Panchakarma in the management of Amavata - A Case Report
Abstract
Amavata is a condition in which Vata associated with Ama gets aggravated and localizes in Sandhis producing pain, stiffness and swelling in joints. In modern parlance, it simulates to rheumatoid arthritis. It is a most common inflammatory condition affecting approximately 1% of the population. In present case study, A 50-year-old female patient diagnosed as Amavata based on subjective parameter, investigations and the etiopathogenesis was taken. Treatment was given for 12 days which included Panchakarma procedures like Udwartana, Parisheka, combination of Vaitara Basti and Dashamoola Kashaya Basti in the pattern of modified Yoga Basti and Valuka Sweda followed by Shamana Aushada for 10 days. After the treatment, marked improvement was seen. Pain, swelling and stiffness were remarkedly reduced. Range of movements was improved. Appetite got improved and constipation was relieved.
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References
Pote AR, Dipankar DG. Ayurvedic management of Amavata—a case report. Int J Ayurvedic Med. 2022;13(1):181-4.
Madhavakara. Madhava Nidana, Part 1. In: Vijaya Rakshitha, Srikanta Datta, editors. Madhukosha Vyakhya, Vidyotini Tika by Sudarshana Shasthri. Varanasi: Chaukambha Sanskrit Bhavan; 2004. p. 511.
Shukla A, Wasnik K, Yadava RK. Successful management and withdrawal of conventional medicine in Amavata patient (seropositive rheumatoid arthritis) with an Ayurvedic intervention—a case report. J Ayu Int Med Sci. 2022;7(8):162-70.
Kagade S. An Ayurvedic literature review on Amavata w.s.r. to arthritis. IJ-RIM [Internet]. 2023 Oct 9 [cited 2024 Mar 18];7(4). Available from: [URL]
Bhattarai A, Kumawot G, Mangal G. Intervention of Amavata (rheumatoid arthritis) through multimodal Ayurveda approach—a case study. Int J Health Sci Res. 2018 Jan 1;8(12):201-5.
Sharma PV. Cakradatta of Cakrapani, English translation, Chapter 25, Amavatachikitsa. 2nd ed. Varanasi: Chaukhamba Sanskrit Sansthan; 1998. p. 227.
Sharma AP. Sushruta Samhita, Chikitsasthana; Anagata Badha Pratisedha Adhyaya. Chapter 24, Verse 51-56. 2nd ed. Varanasi: Chaukamba Surabharti Prakashan; [year].
Trikamji J. Charaka Samhita of Agnivesha, Sutrasthana; Sweda Adhyaya. Chapter 14, Verse 44. 1st ed. Varanasi: Chowkambha Prakashan; 2013.
Patra DS, Dash DDP. A literary review on Dhanyamla Dhara. World J Pharm Res. 2022 Jul 6;11(10):405-8.
Makodiya AV, Sharma A, Shukla RB, Ramani H. Effect of Dashamooladi Basti in the short-term management of Amavata w.s.r. to rheumatoid arthritis. Int Res J Ayurveda Yoga. 2022;5(1):60-9.
Saraf S, Nagpal S, Meshram R, Shivhare S. Ayurvedic management of rheumatoid arthritis—a case study. World J Pharm Med Res. 2023 Jul 6;9(10):235-8.
Vagbhata. Arunadatta, Hemadri. Astanga Hridaya. Basti Vidhi Adhyaya. 10th ed. Varanasi: Chaukhambha Orientalia; 2011. Vol. 1. p. 286.
Mukherjee A. Efficacy of Vaitarana Basti with respect to Ayurveda. J Drug Deliv Ther. 2018 Dec 15;8(6-s):246-50.
Kaushik J, Kumar A, Yadav P. Role of Vaitarana Basti in the management of Amavata w.s.r. to rheumatoid arthritis—a case study. Int Res J Ayurveda Yoga. 2021 Dec;4(12):67-73.
Makodiya AV, Sharma A, Shukla RB, Ramani H. Effect of Dashamooladi Basti in the short-term management of Amavata w.s.r. to rheumatoid arthritis. Int Res J Ayurveda Yoga. 2022;5(1):60-9.
Kumar T, Thakar A. Kottamchukkadi Taila—a theoretical analysis. World J Pharm Res. 2018 Jul 6;7(9):1967-74.
Nagar M, Kumar MA, Shailesh, Vinitha, Ba L. Pinda Sweda and its possible modification—a critical review. Int J Res Ayurveda Pharm. 2017 Dec 16;8(6):31-4.
Kumar S, et al. Conceptual study of Amrita Guggulu. Int Ayurvedic Med J. 2022.
