Management of Rheumatoid Arthritis in Siddha System of Medicine - A Case report

Bhavani Subramani,Sathiyarajeswaran P

doi:10.47552/ijam.v12i3.1894

Abstract

A case of Uthiravathasronitham (Rheumatoid arthritis) had been treated with a classical Siddha preparation Rasa chenduram (100mg) along with Thirikadugu choornam (1 gm) for 3 weeks and with Pinda thailam as an external application. The patient condition has been assessed by a validated simplified disease activity measurement tool for Rheumatoid arthritis by Disease activity score (DAS) with 28 joints and formula using Erythrocyte sedimentation rate (ESR) as recommended by EULAR (European League against rheumatism) criteria. The functional status of the patient was evaluated by administering the Health assessment questionnaire disability index (HAQ-DI) and Visual analog scale (VAS) score before and after treatment. The treatment yielded moderate improvement in the patient’s health condition.

Highlights

Rheumatoid arthritis (RA) is a chronic, symmetrical, inflammatory autoimmune disease affecting minor and major joints and affects other organs including skin, eyes, heart, kidneys, and Lungs with diverse manifestations of various severity among patients (1)
One among the 80 types of vatha diseases described in Yugi Vaidya Chintamani (2) is Uthiravathasronitham (Siddha morbidity code-Z64) (3)
According to the Siddhar Yugi Muni, describes the condition of Uthiravathasronitham is characterized by severe pain in ankle joints, knee joints, plantar aspect of sole due to inflammation

Summary

Introduction

Rheumatoid arthritis (RA) is a chronic, symmetrical, inflammatory autoimmune disease affecting minor and major joints and affects other organs including skin, eyes, heart, kidneys, and Lungs with diverse manifestations of various severity among patients (1). Complaints of morning stiffness lasting for 45 minutes and malaise On physical examination, she found to have severe tenderness over the minor joints of hands involving Metacarpophalangeal joints and major joints such as left shoulder joint, wrist joints, knee joints, ankle joints with symmetrical involvement due to synovitis. Bhavani Subramani et al, Management of Rheumatoid Arthritis in Siddha System of Medicine - A case report difficulty in walking, though no significant knee joint swelling with severely restricted movements to carry out regular daily activities. According to Siddha differential diagnosis (Yugi), Vali azhalkeel Va y u ( G o u t ) andAzhalkeel Vayu (Osteoarthritis) was considered The affliction of both minor and major joints with morning stiffness, wherein the absence of elevated serum uric acid as in Valiazhal keel Vayu was ruled out.

Discussion

Conclusion