PMID- 27833370
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 0974-8520 (Print)
IS  - 0976-9382 (Electronic)
IS  - 0974-8520 (Linking)
VI  - 36
IP  - 4
DP  - 2015 Oct-Dec
TI  - Management of Amavata (rheumatoid arthritis) with diet and Virechanakarma.
PG  - 413-415
AB  - Amavata is a disease in which vitiation of Vata Dosha and accumulation of Ama 
      take place in joint(s), and it simulates rheumatoid arthritis (RA) at modern 
      parlance. Shamana (conservative) and Shodhana (biological purification of the 
      body) treatments are advised in Ayurveda whereas anti-inflammatory, analgesics, 
      steroids, and disease-modifying antirheumatic drugs are required for its 
      management as per modern medicine, which are not free from side effects. A female 
      was suffering from multiple joints pain with swelling, severe morning stiffness, 
      restricted movements, malaise, and Mandagni (poor appetite) for the past 1(1/2) year, 
      which was classified as Amavata/RA (having 7/10 score as per the RA 
      classification criteria, 2010). After Deepana-Pachana and Snehapana, 
      Virechanakarma was done by the administration of Trivrita Avaleha and castor oil. 
      The assessment was made on the basis of relief in signs and symptoms and 
      serological findings of RA factor, C-reactive protein (CRP), immunoglobulin E 
      (IgE), and erythrocyte sedimentation rate. After Virechanakarma, RA factor 
      reduced from 94.0 IU/ml to 50.0 IU/ml, CRP reduced from 22.7 mg/L to 1.8 mg/L, 
      and IgE was reduced from 680 kU/L to 53.7 kU/L, with remarkable reduction in 
      joints pain and swelling. Further, by avoiding specific Nidanas, i.e., known 
      allergens for food, drugs, and inhalants, the patient has relief in almost all 
      signs and symptoms for the past 1 year of follow-up with least medications. This 
      single case report highlights that Amavata/RA can be managed with appropriate 
      diet regimen, Virechanakarma and can be managed effectively with minimum 
      requirement of medicines.
FAU - Gupta, Sanjay Kumar
AU  - Gupta SK
AD  - Department of Shalyatantra, Institute for Post Graduate Teaching and Research in 
      Ayurveda, Gujarat Ayurved University, Jamnagar, Gujarat, India.
FAU - Thakar, Anup B
AU  - Thakar AB
AD  - Department of Panchakarma, Institute for Post Graduate Teaching and Research in 
      Ayurveda, Gujarat Ayurved University, Jamnagar, Gujarat, India.
FAU - Dudhamal, Tukaram S
AU  - Dudhamal TS
AD  - Department of Shalyatantra, Institute for Post Graduate Teaching and Research in 
      Ayurveda, Gujarat Ayurved University, Jamnagar, Gujarat, India.
FAU - Nema, Aditya
AU  - Nema A
AD  - Department of Shalyatantra, Institute for Post Graduate Teaching and Research in 
      Ayurveda, Gujarat Ayurved University, Jamnagar, Gujarat, India.
LA  - eng
PT  - Case Reports
PL  - India
TA  - Ayu
JT  - Ayu
JID - 7605807
PMC - PMC5041390
OTO - NOTNLM
OT  - Amavata
OT  - Deepana-Pachana
OT  - Virechanakarma
OT  - rheumatoid arthritis
EDAT- 2015/01/01 00:00
MHDA- 2015/01/01 00:01
PMCR- 2015/10/01
CRDT- 2016/11/12 06:00
PHST- 2016/11/12 06:00 [entrez]
PHST- 2015/01/01 00:00 [pubmed]
PHST- 2015/01/01 00:01 [medline]
PHST- 2015/10/01 00:00 [pmc-release]
AID - AYU-36-413 [pii]
AID - 10.4103/0974-8520.190688 [doi]
PST - ppublish
SO  - Ayu. 2015 Oct-Dec;36(4):413-415. doi: 10.4103/0974-8520.190688.