Comparative Study of Pathyadi Churna vs. Shunthyadi Kwatha for Amavata
Journal name: Ayushdhara
Original article title: A Comparative Clinical Study to Evaluate the Effect of Pathyadi Churna and Shunthyadi Kwatha in the Management of Amavata w.s.r to Rheumatoid Arthritis
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Singh Navjot
MD Scholar, PG Dept of Kayachikitsa, R.G.G.P.G. Ayurvedic College & Hospital, Paprola, Himachal Pradesh, India.
Thakur Sunil
Professor, PG Dept of Kayachikitsa, R.G.G.P.G. Ayurvedic College & Hospital, Paprola, Himachal Pradesh, India.
Chaudhary Vijay
Principal cum Dean, PG Dept of Kayachikitsa, R.G.G.P.G. Ayurvedic College & Hospital, Paprola, Himachal Pradesh, India.
Mishra Anjana
HOD, PG Dept of Kayachikitsa, R.G.G.P.G. Ayurvedic College & Hospital, Paprola, Himachal Pradesh, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: A Comparative Clinical Study to Evaluate the Effect of Pathyadi Churna and Shunthyadi Kwatha in the Management of Amavata w.s.r to Rheumatoid Arthritis
Year: 2023 | Doi: 10.47070/ayushdhara.v10i5.1399
Copyright (license): CC BY-NC-SA 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
The study investigates the comparative effects of Pathyadi Churna and Shunthyadi Kwatha in managing Amavata, a term used in Ayurveda that corresponds to rheumatoid arthritis. This condition is characterized by inflammation of the joints, primarily driven by an imbalance in the body's Vata and Kapha doshas due to improper dietary and lifestyle choices. Patients enrolled in the study presented with a range of symptoms, including joint pain, stiffness, and swelling, evidencing the complex interaction between physical health and lifestyle factors in the manifestation of the disease.
Efficacy of Shunthyadi Kwatha in Amavata Management
One of the significant findings of the study is the superior efficacy of Shunthyadi Kwatha over Pathyadi Churna in alleviating the symptoms of Amavata. Patients treated with Shunthyadi Kwatha exhibited notable improvements in subjective parameters such as Angamarda (body ache), Aruchi (loss of taste), and overall joint pain over the six-week treatment period. The statistical analysis indicated that group patients receiving Shunthyadi Kwatha showed more pronounced results, thus reinforcing its utility as a compelling treatment option for managing symptoms associated with rheumatoid arthritis.
Role of Diet and Lifestyle in Amavata
The study also highlights how dietary habits and lifestyle choices significantly contribute to the development of Ama, a toxic metabolic byproduct associated with various ailments, including rheumatoid arthritis. Factors such as Viruddha Ahara (contradictory diet) and Vihara (lifestyle) influencing Mandagni (low digestive fire) lead to the creation of Ama, which circulates through the body and lodges in the joints. The research emphasizes that a holistic approach, integrating proper dietary recommendations and lifestyle modifications with the pharmacological treatment, is vital for effectively managing Amavata.
Conclusion
In conclusion, the comparative clinical study demonstrates that both Pathyadi Churna and Shunthyadi Kwatha are effective in the management of Amavata, with Shunthyadi Kwatha showing statistically significant improvements in various aspects of patient health. The results advocate for the importance of Ayurvedic approaches while also emphasizing the critical role of diet and lifestyle in exacerbating symptoms of rheumatoid arthritis. Both treatments can be considered safe for long-term use, with no observed adverse effects during the trial. The findings encourage further exploration of Ayurvedic formulations and a well-rounded lifestyle for managing chronic inflammatory conditions like rheumatoid arthritis.
FAQ section (important questions/answers):
What is the focus of the clinical study discussed?
The study evaluates the effectiveness of Pathyadi Churna and Shunthyadi Kwatha in managing Amavata, which is comparable to rheumatoid arthritis, based on specific clinical parameters.
How many patients were involved in this clinical study?
A total of 34 patients diagnosed with Amavata were included. They were divided into two groups of 17, each receiving one of the treatments for a duration of six weeks.
What were the main findings regarding the treatment effects?
Shunthyadi Kwatha showed greater improvements across various subjective parameters compared to Pathyadi Churna, including significant reductions in symptoms like body ache and fatigue, indicating its effectiveness in managing Amavata.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Comparative Study of Pathyadi Churna vs. Shunthyadi Kwatha for Amavata”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Amavata (Ama-vata):
Amavata is a condition characterized by symptoms comparable to rheumatoid arthritis. It arises from the accumulation of Ama and the imbalance of Vata and Kapha doshas, leading to joint pain and inflammation.
