Study on Sadhyovirechana's efficacy in Amavata management.
Journal name: Ayushdhara
Original article title: A Randomised Comparative Clinical Study to Evaluate the Efficacy of Sadhyovirechana with Gandharvahastadi Eranda Taila followed by Agnilepa and Dhanyamla Dhara in the Management of Amavata
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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Lavanya.U
PG Scholar, Dept. of Panchakarma, Sri Shivayogeeshwar Rural Ayurvedic Medical College and Hospital, Belagavi, Karnataka, India.
G. S. Hadimani
Professor and HOD, Dept. of Panchakarma, Sri Shivayogeeshwar Rural Ayurvedic Medical College and Hospital, Belagavi, Karnataka, India.
Akshay R. Shetty
Associate Professor, Dept. of Panchakarma, Sri Shivayogeeshwar Rural Ayurvedic Medical College and Hospital, Belagavi, Karnataka, India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: A Randomised Comparative Clinical Study to Evaluate the Efficacy of Sadhyovirechana with Gandharvahastadi Eranda Taila followed by Agnilepa and Dhanyamla Dhara in the Management of Amavata
Year: 2023 | Doi: 10.47070/ayushdhara.v10i6.1436
Copyright (license): CC BY-NC-SA 4.0
Download the PDF file of the original publication
Summary of article contents:
Introduction
Amavata, regarded in Ayurveda as a complex ailment characterized by the build-up of Ama, disturbances in Vata, and impaired digestive fire (Agni), presents symptoms similar to Rheumatoid Arthritis (RA). The study aimed to evaluate the efficacy of two treatment protocols involving Sadhyovirechana—an intense purgation therapy—as the primary intervention, followed by either Agnilepa (an external application) or Dhanyamla Dhara (a herbal infusion). The research involved 40 patients diagnosed with Amavata and aimed to assess the effectiveness of these traditional Ayurvedic treatment methods.
Efficacy of Sadhyovirechana with Agnilepa
One of the key findings of this study was the significant efficacy of Sadhyovirechana followed by Agnilepa in managing Amavata symptoms. Patients in Group A, who underwent this treatment regimen, exhibited better improvement in joint pain (Sandhi Shoola), stiffness (Stabdhagatrata), and general malaise (Angamarda) compared to those in Group B, who received Sadhyovirechana followed by Dhanyamla Dhara. The results indicated a higher overall effectiveness of the combination involving Agnilepa, potentially due to its warm and penetrating properties, which contribute to alleviating both localized and systemic symptoms of the condition.
Role of Dhanyamla Dhara in Treatment
In contrast, the administration of Dhanyamla Dhara in Group B also demonstrated beneficial outcomes but to a lesser extent in several parameters. While it effectively addressed certain aspects such as swelling (Sandhi Shotha) and appetite (Aruchi), it did not provide the same level of comprehensive relief in pain and stiffness as the Agnilepa regimen. This suggests that while Dhanyamla Dhara has potential benefits in the management of Amavata, it may be best utilized as a supplementary rather than primary intervention compared to Agnilepa, which shows a more robust therapeutic action on the involved Doshas.
Conclusion
This clinical study supports the notion that traditional Ayurvedic treatments, particularly the combination of Sadhyovirechana with Agnilepa, can provide effective management for Amavata, echoing the necessity of more in-depth research into these modalities. Both treatment protocols utilized showed significant improvements in patients, yet the superiority of the Agnilepa approach was notable. The study underlines the importance of healing methodologies that prioritize the balancing of Doshas, the elimination of Ama, and the normalization of Agni to foster well-being in patients suffering from Amavata. Future research could delve deeper into optimizing these protocols and exploring additional Ayurvedic treatments for RA-like conditions.
FAQ section (important questions/answers):
What is Amavata and how is it related to Rheumatoid Arthritis?
Amavata is an Ayurvedic term for a condition resembling Rheumatoid Arthritis, characterized by symptoms such as joint pain and stiffness. It results from the accumulation of Ama due to the vitiation of Vata and impaired digestion.
What treatments were compared in this clinical study?
The study compared two treatments: Group A received Sadhyovirechana followed by Agnilepa, while Group B received Sadhyovirechana followed by Dhanyamla Dhara. Both treatments aimed to manage Amavata effectively.
What were the main findings of the study regarding treatment efficacy?
The study concluded that Group A, which underwent treatment with Agnilepa, showed better results in managing Amavata compared to Group B, which received Dhanyamla Dhara, indicating a significant difference in treatment efficacy.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Study on Sadhyovirechana's efficacy in Amavata management.”. 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 mentioned in Ayurveda characterized by the presence of Ama (toxins from undigested food) and vitiated Vata Dosha. It requires treatments like Sadhyovirechana and Gandharvahastadi Eranda Taila followed by Agnilepa or Dhanyamla Dhara for effective management, similar to Rheumatoid Arthritis.
2) Dhara:
Dhara is a therapeutic approach in Ayurveda where liquids like Dhanyamla are poured over the body. It helps in treating conditions like Amavata by promoting Ama Pachana and Sroto Shodhana while also managing Vata and Kapha Doshas through external applications of warm herbal liquids.
3) Dhanyamla (Dhanya-amla):
Dhanyamla is a fermented Ayurvedic preparation used in treatments like Dhara. It possesses properties like Agneya, Teekshna, and Ushna, making it effective for promoting Ama Pachana and reducing symptoms of disorders such as Amavata through external applications and Ruksha Sweda.
