Ayurvedic Management Of Amavata W.S.R. To Rheumatoid Arthritis – A Case Study

Amavata is one of the commonest disorder caused by the impairment of Agni. It develops due to the accumulation of Ama in association with aggravated Vata Dosha, which then localizes in the Shleshma sthana i.e. joints producing symptoms of Amavata, such as Sandhishool, Sandhishotha, Sandhigraha etc. Amavata can be correlated with so many inflammatory joint disease but due to similarities in clinical features it can be correlated with Rheumathoid Arthritis . Rheumatoid Arthritis is an autoimmune disease marked by symmetrical polyarthritis, joint deformity, and progressive disability. The management in Modern medical science primarily focuses on symptomatic relief and immune suppression, often associated with long-term adverse effects. This case study evaluates the effectiveness of Ayurvedic management in a diagnosed case of Amavata. A 58-year-old female patient approached to Rognidan OPD with a chief complaint of pain and morning stiffness in the multiple joints of both hands from one year, swelling in both hands and wrist joint from 3 months, intermittent low-grade fever from 3 months. After few days, pain got aggravated and found difficulty in the daily routine activity with severe stiffness. Blood investigation of the patient revealed that she was anaemic with HB – 9.4 gm/dl, had elevated ESR & CRP and positive RA factor. According to her symptoms, and the lab reports we diagnosed her as a patient of Aamvata(RA). Patient was advised Shamana Chikitsa with Tb. Rasnadi guggul, Tb. Sanjivani vati, Tb. Punarnava Mandoor, Tb. Muscalt forte(Aimil pharma) and Syp. Rasnasaptak Kwath as orally and Valuka Pottali Swed for external application. After treatment, marked improvement was observed in signs and symptoms and inflammatory markers. There was no side effect observed during and after treatment. Hence it is concluded that the given drug can be of great help in managing the cases of Rheumatoid Arthritis. Keywords: Amavata, Rheumatoid Arthritis, Ama, Vata, Shaman chikitsa