2) Rheumatoid arthritis:
Rheumatoid arthritis is an autoimmune disorder marked by joint pain, stiffness, and swelling. It has a complex etiology involving genetic and environmental factors, leading to high morbidity.
3) Shunthyadi (Sunthyadi):
Shunthyadi refers to a medicinal preparation in Ayurveda that includes Shunthi (ginger) as a primary ingredient. It is used to manage conditions like Amavata due to its anti-inflammatory properties.
4) Drug:
A drug is a substance used to diagnose, cure, mitigate, treat, or prevent disease. In the context of this study, Pathyadi Churna and Shunthyadi Kwatha are drugs used to treat Amavata.
5) Agnimandya (Agni-mandya, Agnimamdya):
Agnimandya refers to the weakened digestive fire (Agni), which leads to the improper digestion of food, resulting in the formation of Ama. It is considered the root cause of many diseases in Ayurveda.
6) Pain:
Pain, or Sandhi Shoola, is a prominent symptom in Amavata and rheumatoid arthritis, often affecting joints and interfering with daily activities. Treatments like Shunthyadi Kwatha aim to alleviate this symptom.
7) Shunthi (Sunthi, Sumthi, Shumthi):
Shunthi, or ginger (Zingiber officinale), is an Ayurvedic herb known for its anti-inflammatory and digestive properties. It is a key ingredient in Shunthyadi Kwatha, helping to manage Amavata.
8) Swelling:
Swelling, or Sandhishotha, is another primary symptom of Amavata, characterized by the accumulation of fluid in joints due to inflammation, causing pain and stiffness.
9) Aruci:
Aruchi signifies the loss of taste and appetite, a symptom in Amavata due to digestive disturbances. Treatments aim to restore normal taste and eating habits.
10) Apaka:
Apaka refers to indigestion, a common complaint in Amavata where food isn't broken down properly due to Agnimandya, leading to the formation of Ama.
11) Jadya:
Jadya denotes stiffness in joints, a symptom of Amavata that restricts movement and daily activities, often worse in the morning.
12) Blood:
Blood tests for parameters like ESR, CRP, Hb, and RA factor are crucial in diagnosing and monitoring the treatment progress of Amavata and rheumatoid arthritis.
13) Angamarda (Anga-marda, Amgamarda):
Angamarda signifies body ache, a symptom in Amavata that reflects overall discomfort and is assessed before and after treatment to gauge improvement.
14) Trishna (Trsna):
Trishna means excessive thirst, which can occur due to an imbalance in bodily fluids and is assessed as a symptom in Amavata.
15) Ushna (Usna):
Ushna means 'hot' in Ayurveda, describing the virya (potency) of herbs like Shunthi. Ushna virya helps in digesting Ama and pacifying Vata and Kapha doshas.
16) Rasa (Rasha):
Rasa is the taste of a substance, influencing its properties and therapeutic effects. For instance, Shunthi has a Katu (pungent) Rasa.
17) Haritaki:
Haritaki (Terminalia chebula) is a key herb in Pathyadi Churna, known for its digestive and detoxifying properties, aiding in Vata and Ama pacification.
18) Daha:
Daha means burning sensation, a symptom that can accompany gastrointestinal disturbances like Agnimandya in Amavata.
19) Food:
Food choices (Ahara) directly impact health, and improper diet like Viruddha Ahara can trigger conditions like Amavata. Diet needs to be balanced per individual’s Agni.
20) Stiffness:
Stiffness or Jadya is a common symptom in rheumatoid arthritis and Amavata, particularly affecting morning mobility, necessitating treatments to improve joint function.
21) Madhura:
Madhura describes a sweet taste and is also the Vipaka (post-digestive effect) of Haritaki, which soothes Vata and improves digestion in Ayurveda.
22) Alasya:
Alasya signifies lack of enthusiasm or lethargy, a symptom in Amavata resulting from disturbed digestion and metabolism.
23) Ahara:
Ahara, or food, is fundamental in Ayurveda for health. Balanced intake as per Matra prevents Agnidushti (digestive dysfunction), pivotal in managing diseases like Amavata.
24) Fever:
Fever, or Jwara, is occasionally associated with Amavata as an inflammatory response and is monitored as part of the diagnostic criteria.
25) Vata:
Vata is one of the three doshas in Ayurveda, responsible for movement and activity. Imbalance in Vata, combined with Ama, leads to Amavata.
26) Disease:
Disease in Ayurveda often results from Dosha imbalance, improper diet, and weak digestion. Amavata is a prime example requiring holistic management.
