A LITERATURE REVIEW ON AMAVATA WITH SPECIAL REFRENCE TO RHEUMATOID ARTHRITIS

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Date of Acceptance : 21 Dec 2023

Date of Publication : 31 Dec 2023

Article ID : SD-IJAY_046

How to cite this article : http://doi.org/10.55552/SDNJAY.2023.1209

Abstract

According to Ayurveda, Agni performs a first-rate position in preserving the equilibrium of the body, the impairment of which ends up withinside the formation of Ama.So, any factors either dietary, environmental or psychological which causes impairment of Agni become responsible for the formation of Ama also. The Ama is a causative factor for many diseases including Amavata. It is disease of Rasavaha strotasa. Amavata can be correlated to Rheumatoid Arthritis based on the similarities in clinical manifestation. Rheumatoid Arthritis is the most commonly diagnosed systemic inflammatory arthritis occurring throughout the world with a prevalence rate approximately 0.8% worldwide. In Indian sub-continent it is 0.5-0.75%. The incidence of Rheumatoid Arthritis increases between 25 and 55 years with a female to male ratio 3:1. In allopathy are suggested NSAIDS, steroids and DMARD, which offers the symptomatic relief, however those has more side effect. Ayurvedic management of Amavata comprises of Langhana, Swedana, and use of katu, tikta dravya, Deepana, Virechana, Snehapana and Basti, giving prior importance to the causative factor Ama. In Madhav Nidan, the first specified description of Amavata is given, so the existing study offers with systemic assessment of Amavata with special reference to Rheumatoid Arthritis from all the classics of Ayurveda and its management.

Keywords: Amavata, Ama, Langhan, Swedana, Agni, Rheumatoid Arthritis.

Introduction

 According to Ayurveda, Agni performs a main position in preserving the equilibrium of the body, the impairment of which ends withinside the formation of Ama.So many factors like dietary, environmental, or psychological which causes impairment of Agni which is responsible for the formation of Ama also. Amavata is caused when the Ama with help of Vata moves quickly and get lodged in Dhamanis and in Kaphosthanas, especially Sandhi’s. The disorder Amavata is first defined via way of means of Acharya Madhavkara has really referred to the Roopas of Amavata in Madhav Nidana. The Pratyatma Laksana are Gatrastabdhata, Sandhishula, Sandhishoth, Sparshasahyata and Samanya Laksana are Angamarda, Aruchi, Trishna, Alasya, Gaurav, Jwara, Apaka, Angasunnata. In cutting-edge RA is a long-time period autoimmune sickness that's specifically impacts joints. Its results warm, swollen, and painful joints. Pain and stiffness frequently worsen following rest .Most commonly, the wrist and hands are involved, with the same joints typically involved on each sides of the body. The sickness might also additionally moreover additionally affect different components of the body. This also can bring about a low pink blood corpuscles count, infection across the lungs, and infection across the heart. Fever and coffee strength can also be present. Amavata defined in Ayurvedic classics is like Rheumatoid Arthritis in diverse means.

 In 1591 Guillaume Baillou, the French medical doctor wrote first e-e book on Arthritis named Rheumatism‟ to describe a circumstance characterized through inflammation, soreness, stiffness withinside the muscles & ache in & across the joints.

In 1859, sir, Alfred Garrod, the London physician, cash the medical term “Rheumatoid Arthritis” & the first reference is made in scientific literature. The onset is greater often in the course of 4th & fifth many years of lifestyles with 80% of sufferers growing sickness among the age of 30-forty years. Women are greater affected than men. Studies recommend that genetics & environmental effects are crucial withinside the susceptibility to R.A. In cutting-edge remedy play a crucial position in overcoming ache of pain, restrained movement & incapacity because of the disease. Simultaneously prolonged use of allopathic medicines is not only giving rise to many facet effects, poisonous symptoms & destructive reactions even inclusive of many natural impairments.

Discussion

The meaning of Ama undigested food which stays inside our body and cause many diseases. It is the basis reason of almost all diseases. It produced specifically due to Mandagni. Amavata intently resemble with rheumatoid arthritis in step with their signal and symptoms. The remedy purpose for illnesses is to hold the Agni of the affected person and relieves the ache and swelling in joint. So, in remedy first Langhana is suggested which assist in Agni development and after that Deepan Pachana is finished with Tikta and Katu Rasa. To pacify the vata Sneha Pana Swedana and Basti are advised. Allopathic medicinal drug has been given a critical position to play in overcoming soreness or pain, restrained motion and crippling as a result of the articular disease. Drugs are to be had to ameliorate the signs and symptoms because of irritation withinside the shape of NSAIDS and the long-time period suppression is performed with the aid of using the DMARDs. But the NSAIDs have gastrointestinal aspect consequences while DMARDs have marrow, renal and hepatic suppression. Hence, the control of this ailment is simply inadequate in different structures of medicine and sufferers are constantly searching with a wish toward Ayurveda to triumph over this challenge.

Conclusion

This Ama at the side of vitiated Vata and Kapha dosha results in Dosha-Dushya combination, as A quit end result producing the Nidus for signs and symptoms and signs and symptoms of Amavata to occur. Amavata is a complex of disease, pathogenesis of which lies in technology of Ama after Mandagni. Amavata can be successfully in contrast to Rheumatoid arthritis. The cause of the remedy in Amavata is to decrease Ama via its Amapachana and to normalise the 2 vitiated Vata and Kapha Dosa. Chronicity makes this illness problem for the treatment.

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