MANAGEMENT OF CHILD WITH AMAVATA THROUGH AYURVEDA PROTOCOL- A CASE STUDY

Abstract

Amavata is a disease in which vitiation of Vata Dosha and accumulation of Ama take place in joints The symptoms of RA most closely resemble that of Amavata as mentioned in the Ayurveda text. RA  is conventionally managed by Disease-modifying anti-rheumatic drugs (DMARDs) and corticosteroids. The challenge is it does not completely eradicate the disease. Ayurveda has given detailed descriptions regarding the management of Amavata which include Langhana(fasting) ,Swedana(sudation), Deepana(stimulate digestion) with tikta ,katu rasa(bitter and astringent taste) and Virechana( laxative). After analyzing the treatment principle of amavata described by Acharya chakradutta a combined intervention of langhana, swedana, deepana, Virechana(laxative) was undertaken in this case study. A7 years old female child with Amavata condition had been successfully treated for two months and followed-up for another month in the Pediatric ward of National Ayurveda Teaching Hospital (NATH) Borella, Sri Lanka. The external and internal treatments were continued for two months.Subjective and objective assessment criteria including visual analogue scale for pain, American rheumatoid association criteria for diagnosing RA were assessed before and after the treatment protocol.Total 5 types of preparation of medicines were used as treatment 3 types of Kashaya (Denibadikashaya,Dashamulkashaya,Dantimuladikashaya) 3 types of vati (Yogarajaguggulu, Kaishoraguggulu, Rheumalaya forte), 2 types of churna (Sudarshana churna, Sufoof Suranjan Churna) 02 types of Taila (Kubjaprasarini, Sarsapadi), one type of Pattu (Application) (Dashangalepa, Rohanekash Lepaya(Ayurvedic application), Saindhava Lavana Clinical improvement in the symptoms(multiple joint pain and swelling,morning stiffness of the joints ) was reported after two months of Ayurveda treatment.