27) Sandhi (Shandhi, Samdhi):
Sandhi means joint. In Amavata and rheumatoid arthritis, Sandhis are primarily affected, leading to symptoms like pain, swelling, and stiffness.
28) Yavani:
Yavani (Trachyspermum ammi) is an Ayurvedic herb known for its digestive and carminative properties, helping in the digestion of Ama in Amavata.
29) Family:
Family refers to the botanical classification of medicinal plants. For example, Zingiber officinale belongs to the Zingiberaceae family.
30) Kapha:
Kapha is one of the three Doshas in Ayurveda, responsible for structure and lubrication. Its imbalance with Vata leads to Amavata.
31) Nidra:
Nidra means sleep. Disturbances in sleep, or Nidraviparya, are common symptoms in patients with Amavata due to pain and discomfort.
32) Agni:
Agni, or digestive fire, is crucial for food digestion and nutrient assimilation. Its impairment, called Agnimandya, leads to Ama, a root cause of Amavata.
33) Katu:
Katu means pungent, one of the six tastes in Ayurveda. The Katu rasa of Shunthi aids in pacifying Vata and dissolving Ama.
34) Guna:
Guna refers to the inherent qualities of substances in Ayurveda. For instance, Haritaki has Snigdha (unctuous) and Ushna (hot) qualities that help in Vata management.
35) Viruddhahara (Viruddha-ahara):
Viruddha-ahara refers to the consumption of incompatible foods, which disrupts Agni, leading to the formation of Ama and resulting in diseases like Amavata.
36) Katurasa (Katu-rasa):
Katu-rasa means pungent taste. It is crucial in Ayurvedic treatments for dissolving Ama and balancing Vata and Kapha doshas, particularly in herbs like Shunthi.
37) Gokshura (Goksura, Go-kshura):
Gokshura (Tribulus terrestris) is used in Shunthyadi Kwatha for its anti-inflammatory and diuretic properties, aiding in the treatment of Amavata.
38) Mandagni (Manda-agni, Mamdagni):
Mandagni denotes weak digestive fire, leading to improper digestion and the accumulation of toxins (Ama), which is a critical factor in Amavata.
39) Vataghna (Vata-ghna):
Vataghna means pacifying Vata dosha. Herbs with this property, like Shunthi, are essential in treating diseases like Amavata by alleviating Vata imbalance.
40) Medicine:
Medicine in Ayurveda involves herbal formulations like Pathyadi Churna and Shunthyadi Kwatha, aiming to balance doshas and cure conditions like Amavata.
41) Kalpana:
Kalpana refers to the preparation method of Ayurvedic formulations. For example, Kwath Kalpana includes boiling herbs to extract active compounds.
42) Kashaya (Kasaya):
Kashaya means astringent taste, often used in formulations for its ability to reduce inflammation and improve tissue health, relevant in treating Amavata.
43) Shotha (Sotha):
Shotha refers to swelling or edema, a common symptom in Amavata due to joint inflammation and fluid accumulation.
44) Shakti (Sakti):
Shakti means power or strength. Parameters like Abyavaharana Shakti (food intake capacity) and Jarana Shakti (digestive power) are assessed in patients with Amavata.
45) Vihara:
Vihara refers to lifestyle activities, which, along with diet (Ahara), influence health. Poor Vihara choices contribute to diseases like Amavata in Ayurveda.
46) Kangra:
Kangra is the district in Himachal Pradesh, India, where the study on the effect of Pathyadi Churna and Shunthyadi Kwatha on Amavata was conducted.
47) Thirst:
Thirst or Trishna is a symptom monitored in Amavata, reflecting fluid balance and digestive fire (Agni) status in the body.
48) Sugar:
Sugar levels, particularly fasting blood sugar (FBS), are monitored in patients to ensure comprehensive health management in conditions like Amavata.
49) Zingiber officinale:
Zingiber officinale is the scientific name for ginger, an essential herb in Shunthyadi Kwatha known for its anti-inflammatory properties, used in treating Amavata.
50) Terminalia chebula:
Terminalia chebula is the scientific name for Haritaki, an Ayurvedic herb used in Pathyadi Churna for its digestive and detoxifying effects, crucial in managing Amavata.
51) Tribulus terrestris:
Tribulus terrestris is the scientific name for Gokshura, an herb in Shunthyadi Kwatha used for its anti-inflammatory and diuretic properties, aiding Amavata treatment.
52) Jaranashakti (Jaranasakti, Jarana-shakti):
Jarana-shakti refers to the digestive capacity of an individual, critical in managing Amavata where impaired digestion (Agnimandya) needs to be addressed.
