Ayurvedic Management Of Rheumatoid Arthritis
This disease is manifested by recurrent inflammation of joints. It is characterised by painful swelling of the joints of the body, which restricts the movements of patients. In chronic cases, the disease may cause deformity and total incapacitation.
Ayurveda has put forth a unique approach of its etiology assigning crucial role for the gastro-intestinal dysfunction. The treatment is also accordingly designed. The number of herbal, herbo-mineral drugs and Panchakarma therapies has been successfully evaluated in the management of this disease under the various centers of the Council. Outcome of some of the important observations are discussed hereunder:
Clinical Studies
i) Shunthi Guggulu
A combination of equal parts of powder of dry rhizomes ginger (Zingiber officinale) and gum resin of Guggulu (Commiphora Wightii), has been given internally in the dose of 2 gm. three times a day. Dry fomentation with warm bag (Valuka Sveda) was applied on the affected parts.
The observations made of 497 patients showed that about 2/3rd patients (67%) have shown very good effect under a course of 6-week treatment. The in general functional capability and improvement in general condition of the patients was noticed.
ii) Mahayograja Guggulu
etc.- A combination of 3 drugs Mahayograja guggulu 1 gm. three time a day with warm water, Vaishwanarchurna 3gm. twice daily after meal and Simhanada guggulu ½ gm. at bed time has been studied on 518 patients. Local fomentation was also given.
The results indicate that about 60% (59.12%) of the patients have shown definite improvement in their clinical symptoms.
iii) Aswagandha (Witania somnifera Dunal.) churna:
A combination of Ashwagandha churna 3 gms. Thrice a day and Erandataila 15 ml. at bedtime has been administered. The dry fomentation (Valuka Sveda) has also been given for the total duration of 6 weeks. 57% of the patients have shown improvement.
iv) Vachadighana-Haridradighana:
The 2 groups of medicines mentioned in Sushruta Samhita have been administered in the dose of 3 gm. three times a day with warm water in two separate groups of the patients. Vettumaran Gutika 1 tablet three times a day was given internally. The external application of the dry fomentation (Valuka Sveda) was given. The results indicate positive efficacy in about 80% of patients.
Conclusion
The outcome of these studies indicates that the patients of Rheumatoid arthritis could be managed successfully with Ayurvedic therapies. It is also noted that the effects on these patients are lasting and relapse is rarely observed. One of the therapies, Shunthi-Guggulu is under process of commercialisation.
source http://ccras.nic.in/Research_Actvities/20081015_rhe_arthrt.htm
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| Id.No.2925 | |
| A CLINICAL STUDY ON AYURVEDIC PRINCIPLE OF MANAGEMENT OF RHEUMATOID ARTHRITIS | |
| * D. K. Parida ** * M. S. Baghel *** V. D. Shukla | |
| Institute for Post Graduate Teaching & Research in Ayurveda, Gujarat Ayurved University, Jamnagar | |
| Abstract: Amavata is a very distressing disease among joints disease. It occurs throughout the world in all climates and ethnic groups. Treatment provides symptomatic relief but the underlined pathogenesis is unchecked due to absence of effective drugs. There is no curative treatment found till today. Various mode of treatment modalities are being used in Ayurveda for the management of RA, like Swedana, Virechana, Basti, and internal medicines. Chakradutta has mentioned a complete line of treatment for the management of Amavata. In this study 85 patients were randomly selected in two groups as “A” & “B”. Group A was provided Kaishore guggul and Group B provided with fully ayurvedic principles described by Chakradutta in Amavata context. It is revealed that group B had promising results. | |
| Key words: Tridosha, Amavata, Langhana, Deepan, Pachana, Snehapana, Virechana, Ksharabasti, Rheumatoid Arthritis. | |
| * Lecturer, B.S. Ayurveda College, Sawantwadi, Sindhu durga ** Director, I. P. G. T. & R. A. *** Professor & H.O.D., Deptt. of Panchakarma |
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| Id.No.2732 | |
