Case Report

An Ayurvedic Management of aamvata: a case study

Dnyaneshwar K Jadhav*

Assistant professor, Kaychikitsa department, Shri Dhanwantri Ayurvedic Medical College & Research Centre, India

Submission: September 26, 2018;Published: November 30, 2018

*Corresponding author: Dnyaneshwar K Jadhav, Assistant professor, Kaychikitsa department, Shri Dhanwantri Ayurvedic Medical College & Research Centre, India - 281401

How to cite this article: Dnyaneshwar K J. An Ayurvedic Management of aamvata: a case study. Ortho & Rheum Open Access J 2018; 13(2): 555860. DOI:10.19080/OROAJ.2018.13.555860.

Abstract

Ayurved is science of life, which is origin in the vedic culture of India. This science gives more important to Prevention than curative aspect. Ayurved knowledge is described in short & meaningful code called as sutra. This sutra is itself beauty of Ayurved. Ayurved still stands test to the times. Aamvata is very common disease found in society. This is disease in which vitiation of vata and accumulation of Aam is main parts of pathogenesis. Females are more prone to Aamvata than males. In Modern science there is no sure treatment which cure patient totally. Painkiller and all treatment give temporary relief. In such disease Ayurvedic treatment have the best results, which cure disease from the root. In the Present study, the treatment of a female patient having feature of Aamvata treated with herbal drug which contain tikta katu rasa, dipana properties as shaman chikitsa with langhana, swedana and virechana. There is no any complication was found during treatment. Patient got relief in 2 days only and within 28 days marked improvement was observed in signs and symptoms. Ayurvedic management act on root of pathology of Aamvata and by doing Samparptibhanga it give best result in Aamvata.

Keywords: Aamvata; Chikitsa sutra; Ayurvedic Management

Introduction

Different types of joints diseases found in daily opd. Aamvata is second most common disease found in all joint’s disease. As compare to male, it’s found more in female. Swelling & pain in joints is most common symptoms of Aamvata. Madhavnidankar gives nidanpanchaka of Aamvata i.e cause, pathogenesis, symptoms, treatment and complications [1]. In Aamvata, most of moments of patients get restricted due to swelling and pain in joints. Aacharya chakradutta describe chikitsa siddhant of Aamvata [2]. In samhita pain of Aamvata is compare with pain of scorpion bits (vrushikdanchwat vedana).

Case Report

A 46-year-old female patient came to us with chief compliant of –

i. Ubhya parvasandhi shool (Bilateral finger pain).

ii. Ubhya janusandhi shool-shotha (Bilateral knee pain & swelling).

iii. Ubhya manibandha shool, Shotha & sparsha-asahatwa

iv. Ubhya Ansa-kurpara sandhi shool.

v. Angamarda (Malaise).

vi. Aruchi.(Anorexia)

vii. Morning stiffness.

Patient had above complaints since 2 years.

History of Past Illness & its Treatment

a. H/o chikunguniya 2 years before.

b. H/o HTN (under treatment of modern medicine- tab.telvas-40 mg 1-0-0).

c. No H/o Dm / any major surgery.

History of Personal Illness

The patient was normal 2 years back. Since then patient have been suffering from Ubhya parvasandhi shool (bilateral finger pain), Ubhya janusandhi shool-shotha (bilateral knee pain & swelling), Ubhya Ansa-kurpara sandhi shool, Ubhya manibandha shool, Shotha & sparshaasahatwa, Angamarda (malaise), Aruchi (Anorexia), Morning stiffness [3]. For this patient took treatment from different modern doctor but got temporary relief, then she decided to take Ayurvedic treatment. For pure Ayurvedic treatment she came to our clinic.

Personal History

Occupation: Housewife.

Diet: Mixed diet.

Appetite: Irregular.

Allergy: No history of any drug or food allergy.

Bad Habits: Masheri.

Ashtavidh- Parikshna

i. Nadi (pulse): 84/min

ii. Mala (stool): Malavashtmbha (constipate)

iii. Mutra (urine): Prakrut (regular)

iv. Jihwah (tongue): Sama (coated)

v. Shabda (voice): Prakrut (clear)

vi. Sparsha (touch): Anushna (normal)

vii. Drik (eyes): Prakrut (normal)

viii. Akriti (built): Sthul (obey).

Dashavidha-Parikshna

a. Prakruti (constitution): Vata pradhana-kapha anubandhi.

b. Vikruti (morbidities): Dosha- Vatapradhana tridosha, Dooshya- Rasa, Meda, Ashti.

c. Satwa (psychic conditions): Madhyama.

d. Sara (excellence of tissue elements): Majja

e. Samhanana (compactness of organs): Madhyama

f. Pramana (measurement of organs): Madhyama

g. Satmya (homologation): Sarva rasa

h. Aharasakti (power of intake & digestion of food): Madhyama

i. Vyayamasakti (power of performing exercise): Avara

j. Vaya (age): 46 years.

Material and Methods

Material (Tables 1 & 2)

Method

a. Center of study: Nakshatra Ayurved panchakarma clinic & Research canter.

b. Type of study: Simple random single case study.

