Arthritis
The treatments for Rheumatoid Arthritis in Allopathy includes disease modifying anti rheumatic drugs (DMARDs). Prolonged use of these medications causes progressive liver damage leading to Cirrhosis, Toxicity and Retinal damage etc.
Ayurveda provides root cause management and preventing recurrence of this disease condition.
Patient Name: Mrs. SA
Age/ Sex: 48 yrs/ Female
Presenting complaints:
- Severe pain and stiffness of b/l finger joints
H/O Presenting complaints:
A 48 years old female, not a k/c/o DM or HTN visited to our OPD with c/o severe pain, tenderness and stiffness of joints of b/l fingers since 4 years. Stiffness was more at morning ours and decreases towards the day progress. On examination, tenderness ++ over metacarpo phalangeal and proximal inter phalangeal joints of b/l hands. Warmth on touch, ROM restricted and painful. Her appetite was very poor. Pain was so severe sometimes. She was consulted Allopathic hospital 2 years before and they prescribed Methotrexate daily. Medicine was continued for many months and stopped. Then the symptoms got aggravated and she again started taking methotrexate. She was consulted here on last year and admitted for 28 days IP treatment
Vital Parameters:
BP: 120/80mm of hg Pulse: 72/min
Height: 160cm Weight:65 Kg
Ahara: Mixed diet
Vihara: No exercises
Appetite: Poor
Micturition: Normal
Bowel: Normal
Sleep: Good
General Systemic examination:
Gait: Normal GC: Normal CVS:S1S2 heard
CNS: Oriented to place and time
RS: NVBS heard PA: Soft, No organomegaly
Investigations:
RA factor: Negative
CRP: Positive
ESR: 40mm/hr
Dasavidha Pariksha:
Prakruthi: Pitha Vata
Vikrutha Dosha: Kapha Vata
Dushya: Rasa, Rakta, Asti
Sara: Mamsasara
Samhanana: Madhyama
Satva: Madhyama
Aharasakthi: Abhyavaharanasakthi- Avara
Jaranasakthi- Avara
Vyayamasakthi: Madhyama
Vaya: Madhya
Pramana: Madhyama
Ashtavidha Pariksha:
Nadi: Sama
Mala: Nirama
Mutra: Sadharana
Jihwa: Alipta
Sabda: Sadharana
Sparsha: Anushnasita
Drik: Sadharana
Akruthi: Sama
Nidana Panchaka:
Nidana: Ahara – Snigdha, Sita, Ruksha pradhana aharas
Vihara – Avyayama
Purvarupa: Stiffness of fingers
Rupa: Pain and stiffness of finger joints
Upasaya- Hot water bath
Anupasaya- Exposure to cold water
Samprapthi Gataka:
Dosha: Kapha Vata
Dushya:Rasa, Rakta, Asti
Agni: Jataragni, Dhatwagni
Ama: Sama
Srotas: Rasavaha, Raktavaha, Astivaha
Srotodushtiprakara: Sanga, Vimargagamana
Sadhyasadhyata: Krichrasadhya
Diagnosis: Amavata (Rheumatoid Arthritis)
Treatments given:
The treatments includes Langhana, Dipana, Amapachana, Srotoshodhana and Doshanirharana.
Day 1 to Day 9
Snehapana for 5 days
Abhyanga and Bashpasweda for 3 days
Virechana
Day 10 to Day 28
Kashayadhara
Rookshasweda
Lepana
Vasti
Shamanoushadhas
Langhana diet
Outcome scales after 28 days of treatment:
Symptoms | Before treatment | After treatment |
Pain in joints | 8 (VAS) | 2 (VAS) |
Stiffness of joints | High | Low |
CRP | Positive | Negative |
RA factor | Negative | Negative |
ESR | 40mm/hr | 16mm/hr |
Appetite | Mandagni | Samagni |
After completing 28 days IPT, she has got tremendous improvement from the symptoms. She had stopped taking Methotrexate. Her appetite became normal. Quality of life also improved. She has followed proper dietary regimen and medications for almost 3 months with regular follow ups. All symptoms were subsided.
Rheumatoid Arthritis (Amavata) can be effectively and safely treated by classical Ayurveda Panchakarma treatments with proper internal medications and diet.
