Abstract
In developing societies, the nutritional patterns collectively termed the ‘western diet’ including high fat and cholesterol, high protein, high sugar and excess salt intake as well as frequent consumption of processed and fast food promote obesity, cardiovascular diseases and metabolic syndrome which are now recognized as due to chronic inflammatory processes in body. According to the ancient Acharyas, above mentioned dietary habits are the common hetus responsible for the Agnidushti and development of diseases like Aamavata. The common signs and symptoms of Aamavata have similarities with Rheumatoid Arthritis which is an autoimmune disorder of unknown etiology. Aamavata has been a challenging problem to the medical field. Various treatment protocols are applied in this disease with partial success. The ancient Acharyas have mentioned the Langhana along with its different possible ways as a first Upakrama for the treatment of Aamavata. In present clinical study, five patients of clinically proven Aamavata were treated with Laghu Aahara Rupi Langhana by using Saptamushtika Yusha for seven days. All clinical Nidanadi Ayurvediya parameters and American College of Rheumatology guidelines for Rheumatoid Arthritis were followed. The assessment of symptoms was done with the help of Disease Activity Score (DAS). Erythrocyte Sedimentation Rate (ESR) which is increased in most of the chronic inflammatory conditions was also investigated. It was observed that there was a marked reduction in ESR along with the considerable relief in signs and symptoms of patient. The results are encouraging and indicate the efficacy of Langhana with Saptamushtika Yusha over Aamavata.
Highlights
Aamavata is a chronic systemic disease involving multiple joints. (1) Among ancient Ayurved Samhitas, Madhav Nidana mentioned the Aamavata as a specific disease entity where Aama and Vata plays a predominant role in the Samprapti of the disease. (2) The disease is mainly due to derangement of Agni which happens due to Ahitakara Aahara-Vihara. (2) It is very common due to the changing lifestyle of dietic and behavioral ways like fast-food, lack of exercise, sedentary routine work
(2) The clinical manifestations of Aamavata can be compared with Rheumatoid Arthritis which is an autoimmune disorder of unknown etiology
(5) The drugs available to overcome the symptoms due to inflammation in the form of NonSteroidal Anti-Inflammatory Drugs (NSAIDs) and the long-term suppression is achieved by the Disease Modifying Anti-Rheumatic drugs (DMRDs). (5) But most of the NSAIDs have gastrointestinal side effects whereas DMARDs have bone marrow, renal and hepatic suppression
Summary
Aamavata is a chronic systemic disease involving multiple joints. (1) Among ancient Ayurved Samhitas, Madhav Nidana mentioned the Aamavata as a specific disease entity where Aama and Vata plays a predominant role in the Samprapti of the disease. (2) The disease is mainly due to derangement of Agni which happens due to Ahitakara Aahara-Vihara. (2) It is very common due to the changing lifestyle of dietic and behavioral ways like fast-food, lack of exercise, sedentary routine work. Aamavata is a chronic systemic disease involving multiple joints. (2) It is very common due to the changing lifestyle of dietic and behavioral ways like fast-food, lack of exercise, sedentary routine work This results in the Agnimandya and subsequently production of Aama which circulates in the body and gets located in the Sandhi causing Sandhishoola, Sandhishotha and Graha. (5) The drugs available to overcome the symptoms due to inflammation in the form of NonSteroidal Anti-Inflammatory Drugs (NSAIDs) and the long-term suppression is achieved by the Disease Modifying Anti-Rheumatic drugs (DMRDs). (7) This study aims to evaluate the efficacy of Langhana Upakrama in the treatment of Aama in Aamavata by using Laghu Aahara Rupi Langhana in the form of Saptamushtik Yusha. Jasminbegam Momin et al, Efficacy of Langhana in the treatment of rheumatoid arthritis Acharyas have stated Sanshodhana, Pachanadi ten different types of Langhana. (7) This study aims to evaluate the efficacy of Langhana Upakrama in the treatment of Aama in Aamavata by using Laghu Aahara Rupi Langhana in the form of Saptamushtik Yusha.
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