A clinical evaluation of Churna Pinda Sweda, Churna Vasti and Shamana Aushadhi in the management of Amavata (Rheumatoid Arthritis) - Two Case Reports

Abstract

Amavata is a disease in which vitiation of Vayu Dosha and accumulation of Ama (undigested food) takes place in multiple joints (Sandhi). Vitiated Vayu Dosha circulates the Ama all over the body through Dhamanies, take accumulated in the Shleshma Sthana (Amashaya, Trika, Sandhi etc), producing many symptoms like body ache, indigestion, stiffness, swelling and tenderness in small and big joints with deformities making a person horrible life style. The symptoms of Amavata are more or less mimics with Rheumatoid Arthritis which is an inflammatory autoimmune disorder, guarded prognosis due to reduced life span with increase mortality rate mainly due to cardiovascular and other systemic complications. Various treatment modalities are advised in Ayurveda which are said to be root eliminating therapies or sometime Rasayana therapy. Whereas anti-inflammatory, analgesics, steroids and disease modifying antirheumatic drugs are required for its management as per modern medicine which are not free from side effects. Churna Pinda Sweda, Churna Vasti and Shamana Aushadhi are a complete treatment package which may correct the underlying pathology of the disease. Hence, in the present clinical study 2 patients were selected and kept on the advice treatment regimen Churna Pinda Sweda, Churna Vasti along with Shamana Aushadhi (Agnitundi Vati, Ajamodadi Churna and Ashtavarga Kashayam).