| THE ROLE OF AMRITA BHALLATAKA AVALEHA AND VIRECHANA KARMA IN THE MANAGEMENT OF AMAVATA | |
| * Priti Sharma ** M. S. Baghel | |
| Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar | |
| Abstract: Ayurveda has taken the foremost place in the management of crippling discase. Amavata is one of them. From the modern point of view, this disease looks similar to Rheumatoid arthritis in its clinical appearance. In the whole world rheumatic disease are commonest cause of physical impairment in society. The lives of more than one million people are physically impaired by rheumatic disorders and fifth of these are severely disabled. Due to its wide prevalence chronicity, morbidity, crippling nature and lack of effective drugs attract to look for suitable remedy of the disease Amavata. Bhallataka and Guduchi are the Rasayana drugs, so in general they improve the qualities of body element thereby curing the disease as well as maintaining the healthy state of the body. But, there were many side effects noted in previous research works on Bhallataka. So to search for better form or acceptable form of Bhallataka as well as to use combination of two Rasayana drugs, for the present study as Shamana therapy Amritabhallataka has been chosen. Which is mentioned in Bhavaprakash Madhyama Khanda 54/75-82. Virechana is mentioned in Chakradutta Chikitsa Sutra and many work with Virechana Karma on Amavata have been successfully carried out. So in this study Virechana has been conducted. Total 35 patients of Amavata were treated. These patients were randomly distributed into two treatment groups. Amritabhallataka without Virechana (14 patients) and Amrita Bhallataka with Virechana (11 patients) were taken. Out of above said group. The improvement was statistically highly significant in both the groups, but comparatively Shodhana group (group B) had better relief than Shamana group (group A) Amrita Bhallataka Avaleha was well tolerated by most of the patients (31), very minor side effects observed in few (4) patients. | |
| Key words:Amavata, Amrita Bhallataka Avaleha, Shodhan, Rheumatoid arthritis | |
| * M.D. (Ayu) – Kayachikitsa ** Director- I.P.G.T.& R.A. |
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| Id.No.2938 | |
| A COMPARATIVE CLINICAL STUDY OF NIRGUNDI GHANA VATI AND MATRA BASTI ON AMAVATA
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| *Raja Ram Mahto **Alankruta R. Dave ***V. D. Shukla | |
| Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar | |
| Abstract: Àmavata is seen most commonly in the patients due to their changing dietetic habits, social structure, environment and mental stress and strain. It is one of the commonest diseases among the crippling disorders caused due to the impairment of Agni. ‘Àma’ , which is manifested due to the derangement of Agni, gets lodged in Kapha-Sthanas with the help of vitiated Vyana Vayu producing stiffness, swelling, tenderness in the joints, making the person lame. Derangement of Kapha Dosha especially Shleshaka Kapha in Àmavata producing joint pains and swelling with tenderness can be co-related with Rheumatoid Arthritis. The management of this disease is merely insufficient in other systems of medicine and patients are continuously looking with a hope towards Ayurveda to overcome this challenge. So, in the present study total 39 patients were registered and were randomly divided into two groups. In group A- Nirgundi Ghana Vati, 2 Vati twice/day was given for 30 days, while in group B- Matra Basti once a day in the format of 3 days interval after every 7 days of total 21 days course followed by Nirgundi Ganavati for 30 days. The Nidana, signs & symptoms, course of the disease were observed carefully to get idea about the Samprapti of the disease. The effects of therapy in both groups were assessed by a specially prepared proforma. The result of the study shows that Matra Basti group provided better relief as compared to Shamana group in the management of the disease. | |
| Key words: Àmavata, Rheumatoid Arthritis, Agni, Àma, Nirgundi Ghana Vati, Matra Basti | |
| * Ph.D scholar, Dept. of Kayachikitsa, E – mail:mahtorajaram@yahoo.com ** Lecturer (Sr. Scale), Dept. of Kayachikitsa ***Professor & H.O.D.- Panchakarma
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