Role of Basti Karma (Kala Basti Erandmuladi Niruha Basti + Saindhavadi Anuvasan Basti) in Amavata - A Case Study

Abstract

Background - Amavata is one of the commonest disorder of joints caused by impairment of Agni (digestive fire), formation of Ama and vitiation of Vata Dosha. The Ama is carried out by the aggravated Vata and deposited in Sleshmasthanas producing features like Angamarda (body ache), Aruchi (loss of appetite), Sandhiruk (joint pain), Sandhisopha (joint swelling). It is closely correlated with RA according to clinical features. Method - Female patient IPD No 2022718 of age 45years admitted in IPD diagnosed as RA. Patient was treated with Shodhana and Shamana drugs. Singnada Guggul 500mg twice a day, Panchkola Phanta 20 ml twice a day, Ajmodhadi Churna + Godanti Bhasma (twice a day) for 1 month and Baluka Sweda (HS), Sarvang Patra Pinda Sweda and Kala Basti plan (Erandmuladi Niruha Basti + Saindhavadi Anuvasan Basti). Result - Patient got relief in pain, swelling & morning stiffness (assessed by CCRAS criteria) and also shows serological changes. Conclusion: Amavata is a complicated disease, the purpose of treatment in Amavata to minimize ama through its metabolism and to normalise the two vitiated Vata and Kapha Dosha. Erand Taila have properties like anti-inflammatory, anti-rhematic, laxative, analgesic are the major remedial attributes. Singnada have Vata & Kaphahara properties and Guggul having Kaphahara, Vedanahara, Shophahara properties.