Abstract

Abstract

Amena Sahita Vata Amavata1”. The virulent Ama circulates in the whole body propelled by the vitiated Vata Doshas, which in turn produces blockage in the body channels, that stations itself in the Sandhi giving rise to Amavata.The combination of Ama & Vata form Amavata2, which in turn shows the predominance of Ama & Vata in the Samprapti of Amavata. Ajeerna is the main culprit, which increases the production of Ama3 & this Ama when mixes with Vata, produces the disease called Amavata, in which Ama is produced by Agnimandya of both Jatharagni and Dhatwagnis. From above, it is very much clear that although Ama is a cause for various diseases, but in Amavata, it is both Ama & Vata which get vitiated simultaneously & the disease gets manifested itself mainly in joints of Hasta, Pada, Sira, Trika, Gulpha, Janu & Uru. The main symptoms produced due to this disease are Angamarda, Aruchi, Trishna, Alasya, Gouravam, Apaka & Shotha4. Amavata as we all know, is mainly the disease of Rasavaha Strotasa, which is generally an outcome of Agnidushti, Amotpatti and Sandhivikruti. The therapy which thus normalize Agni, Metabolizes Ama, and Regulates Vata and maintain healthy Sandhi and Sandhistha Shleshma will be the supreme one for this disease. So, the existing study thus focuses on the systemic assessment of Amavata w.s.r. Rheumatoid Arthritis, as per our Ayurveda classics and its management. So, randomized parallel group Comparative study was used to evaluate the effect of Amvatari Rasa and Ajmodadhi Churna with Simhanada Guggulu in the management of Amavata w.s.r. to Rheumatoid Arthritis.  This Study was conducted on 34 patients selected randomly from OPD of DAC Jalandhar Punjab and was divided into 2 groups. Group I and Group II having 17 patients in each group. Group B were managed with Amvatari rasa 2 capsule BD with lukewarm water and Ajmodadhi  Churna 3gm TDS with lukewarm water while Group A were managed with Simanada Guggulu 500mg bd with lukewarm water for 42 Days. Results showed statistically significant difference in effect of Group I and Group II on subjective parameters like Angamarda, Trishna, Aruchi, Trishna, Alasya, Gouravam, Apaka & Shotha. etc. Amvatari Rasa and Ajmodadhi Churna are found to be more effective than Simhanada Guggulu for all assessment criteria in the management of Amavata.