EVALUATION OF VIRECHANA KARMA IN AMAVATA – A CASE REPORT

Rheumatoid arthritis has become a leading cause of disability. It is an autoimmune inflammatory disorder that primarily affects joints. RA usually involves peripheral joints in a systemic distribution, where synovial membrane becomes inflamed. As the disease progress the inflamed synovium invades and damages the cartilage and bone of the joint. According to ayurvedic literature, it can be correlated to Amavata the pathology of Amavata starts with long term incidence of Mandagni in body which leads to the formation of Ama. This Ama gets mixed with vitiated Vata and enters the joints leading to the stiffness of the joints, such condition is known as Amavata. Treatment involves Langhana, Deepana pachana with tikta katu rasa, Virechana and niruha basti I,e kshara basti is indicated. In the present case study, A 40year female patient from Hubballi, came with complaints of multiple joint pain since 6- 7 years. Morning stiffness which lasts for half an hour, Swelling of joints and fever. Patient was treated with Amapachana with Arogyavardhini Vati, Ghandharvahastadi Eranda Taila, Snehapana with Mahatiktaka Ghrita in Arohana Krama followed by Virechana Karma with Trivirt Lehya and Samsarjana Krama. Patient complaints were remarkably reduced, and there were significant changes in subjective parameters after the treatment.