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.
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 . In Aamvata, most of moments of patients get restricted due to swelling and pain in joints. Aacharya chakradutta describe chikitsa siddhant of Aamvata . In samhita pain of Aamvata is compare with pain of scorpion bits (vrushikdanchwat vedana).
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 . 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.
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 . 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 .
a. Improper and irregular diet causes the disturbance of
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)
i. Working in water
ii. Suppression of natural urge (Mala-Muta vega dharan).
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.
a. Simhanaad Gugul: Yogratnakara mentioned that
Aamvata is Rogadhikara of Simhanaad guggul  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 .
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
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 .
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
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)
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).
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.
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.