Rheumatoid Arthritis

Treatment in Ayurveda
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RA is an auto immune disease that results in chronic systemic inflammatory disorder that may affect many tissues and organs, but principally attacks flexible synovial joints.

Arthritis of joints involves inflammation of the synovial membrane. Joints become swollen, tender,& warm and stiffness limits their movement, with time multiple joints  are affected. Most commonly involved are small joints of the hand, feet and cervical spine but larger joints like the shoulder and knee can also be involved.Synovitis can lead to tethering of tissue with loss of movement and erosion of the joint surface causing deformity and loss of function.

Increased stiffness early in the morning is often a prominent feature of the disease.

As the pathology progresses the inflammatory activity leads to tendon tethering, erosion and destruction of the joint surface, which impairs range of movement and leads to deformity.

In Ayurveda the term “ AMA” denotes unripe, immature,& undigested.

According to vagbhata due to the hypo functioning of ushma(agni) the anna ras undergoes fermentation and putrification.the vitiated doshas along with ama causes Amavata.

Signs & symptoms

Vrishchik damsta vata vedana —  severe pain in joints similar to bite of a scorpian

Sanchara vedana   – shifting pain

Stambha – stiffness in joints

Jwara – raised temperature

Karmahani – loss of movements

Sandhi vikruthi  – joint deformity

Kshudamandya – loss of apetite

TREATMENT

Langhana(fasting) –complete absence of food or by giving preparation of mugda,yusha, laga manda ,peya kulutha.

Snehapana-various oils prepared with rasna ,dashamoola, guduchi etc.castor oil is considered as the best oil in amavata

Swedana-specially dry sweda.Dry fomentation using sand like substances,upanaha(local application) of nonunctous substances are very effective in  releiving the pain

Vasti—vaiutaran vasti,dashamoola kwatha vasti,erandamoolayapan vasti are useful in releiving the pain.

Pathya(Do’s)

Yava, kulutha ,raktashali.

Shigru,punarnava.

Karavellaka(bitter guard),ardraka(ginger)  rasona(garlic).

Hot water.

Yoga ,meditation.

Apathya(Dont’s)

Masha, sweets.

Fast food ,uncoked food,salty,spicy, oily food.

Fish ,milk, curd, jaggery.

Cold water.

Daytime sleeping,vegavadharana(stopping of natural urgers).

Exposure to cold climate.

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