AN OBSERVATIONAL OUTLOOK ON THE NIDANAS OF AMAVATA

Abstract

Amavata (Rheumatoid Arthritis) is a most common inflammatory joint disorder throughout the world. The modern treatments available for Rheumatoid Arthritis are not very satisfactory and have many adverse effects. Present day modern medical doctors prescribe different types of anti-inflammatory medicines and steroids for its management. So now it became a neces-sity to find out a safe, economic and effective treatment for Rheumatoid Arthritis. In Madhavanidana specific aetiological factors (Nidana) responsible to cause Amavata has been mentioned. Nidana plays an important role in causation of disease and responsible for disease aggravation as long as patient gets exposed to Nidana. There are many Aharaja, Viharaja and Mansika nidanas explained as causative factors for manifestation of Amavata. With this backround an observational study was conducted on the patients of Amavata in Jaipur city which is considered as sadharana desha. After the observation it was found that, among all Nidanas Ati guru,singdha (Heavy fat rich diet), Dadhi sevana , Vishamashana ,Adhyashana , Divasapa (Sleep in day time) was found to be consume by most of the patients followed by stress as second major cause. Acharya Sushruta has emphasized that the simple baseline of treatment is to exclude the Nidana. It is rightly said 'Prevention is better than cure'. Hence as a part of Nidana Parivarjana Chikitsa the physician can concentrate on advising the patient to avoid these Nidanas as far as possible to prevent and manage the condition effectively.