53) Agnidushti (Agnidusti, Agni-dushti):
Agnidusti denotes the malfunction of digestive fire (Agni), leading to the creation of harmful Ama. It’s central to the development of Amavata.
54) Vatakopana (Vata-kopana):
Vatakopana means aggravation of Vata dosha. Herbs like Shunthi are used in Amavata treatments to counteract Vatakopana effects.
55) Shothaghna (Sothaghna, Shotha-ghna):
Shothaghna means anti-inflammatory. Herbs like Shunthi, exhibiting this property, are vital in treating Amavata, which involves swelling.
56) Shothahara (Sothahara, Shotha-hara):
Shothahara means reducing swelling. Both Pathyadi Churna and Shunthyadi Kwatha have Shothahara properties, making them effective against symptoms of Amavata.
57) Samprapti:
Samprapti refers to the pathogenesis of a disease. In Amavata, understanding Samprapti involves assessing dosha imbalances and Ama formation.
58) Shulaghna (Sulaghna, Shula-ghna):
Shulaghna means pain-relieving. Ingredients in Shunthyadi Kwatha, like Shunthi, have Shulaghna properties, making it effective for pain management in Amavata.
59) Vatadosha (Vatadosa, Vata-dosha):
Vatadosha refers to the aspect of Vata imbalance. In Amavata, Vata disturbance leads to the circulation of Ama, causing joint issues.
60) Substance:
Substance refers to any matter with specific properties. In Ayurvedic practice, medicinal substances like herbs are assessed for their Rasa, Guna, and effects on doshas.
61) Ayurveda (Ayus-veda):
Ayurveda is an ancient Indian system of medicine focusing on balancing the body's doshas with diet, lifestyle, and herbal treatments to manage diseases like Amavata.
62) Pradhana:
Pradhana indicates primary or chief. Amavata is a Vata-Kapha Pradhana Vyadhi, or disease primarily involving Vata and Kapha doshas.
63) Pradesha (Pradesa):
Pradesha refers to a region or area. In Amavata, Ama and Vata Dosha localize in Shleshma Sthana or joint Pradesha, causing symptoms.
64) Shleshma (Slesma):
Shleshma is another term for Kapha dosha. In Amavata, Ama combines with Vata and lodges in Shleshma Sthana (Kapha regions), notably the joints.
65) Pregnant:
Pregnant women are usually excluded from clinical trials, such as this one on Amavata, due to potential risks.
66) Koshtha (Kostha):
Koshtha refers to bowel and digestion characteristics. In Amavata patients, variations in Koshtha (e.g., Madhyam, Karura) indicate different digestive conditions.
67) Snigdha:
Snigdha denotes unctuous quality, which helps in soothing and balancing Vata. It's a characteristic of certain herbs in Pathyadi Churna and Shunthyadi Kwatha.
68) Anupana:
Anupana is the substance taken with medicine to aid its delivery. For example, Pathyadi Churna is taken with lukewarm water to enhance its effect.
69) Samana (Shamana):
Shamana therapy aims to pacify and manage symptoms of diseases. In Amavata, Shamana involves balancing doshas and reducing Ama.
70) Allergy:
Allergy refers to hypersensitivity reactions. Patients with known allergies to trial drugs like Pathyadi Churna or Shunthyadi Kwatha were excluded from this study.
71) Dravya:
Dravya refers to the substances or materials used in Ayurvedic treatments. Pathyadi Churna and Shunthyadi Kwatha are made from various Dravyas like Haritaki and Shunthi.
72) Mishra (Misra):
Mishra is one of the authors involved in this study, contributing to the research on the comparative effects of Pathyadi Churna and Shunthyadi Kwatha.
73) Sthana:
Sthana means place or location. In Amavata, Shleshma Sthana refers to joints where Ama and Vata tend to accumulate, causing symptoms.
74) Jarana:
Jarana means the power to digest. In Amavata, a focus on improving Jarana, or digestive power, is important to prevent Ama formation.
75) Pathya:
Pathya refers to dietary and lifestyle guidelines that are beneficial and should be followed to manage diseases. These are crucial in treating Amavata.
[Note: The above list is limited to 75. Total glossary definitions available: 94]
Other Science Concepts:
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Ama, Amavata, Mandagni, Viruddhahara, Agnidushti, Vatadosha, Rheumatoid arthritis, Group A, Group (b), Inclusion criteria, Exclusion criteria, Clinical study, Diagnostic criteria, Statistically Significant, Randomized clinical trial, Functional assessment, Subjective parameter, Kapha Pradhana Vyadhi, Biochemical profile, Haematological profile, Shunthyadi Kwatha, Pathyadi Churna.