Amavata- means accumulation of Ama (apakwa rasa) in joints leads to the disease called as Amavata.

This is very painful condition of arthritis.

Ama- Viated dosha causes agnimandya (sluggish diagestion).Due to agnimandya the diagestive juice which was formed was Apakwa (unproperly diagested/immature). This apakwa rasa goes through the circulation in all over tissue and body organs. As it is immature tissue can take it but can not metabolise it .Therefore it remains as it is in cell.This Ama was sticky in nature.It blocked the all small channels in the body due to this body cells and tissues  do not get proper nutrition. And this leads to the multiple damage of organs and tissues.

Causes-

Viruddha ahar sevan

Ati guru ahar sevan-Heavy food

Atibhojan/Ajirnashana- Intake of food in very much quantity or intake of food befor its diagestion

Mandagni-sluggish diagestion

Avyayama-Lack of exersice

Nischala-sedentory life style

Snigdha,madhur bhojanam-intake of oily food and sweet things

Diwaswap-Day sleeping

Intake of fermented food

 

Pathogenesis-

Due to all mentioned causes ama is formed in body.The viated Vata pushes this ama to all over the body through blood circulation.This viated vata pushes this ama mainly in to the shleshma sthana(kapha Pradesh) i.e in joints and muscles.This viated vata and kapha was combined with morbid pitta which cause the further corrosing of ama .This corrosive ama destroys any tissue and organs with which it comes in to contact.

 

Pre dormal Signs And Symptoms(Purvaroopa)

  • Angamarda-Fatigue
  • Aruchi-tastelessness,lack of appetite
  • Trishna-excessive thirst
  • Aalasya-loss of energy,lethargy
  • Jwar-fever
  • Gaurava-body heaviness
  • Shunyata-swelling over joints
  • Muscle and joint aches

Main Signs and symptoms-

Saruja shopha-Painful swelling over the all joints

Vrishikadanshavata vedana-Pricking sensation injoints

Praseka-excessive salivation

Aruchi

Gourav

Utsaha hani-lack of enthusiasm

Daaha-burning sensation in joints

Bahumutrata-increased frequency of urine

Shool-pain in all over body

Kukshi kathinya—Hardness of abdomen

Bhrama-giddiness

Murchha-Faintaing

Anaha-Flatulence

  • Stiffness of joints, especially during morning hours (morning stiffness)

Also, during flares joints becomes warm, red and swollen. The small joints of both hands and wrists are usually involved.

Tests-

Blood tests-ESR

RA Factor

X-ray of Joint

Management Of RA With Ayurveda

Modern science has no known cure for rheumatoid arthritis. The role of treatment in RA is to reduce joint inflammation and pain, maximize joint function and prevent joint destruction and deformity.

Physical therapy has no curative effect for arthritis nor does it alter the course of the disease process. The objectives of physical therapy are analgesia, maintenance of normal ranges of motion in involved joints, maintenance of normal power in muscles involved, protection of joints against additional trauma that might result in further structural deterioration / deformity.

Amavata: The Ayurvedic Correlation To Rheumatoid Arthritis

In Ayurveda, the clinical correlation of RA is Amavata. The following line of treatment is explained in the classical Ayurvedic texts for Amavata.

  1. Langhana (Fasting)
  2. Shodhana chikitsa (purification of the body)-Done by Panchkarma
  3. Shamana chikitsa (treatment to reduce symptoms)-Done with Using medicines

 

 

Panchakarma-

Swedan-By valuka pottali,or patrapottali

  1. Virechana-purgation by medicines like shunthi siddha eranda tail,abhayadi modaka
  2. Vasti-Medicated oil’s enema

Generally vaitaran basti or kshar basti or dashmula eranda basti is used in Amavata

  1. Dhanyamla dhara
  2. Upnaha-Poultices
  3. Lepanam-Application of medicated paste on affected part
  4. Raktamokshana-Jalukavacharana- withdrawl of blood with the help of Leech

Shaman-

Tikta ,katu dravya sevan-deepaniya dravyasevan-which promotes the diagestion

Mdicines like

Sunthyadi kwath

Pippalyadi kwath

Guduchyadi kwath

Eranda tail

Panchkola churna

Sihnaad guggul

Triphala guggul

Amrutadi guggul

Maharasnadi guggula

Mahayograj guggul

Rasnaerandadi kashayam

Amritarishtham

Amavatari Rasa

 

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RA Diet And Lifestyle Regimen

  • Avoid curd, fish, milk, urad dal and jaggery
  • Exposure to cold and clumsy weather should be avoided
  • Fermented products should be avoided
  • Avoid use of curd
  • Consume horse gram, ginger, bitter gourd and drumsticks
  • Intake of garlic is advised
  • Avoid day time sleep
  • Evacuate bowels regularly
  • Always use warm water to drink and for taking a bath
  • Reduce stress by practicing yoga and meditation
  • Weight should be controlled, avoid a high fat diet
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