Abstract

AN AYURVEDIC PERSPECTIVE ON MANAGING AMAVATA (RHEUMATOID ARTHRITIS): A CASE REPORT

Dr. Pranali Chougule, *Dr. Keertan M. S., Dr. Shivayogi, Dr. Deepika

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Abstract

Introduction: The primary pathogenic elements that cause Amavata are Vata and Ama. It is Madhyam Rogamarg's illness. ―Amavata"is a krichrasadhya condition that interferes with a person's day-to-day activities. This prevalent condition is brought on by the body's ama aggravating and the vata dosha becoming vitiated. In addition to impairing and accumulating biotoxins (ama) in Shleshmasthana, the disorder's etiopathogenesis involves disrupting the digestive fire, which in turn limits the rasa vaha and asthivaha strotas and ultimately leads to "Amavata’’. Clinical Findings: A 52 year-old female visited OPD of KLE Shri BMK Ayurveda hospital OPD no 03 on 8thth September 2025, complaints of sarvasandhishool, ubhaya janu sandhishool. These symptoms were gradual in onset later associated with prathakala sandhi stambha distributed normal movements of joints The patient received vaitrana basti and manjishtadi kshara basti and Shamanoushadhi for deepana-pachana, ama nashak Intervention: Ayurvedic treatment included Deepana-Pachana (strengthening of the stomach), Basti(enema), and Shamana Chikitsa (palliative treatment). Outcome: Clinical parameters were graded on a standard gradation scale pre and post-treatment. Madhyama Shuddhi was experienced by the patient during Basti and enhanced psychological well-being. Conclusion: This case reflects the efficacy of Ayurvedic management in chronic inflammatory arthritis. The combination of Shodhana and Shamana therapies was responsible for long-term relief by eliminating the underlying cause through Dosha pacification, Ama digestion, Agni improvement, and Srotoshodhana. The treatment was well tolerated and produced remarkable clinical improvement in Amavata.

Keywords: Amavata, Basti, shaman.