Abstract

MANAGEMENT OF AMAVATA BY LANGHAN AND PACHAN WITH SPECIAL REFERENCE TO SERRO- NEGATIVE RHEUMATOID ARTHRITIS – A CASE STUDY

Vd. Archana R. Jagtap* and Vd. Mukund D. Magare

Abstract

Amavata is a chronic, progressive and crippling disorder caused due to generation of Ama and it’s association with vitiated Vata Dosha and deposition in Shleshma Sthana (joints). Clinically resembling with Rheumatoid Arthritis. RA is a chronic systemic inflammatory disease characterized by erosive synovitis that involves peripheral joints and implicates an important influence in the quality and the hope of life. RA is of 2 types- Serropositive and Serronegative according to Rheumatoid factor presence and absence respectively. Serronegative RA is one of the 2 types of RA, an autoimmune condition that causes pain, swelling and stiffness of joints, in morning specially. Serronegative RA is least common. Aim: To study the Langhan and Pachan in the management of Amavata with special reference to serronegative RA. Objectives: Symptomatic relief in Amavata with special reference to serro-negative RA by Langhan and local Pachan. Methodology: A 45 year old male having past complaints as pain and swelling over bilateral ankle joint, morning stiffness upto 1hr, difficulty while walking since 7 months. Patient was Rheumatoid factor negative, CRP- 0.7 (-VE), ESR-48, ANA – Weakly positive, ASO – Negative. Last 10 days was registered in our IPD. Considering the signs and symptoms patient was treated on the line of Amavata where the Langhan and local Pachan by Dashang, Shunthi Churna Lepa for 3 days given. After 3 days of treatment patient was able to walk properly, swelling of joints reduced, local temperature reduced, patient got symptomatic relief. Conclusion: Treatment of Amavata with Langhan and local Pachan is effective over inflammatory joints with dravya's like Dashang Lepa, Sunthi Churna found to be highly effective in Samavasta.

Keywords: Amavata, Serro-negative RA, Langhan, Pachan.