A Clinical Ayurvedic Management on Post-Chikungunya Arthropathy as Aamvata-Case Study

Abstract

Introduction: Post-viral arthritis (PVA) is a condition characterized by temporary inflammatory symptoms, such as joint pain, stiffness, and swelling that develop following viral infections. As described by Acharya Charaka in the Charaka Samhita, complications following fevers can lead to a Vata-dominant Sannipataja condition, marked by the aggravation of Vata Dosha. This imbalance manifests as joint pain, stiffness, a sense of heaviness, headaches, and dizziness, often involving Pitta and Kapha Doshas as well. Objectives: This study aims to evaluate the effectiveness of Ayurvedic interventions, particularly Panchakarma therapies, such as Panchtikatksheer basti and Anuvasan basti in the management of PVA. Materials and Methods: A 34-year-old female patient visited the outpatient department with a history of Chikungunya fever 7 days prior. She presented with body ache, fever, and reddish patches all over the body. Three to four days later, after the appearance of red rashes, she developed joint stiffness, joint pain, and mild swelling in the face, as well as in the upper and lower limbs. Severe stiffness in both knees caused significant difficulty in walking without assistance. The treatment protocol included Panchakarma therapies, along with oral Ayurvedic medications. Results: The patient exhibited marked improvement in joint flexibility and experienced substantial relief from symptoms. After 16 days of Ayurvedic treatment, there was a significant reduction in joint pain, stiffness, and swelling. Conclusion: This case highlights the potential of Ayurvedic therapies, including Panchakarma and Shamana treatments, in effectively managing PVA. These approaches not only provide symptomatic relief but also help correct underlying Doshic imbalances, thereby enhancing joint mobility and overall quality of life.