AYURVEDIC MANAGEMENT OF JUVENILE RHEUMATOID ARTHRITIS (JRA) – A CASE STUDY

The journey of children from total dependence to full independence, but chronic diseases such as arthritis makes dependence and burden to the family, juvenile rheumatoid arthritis (JRA) is one among them.Which is characterised by synovitis of peripheral joints manifesting in soft tissue persists at least 6 weeks with the onset before 16 years of age.And causes progressive physical disability and psychological trauma as well.With a clinical features like morning stiffness, easy fatigability, Joint pain, swelling, tenderness, warm, resists full range of movement, poor sleep quality.Present case is 6 year old girl suffering with multiple joints of both upper and lower limb pain, swelling, tenderness, warmth since 2 years, with difficulty in walking, constipation(vibhanda), indigestion(avipaka), disturbed sleep (nidra hani).With these symptoms diagnosed it as a disease amavata.And she received both shamana followed by shodhana chikitsa.After the treatment follow up there is increased quality of life in view of reduced pain, swelling, tenderness, warmth, improved agnibala, sleep quality, relived from constipation, increased quality of life, most important one is free from steroids.Even though