Panchakarma Treatment for Rheumatoid Arthritis in Delhi

Panchakarma Treatment for Rheumatoid Arthritis in Delhi || Rheumatoid Arthritis is an autoimmune disease in which the immune system of the body attacks its own tissues i.e. cartilage and synovial membrane characterized by persistent inflammation of peripheral joints with associated systemic features. It is characterized by inflammation of joints, which causes swelling, pain, and loss of function.

It is a chronic systemic inflammatory disorder that may affect many tissues and organs including skin,
blood vessels, heart, lungs, and muscles but principally attacks the joints producing non-suppurative proliferative synovitis that often progresses to destruction of the articular cartilage and ankylosis of the joints. Community prevalence study shows that the ratio of occurrence between females and males is 3:1. The onset of the disease is more frequent during the 4th and 5th decade of life with 80% of the patients developing the disease between the age group of 35-50 years.
In Ayurveda, R.A. is co-related with Amavata due to most resembles of its features, which are shown in table no. 1. In Modern Science, the management of patients with R.A involves an interdisciplinary approach that attempts to deal with the various problems that these.

Individual encounters with functional as well as psychosocial interactions. NASIR,
steroids, etc. are the mainstay of therapy as they provide relief of pain and stiffness but
they do not alter the course of the disease and the margin between effective and toxic doses is often small.
Therefore a variety of Ayurvedic Panchkarma therapy modalities may be useful in decreasing the symptoms of R.A.
In Ayurveda, the principles of treatment for Amavata are Langhana, Swedana, drugs having Tikta, Katu Rasa and Deepana action Virechana, Snehapana, and Anuvasana basti as well as Kshara Basti. [3]

CASE REPORT

A female patient of age 35 years with complaints of pain in multiple joints especially bilateral lower limb and upper limb, tenderness, swelling, morning stiffness, and temperature of all joints. She is unable to do daily routine works as holding objects etc due to pain also. She got allopathic treatment for it, but she had got no relief.

PATHOGENESIS

The disease comes under Ama andVatadusthi. It is an Ama and Ras pradosaj vicar.

It occurs due to having unwholesome food, regimen, and lifestyle which vitiate Vata. The etiological factors disturb the Agni and produce ama which circulates in the body, combined with vitiated Vata and lodged in sandhi and asthi. As it is caused due to deeply seated metabolic toxins so there is permanent damage of tissues and channels. So the line of treatment is to correct the Agni, control the vata, and avoidance of etiological factors. For that Samshaman chikitsa (oral medicine), Ruksha Sweda (dry sudation), Pottli Sweda (sudation by medicated bolus), Sarwang Abhyanga- Swedana (whole-body massage and steam bath), and yoga-Basti.

TREATMENT

A total of three weeks of Panchakarma therapy was planned for the patient according to her condition. In the first week, the treatment given was Sarwanga Ruksha portal Sweda with Eranda Beeja, Ajwain, and Saindhava salt. For next week the Sarwanga Jambeera pottli Sweda is given.

After completion of therapies, improvement noticed was that the patient got relief in pain, tenderness, stiffness of the joint. The patient is now able to do daily routine works with increasing grasping power of the hands, increase appetite, and improvement of other signs and symptom

Panchakarma Treatment for Rheumatoid Arthritis in Delhi

Probable Etiopathogenesis & Line of Treatment

Due to improper food habits and lifestyle, there is vitiation of doshas leading to muscular skeleton deformity. It leads to the deviation of Agni (digestive fire) from the normal stage causing mandagni (diminished bio-fire). This mandagni causes the formation of Ama (undigested food toxin).

Along with this, there is vitiation of Vata due to indulgence in the Vata prakopaka ahar-vihar. Now, this morbid Ama circulates all over the body. Ama propelled by vata reaches the sleshma sthana of the body. The vitiated Ama facilitates shrotoabhishyandana and srotorodha (obstruction of channels). Simultaneously vitiated Vata and Ama reach the Trika (sacral region) and other joints causing stiffness in the whole body and producing the disease Amavata. So the treatment given is that of Amapachaka, Shrotoshodhan, and Vata Chikitsha upkrama.

As the line of treatment of Amavata is Langhana (fasting), Swedana (sudation) having Tikta, Katu rasa and Deepana action, virechana (therapeutic purgation), Snehapana (oral intake of medicated ghee), and Anuvasana as well as Kshara Basti.

So here Ruksha Sweda, Jambeera pottli Sweda (Snigdha Sweda) with Matra and Asthapan Basti was given. Kshara Basti is not opted as in the patient vata was predominant dosha, the Kapha and meda were not vitiated to such an extent to prescribed vaitaran Basti, etc, as it can lead to more vitiation of Vata.

Prognosis

Before planning the treatment of the particular disease it is necessary to see the stage, type and accompanying dosha of the disease. Besides, this disease is curable when it is new and associated with only one dosha. It is difficult to cure when two doshas is involved and when it is a chronic disease. If three doshas are involved it is incurable

Mode of action of treatment given:-

In the first two-third of treatment Ruksh Swedana and Jambeera pottli Sweda were
given, Swedana therapy is the best treatment for vitiated Vata and Kapha dominant disease.

Swedana is done to liquefy the vitiated doshas which are spread throughout the body. Swedana is the procedure, which relieves stiffness, heaviness, and coldness of the body and produces sweating.

Ushna and Tikshna properties of Swedana karma helps in the digestion of Ama doshas, which results in stimulation of all the 13 types of Agni. Ruksha Sweda with Eranda Beeja, Ajwain, and Saindhav salt having Ushna, Tikshna, Shrotosodhana and Amapachaka properties and Dravya of Jambeera pottli Sweda having Ushna, Tikshna, Sukshma, Aashukari, anti-inflammatory, antiseptic, Shrotosodhana and Amapachan properties. So Swedana given by these Dravya is more effective in the patient of Amavata. The Swedana helps the remaining pain, stiffness, inflammation, and soften the body.

In the last third week, yoga Basti was planned. Basti is the chief therapy for the vitiated Vata. [12] Vata is only responsible for all the functions of the body and also therefore for the production of the disease.

The given basti enters the Pakvasaya, which is the main seat of Vata dosha, and destroy vitiated Vata dosha, which is the originator of the disease. By subsiding the vata, the disease located in the other parts of the body also becomes pacified just like cutting the root of a plant, stem branches, sprouts, fruits, leaves, etc. also destroyed.

The Shaman medicine like Singnaad Guggulu and Amavatari Ras is beneficial in Amavata. They help in curing joint stiffness, inflammation, pain, and imbalance of Agni and Doshas.

CONCLUSION

In‎ today’s‎ world‎ more‎ and‎ more‎
people falling victim to the adverse effects of faulty dietary habits, stress, lack of exercise, etc. which are leading to diseases like improper digestion, lack of sleep, chronic fatigue resulting in serious illnesses like Rheumatoid arthritis inpatient having hereditary factors. It can be managed by following the line of treatment of vitiated Vata and Ama i.e Snehana, Swedana, Basti, and use of Guggulu, etc. This case study proves that Panchkarma therapy is very beneficial and effective in Rheumatoid Arthritis. || What is Panchakarma, Treatment, Procedure, Advantages, Disadvantages, Precautions

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