A Comparative Clinical Study Of Virechana And Vaitarana Basti With Trayodashanga Guggulu In Amavata with Special Reference To Rheumatoid Arthritis.

Abstract

The changing life style of human being by means of dietetic and behaviour pattern lays a major role in the  manifestation of several disorders. This type of pattern may also lead to the development of the disease  Amavata. Amavata has similarities with rheumatoid arthritis explained in allied sciences, Rheumatoid  arthritis is a chronic multi system disease of unknown cause and characteristic feature of rheumatoid  arthritis is persistent inflammatory synovitis , usually involving peripheral joints in a systemic distribution. Amavata is a disease having the predominance of Vata dosha , and also involvement of morbid Kapha  and Amadosha. Hence a treatment which should alleviate morbid Vata, Pitta, Kapha is required in  amavata. In Ayurvedic literature, a number of herbal preparations are described for the management of  the disease. Vaitarana Basti is described in Chakradatta Niruhadikara section with its special indication  in Amavata. Trayodashanga Guggulu Has Katu, Tikta Rasa, Ushna Virya And Vata-Kaphahara  Properties. Bhavamishra has indicated it for Vatavyadhis, Asthi-Majja-Sandhi And Snayugata Vata. In  this study The patients of group A were given Virechana by classical method followed by Trayodashanga  guggulu for four weeks and Patients of group B were given Vaitarana Basti in the format of Kala Basti with Anuvasana of Shunthi Siddha Tila Taila for 16 days followed by Trayodashanga guggulu for four  weeks. Results showed remarkable improvement in both groups proving Ayurveda treatment as a integral  choice of treatment of amavata.