, Deepana-Pachana, Ruksha Swedana, Snehapana, and Virechana karma were done along with oral drugs for 30 days. Before starting the treatment, the grading was done based on subjective criteria, and after treatment, the grade was reduced. This case was successfully treated. Marked improvement was observed in signs and symptoms after treatment. No side effects were observed during or after the treatment.