Assessment Criteria [4] (Tables 3-5):

Discussion

Discussion on Vhyadhi

Vitiation of Vata Dosha and formation of Aam together caused Aamvata. Ayuveda said that, ‘Roga sravepi mandagni’ i.e most of disease occurs due to Mandagni. This Mandagni is the main cause of production of Aam [5]. Improving Jathra-agani and removal of Ama was the aim of treatment in Aamvata along with vatahara treatment Yogaratnakara said that Langhana is best treatment of Aam. We advised Langhana in the form of Laghu Aahar to the patient. Aamvata is an Amasayotha vyadhi and Rasaja Vikara. Langhana is the first line of treatment in such conditions [6].

Hetu of Aamvata as

Ahar

a. Improper and irregular diet causes the disturbance of vatadosha.

b. Dry foods like biscuit and all bakery products.

c. Sabudana, Dadhi

d. Paryushita anna

e. Grains: Navadhanyak. (Daily plenty of rice in diet).

f. Daily non-veg (mutton & chicken)

Vihar

i. Working in water

ii. Suppression of natural urge (Mala-Muta vega dharan).

iii. Diwaswap.

iv. Manasika nidan- Chinta and vegavrodha causes vata vrudhi (Table 6).

All above hetu (causes) leads to production of Aama in body which circulates in whole body (via vyan-vayu) & accumulates in sandhi (joints) along with the pathogenicity or vitiation of vata leads to Aamavata.

Discussion on Medicine (Sampraptibhnga)

a. Simhanaad Gugul: Yogratnakara mentioned that Aamvata is Rogadhikara of Simhanaad guggul [7] its contain Suwarnamakshika, Trifala, Shudha gandhaka, Shudha gugul and Eranda tail which has Laghu, Ruksha, Ushna, Tikshna propertie. It’s do Ama-Pachan (bio-toxin neutralizing), Shothaghna (oedema reducing), Deepan (enzyme activating), Balya (energy enhancing), Shoolghna (analgesic). Its enhances Agni-Bala and alleviates the Aam and prevents the further formation of Ama. which helps in breaking the Samprapti (pathogenesis) of Aamavata [8].

b. Lakshadi Gugul: This drug mentioned under Bhishjyaratnawali Aamvatarogadhikara-90-95. Its contain Laksha, Asthisamhrut, Kakubha, Ashwagandha, Nagbala, Gugul. This drug do healing of bones which get degenerated in Aamvata.

c. Tab.Aamsaan: Its contain ova, amlavetas, musta, jire, vidanga, trifala, chitrak, chvya, sunthi, mire, pipli, bahava, shauktik bhasma – which is digestive and aampachak.

d. Rasnasaptakam kwath: Its contain Rasna, Amruta, Aragvadha, Devdaru, Trikantaka, Ernada, punarnava, Shunthi. Its act as shoolaghna (analgesic), vata-kafa shamaka, immunomodulator, anti-inflammatory, carminative, appetizer [9,10].

e. Gandharva haritaki: Gandharva haritaki is polyherbal Ayurvedic medicine. Contains of this medicine are erand tail, balharitaki, sunthi, sandhav and savarchal lawana.it has purgative and laxative action. Gandharva haritaki evacuates bowel and removes toxins from body.

f. Rooksha – Valukapottli sweda: In Aamavata, we advised Rukshasweda in the form of Valukapottali. It helps in pacifying vitiated Vata Dosha thus leads to relieve pain and stiffness. Swedana have been specially indicated in the presence of Stambha, Gaurava and Shula. So here also we advised valuka pottali sweda [11].

g. Snehana with Himalaya pain Relif Oil: its contain sesame oil, drumstick, sweet flag, country mallow, cedarwood, ginger. sesame oil helps soften and smoothen skin which do vatashmana, drumstick help reduce pain (analgesic property), country mallow helps to relax the muscles-joints and helps for healing, cedarwood relives muscles ache, ginger relive swelling (anti-inflammatory property ), sweet flag relives neuromuscular pain. In short, this oil help to relive the pain & Swelling by vatashaman and causes Aamapachana on local application.

h. Lepanam with Pidahar Lepa: Its contains halad, daruhalad, vekhnda, shuntha, kalabol, gugul, multani mati and Kapoor, nilgiri oil, navsagar as praksheep dravya. Its act as shoolaghnha (analgesic property), shotaghna (anti-inflammatory property).

i. Virechana -Shunthi-siddha eranda tail (5 ml at morning): Shunthi is best aampachk, shothaghan, and eranda tail is one of the best drug mentioned in Aamvata, Both drug together work as vata-kafa shamak, immunomodulator, shothahara (antiinflammatory) [12].

Observation & Result

Patient got relief in Swelling and tenderness within 2 days. Rest improvement in all symptoms found within 7 days. After 28th days follow up there is nearly nil of all symptoms. After our successful treatment, we took follow up of patient till next 3 months on each 15 days. I found that there is nil of all symptoms (except occasionally little pain in knee joints, we can consider its normal, as per age of patient and chronic disease) (Tables 7-12).

Conclusion

Ayurveda has unique concepts with all disease called as chikitsa siddhanta, which work and stand test to the time. Since the therapy for Aamvata has limitation in other pathies, Ayurvedic management of Aamvata is one of the most effective therapy. This is one case study which give fast relief to patient which break old thinking of society i.e slow Result of Ayurvedic treatment.

Acknowledgement

I feel highly grateful to Dr. Vivek chandurkar, Professor, and HOD, Department of Kayachikitsa, S.G.R. Ayurveda College, solapur for the valuable guidance during post-graduation study, which is useful for all this Research work.

References

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10. Gandharva haritaki
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