Abstract

AN OBSERVATIONAL STUDY OF DIET AND LIFESTYLE FACTORS IN THE SAMPRAPTI OF AMAVATA

Dr. Vinod Vasant Gir* and Dr. Prachi Vishnudas Chiplunkar

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Abstract

Amavata, a chronic disease with insidious onset, has been recognized since the Vedic period, with references to Sleshma (phlegm) vitiation and joint involvement in the Atharvaveda. The study aims to explore the pathogenesis, causative factors, and clinical manifestations of Amavata, which is closely analogous to Rheumatoid Arthritis (RA). The disease primarily affects individuals with Vatapradhan Kaphanubandhi Prakriti, particularly females in the age group of 41-50 years. The pathogenesis is initiated by the formation of Ama, a toxic metabolic product, which primarily targets the joints (Sleshmasthanas). The disease progresses through Vata vitiation, often with associated Mandagni (weak digestion) and Ama production, leading to further pathology. Notably, Rakta Dushti (blood impurities) is seen in some cases, correlating Amavata with the pathogenesis of Gambhir Vatarakta (severe gout), as described in the classical texts. Deformities like Hallux valgus, Swan neck, and Ulnar deviation were observed in advanced stages, associated with prolonged exposure to causative factors (Hetus). A significant relationship was identified between certain dietary (Aharaj), lifestyle (Viharaj), and psychological (Anukta Hetus) factors, including improper food combinations, delayed physical activity post-meal, and excessive stress. Shakhagat and Koshtagat symptoms, such as joint pain, stiffness, body heaviness, and indigestion, were predominantly observed, highlighting the disease's dual involvement in both local (joint) and systemic manifestations. The study suggests a deeper correlation between Ama accumulation, Vata vitiation, and the pathogenesis of Amavata, emphasizing the role of dietary and lifestyle factors in its progression.

Keywords: Amavata, Diet and lifestyle, Rheumatoid arthritis, causative factors, Incompatible food.