A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF VIRECHANA KARMA WITH TRIVRUT LEHYA AND TRIVRUT KWATHA BHAVITA TRIVRUT CHURNA IN THE MANAGEMENT OF AMAVATA VIS-À-VIS RHEUMATOID ARTHRITIS

Background Amavata is characterized by the accumulation of Ama and vitiation of Vata dosha, with involvement of Agni and other doshas in association with Pitta and Kapha. The clinical presentation of Amavata includes symptoms like Angamarda, Aruchi, Jwara, Gaurava and Sandhi shotha, resembling the clinical features of Rheumatoid Arthritis. Among various Ayurvedic modalities, Virechana is known for its efficacy in eliminating Pitta, Ama and enhancing Agni, thereby breaking the pathogenesis of Amavata. Trivrit a potent purgative, is widely used in Virechana karma for its Ama pachana and Dosha-shodhana properties. Aim: To compare the efficacy of Virechana Karma with Trivrut Lehya followed by Ushna Jala as Anupana & Trivrut Kwatha Bhavita Trivrut Churna followed by Kanji as Anupana in Amavata. Methodology: The study was a comparative clinical study with pre and post-test design involving 2 groups with 20 subjects in each group. Results: Statistically significant improvement was observed in both subjective and objective parameters after intervention. Group B shown more significant results than group A, Trivrut kwatha bhavita Trivrut Churna helps to attain more number of Vegas and Samyak virikta Laxanas than Trivrut lehya. Conclusion: Based on the result it can be concluded that, Trivrut kwatha bahvita Trivrut churna with Kanji Anupana is more effective than Trivrut Lehya with Ushnajala Anupana for Virechana in Amavata.