Case-presentation: 'Aamvat'(Rheumatoid-arthritis) by Prof. Yogesh Deole

[2/28, 7:03 PM] Vaidya Yogesh Deole:

*Case report: 

Effect of Ayurveda treatment on Amavata and reduction in anti CCP* 

*Case*

A 39 years old female patient (UHID-20220113117) (occupation: teacher) came with complaints of pain in both legs and all joints in the last 1 month. She was diagnosed with rheumatoid arthritis by rheumatologist and started immune-suppressant and analgesic medicines. Her anti CCP level on 7/1/22 was 103.7 U/ml with RA factor positive.

Due to insufficient outcomes and continued pain, she came to OP Department of Kaya chikitsa, S.G Patel ayurveda hospital, New Vallabh Vidyanagar, Anand for treatment. Based on her clinical features, she was diagnosed with Amavata on 13/1/22. All allopathic medicines were stopped. The treatment protocol with deepana, pachana and anulomana medicines was fixed. 

*Clinical features:*

Pain in all joints and morning stiffness for one month 

Weakness for one month

*Causative factors  (nidana):*

Diet at irregular timing

(vishamashana) with guru and snigdha qualities 

Daily travelling of more than 60 kilometres on two wheeler 

Excess talking (as primary teacher)

*Ayurvedic treatment:* 

1. Simhanada guggulu 500 mg two times a day after lunch and dinner (vyana-udana kala)

2. Sanjivani vati 500 mg two times a day after lunch and dinner(vyana-udana kala)

3. Maharasnadi kadha (Sandu company) 20 ml mixed with water two times a day after lunch and dinner (vyana-udana kala)

4. Capsule Palsineuron (SG Phyto pharma) 1 capsule (vyana-udana kala) two times a day after lunch and dinner (vyana-udana kala) 

*Procedures advised at home:* 

Ruksha valuka sweda 

Shunthi + Dhanyak siddha jala for drinking 

*Diet:*

Light to digest diet with green gram (mung)  

*Observations:*

The patient attended OPD weekly and shown gradual improvements in clinical features. The pain and stiffness in joints were relieved. The patient was feeling normal and was doing all routine works with job after one month.  

After 1 month of ayurvedic treatment, the pain and stiffness in joints was significantly (more than 95%) relieved. Her anti CCP level on 16/2/22 was reduced to less than 0.5 U/ml. 

*Follow up:*

Patient is completely relieved from her complaints and advised to continue treatment with reduced dose for one more month (to prevent recurrence).

*Conclusion:* 

Ayurvedic guidelines of diet, lifestyle and minimum medicines for ama pachana and vata anulomana can treat severe cases.

Before Treatment Report-

After Treatment Report-

Acknowledgement: 

The authors thanks to the management of Charutar Vidya Mandal University, SG Patel Ayurveda Hospital for providing support and healthcare facilities. This organization provides better, cost effective and safe healthcare. The hospital provides medicines to all patients free of cost for seven days. In IPD the food and accommodation are also provided free of cost. 

*************************************************************************************************************************************************************Above case presentation held in 'Kaysampraday (Info./Link)' a  WhatsApp group  of  well known Vaidyas from all over the India. 

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Presented by-

Dr. Yogesh Deole, 

Professor and Consultant,

Department of Kaya- chikitsa, 

G. J. Patel Institute of Ayurvedic Studies and Research,

S. G. Patel Ayurveda Hospital,

 New Vallabh Vidyanagar,

Anand, Gujarat, India. 

Email: dryogeshdeole@gmail.com

Compiled & Uploaded by

Vd. Rituraj Verma

B. A. M. S.

Shri Dadaji Ayurveda & Panchakarma Center,

Khandawa, M.P., India.

Mobile No.:-

 +91 9669793990,

+91 9617617746

Edited by

Dr.Surendra A. Soni

M.D., PhD (KC) 

Professor & Head

P.G. Dept of Kayachikitsa

Govt. Akhandanand Ayurveda College

Ahmedabad, Gujarat, India.

Email: surendraasoni@gmail.com

Mobile No. +91 9408441150