Abstract

EFFECT OF KSHARA VASTI IN THE MANAGEMENT OF AMAVATA (RHEUMATOID ARTHRITIS)- A REVIEW

*Dr. Dulumani Kalita, Dr. Om Prakash Gupta and Dr Bishnu Prasad Sarma

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Abstract

Amavata is a disease condition which occurs due to Mandagni or derangement of agni in the body. Which is the main cause of formation of Ama in side the body. Amavata is a clinical condition where ama is stimulated by the aggravated vata dosha and Ama settles in trika sandhi's and is characterized by immense pain in joints with inflammation, fever and ultimately stiffness of the joints, causing the temporary or permanent disability of Joints and it hampers daily life activities. In modern medicine a number of factors have been described as a risk factors for rheumatoid arthritis however the exact aetiopathogenesis is yet to be ascertained. Despite the modern advancement in immune-genetics and disease understanding the treatment and management of amavata or rheumatoid arthritis remains an enigma for the present day medical science. As Rheumatoid Arthritis is a chronic inflammatory disease any modern medication for a long duration leads to toxic effects. Also medicines generally give only symptomatic relieve to the patients. As it is an autoimmune disease once medication is stop the disease flares up. In allopathic treatment are advised anti-inflammatory analgesics, steroids and disease modifying antirheumatic drugs, which provides the symptomatic relief. Amavata is mentioned in Ayurveda since the period of Madhavakar are under the category of vata kaphaja disorders and chikitsa sutra mentined by chakradutta in details, Kshara basti given significant place. Basti Chikitsa was selected for analysis as Basti is the major treatment in Ayurveda, which directly acts over the Vata dosha and many a times, is called as Ardha Chikitsa or Sarva Chikitsa. Kshara basti due to its ushna tikshna guna and peculiar mode of action, act significantly in the treatment for Amavata.

Keywords: Kshara Basti, Amavata, Rheumatoid Arthritis, Basti.