4) Ushna (Usna):
Ushna refers to the hot potency or heat quality of certain Ayurvedic drugs or treatments. It aids in Ama Pachana—digesting toxic metabolic byproducts—and Sroto Shodhana, making it crucial in managing conditions like Amavata that involve cold or stagnation qualities.
5) Drug:
Drug in the context of this study refers to herbal preparations like Gandharvahastadi Eranda Taila and Dhanyamla. These drugs are used in Ayurvedic treatments for their specific properties and actions, such as detoxification, anti-inflammatory effects, and aiding in the management of conditions like Amavata.
6) Taila (Thaila):
Taila refers to oil-based herbal preparations used in Ayurvedic treatments. Gandharvahastadi Eranda Taila, with its combination of herbs, is employed for internal detoxifying procedures like Sadhyovirechana in the management of Amavata, showing properties like Vata-Kapha hara and deep intoxication.
7) Gandharvahastadi:
[see source text or glossary: Gandharvahastadi]
8) Eranda (Eramda):
Eranda, or castor oil, is a key ingredient in Gandharvahastadi Eranda Taila used in Sadhyovirechana. It has properties like Tikta, Kashaya Rasa, and Ushna Veerya, which help in countering Vata Dosha and aiding in Ama Pachana, crucial for treating Amavata.
9) Karma (Karman):
Karma in this study refers to the specific therapeutic actions and procedures employed, such as Sadhyovirechana, Agnilepa, and Dhanyamla Dhara. These karmas aim to address the Ama, Vata imbalance, and other pathophysiological factors involved in Amavata.
10) Angamarda (Anga-marda, Amgamarda):
Angamarda, or malaise, is one of the symptoms of Amavata. Treatments like Agnilepa and Dhanyamla Dhara help reduce this symptom by improving circulation and reducing toxic buildup, through their Ushna and Ruksha properties, promoting better energy levels and reducing discomfort.
11) Pitta:
Pitta is one of the three Doshas in Ayurveda governing metabolism and transformation in the body. It plays a role in digestive processes and is associated with heat. In treatments for Amavata, controlling Pitta is important to avoid exacerbating inflammation and promoting Ama Pachana.
12) Lepa:
Lepa refers to the application of herbal pastes on the body. Agnilepa involves applying a heated herbal paste on specific areas to reduce symptoms like pain, swelling, and stiffness in Amavata by enhancing local circulation and aiding in the detoxification process.
13) Rasa (Rasha):
Rasa in Ayurveda refers to the taste of a substance but also can denote the essence or nutrient plasma that nourishes the body's tissues. In treatments for Amavata, balancing different Rasas like Tikta (bitter) and Katu (pungent) is essential for effective Ama Pachana and restoring health.
14) Guna:
Guna refers to the inherent qualities of substances used in Ayurvedic treatments. For managing Amavata, selecting drugs with Gunas like Ushna (hot), Teekshna (sharp), and Ruksha (dry) is crucial for addressing the underlying issues of Ama and Vata imbalances while promoting detoxification.
15) Lakshana (Laksana):
[see source text or glossary: Lakshana]
16) Dravya:
[see source text or glossary: Dravya]
17) Sandhi (Shandhi, Samdhi):
[see source text or glossary: Sandhi]
18) Sira (Shira):
[see source text or glossary: Sira]
19) Vata:
Vata is one of the three fundamental Doshas in Ayurveda, responsible for movement and flow within the body. In Amavata, Vata gets vitiated and combined with Ama, leading to symptoms like pain and stiffness. Treatments aim to pacify Vata and eliminate Ama to restore balance.
20) Bhrajakapitta (Bhrajaka-pitta):
Bhrajaka-pitta is a subtype of Pitta Dosha located in the skin, responsible for aspects like skin color and temperature regulation. It plays a role in absorbing the active principles from herbs applied externally, making it crucial in interventions like Agnilepa and Dhanyamla Dhara.
21) Bhrajaka:
[see source text or glossary: Bhrajaka]
22) Desire:
[see source text or glossary: Desire]
23) Apaka:
Apaka refers to indigestion, one of the symptoms experienced in Amavata. Ayurvedic treatments with Tikta and Katu Rasas, as well as deepana dravyas, help in relieving Apaka by improving Agni (digestive fire) and promoting proper digestion and metabolism, reducing Ama formation.
24) Disease:
Disease in this context refers specifically to Amavata, which is akin to Rheumatoid Arthritis. Caused by Ama and aggravated Vata, it involves symptoms like joint pain, swelling, and stiffness. Ayurvedic treatments aim to address the root causes and restore balance through detoxification.
25) Aruci:
Aruchi, or anorexia, is a symptom of Amavata indicating a lack of desire for food. It is managed through treatments like Sadhyovirechana and Dhanyamla Dhara, which balance Agni (digestive fire) and facilitate Ama Pachana, thus improving appetite.
26) Shiras (Siras, Siro, Shirash):
Siras or channels in the body play a crucial role in transporting nutrients and waste. Effective Ayurvedic treatments for Amavata involve ensuring the Siras remain unblocked and function smoothly to facilitate the elimination of Ama and restore overall health.
27) Fever:
Fever or Jwara is a common symptom in Amavata caused by the presence of Ama and inflammatory processes. Treatments aim to pacify Pitta and Kapha Doshas, which are involved in the pathogenesis of fever, through detoxifying and cooling herbal therapies.
28) Pain:
Pain or Sandhi Shoola in Amavata is one of the primary symptoms addressed through Ayurvedic treatments like Agnilepa and Sadhyovirechana. These treatments aim to reduce inflammation and detoxify the body, thereby alleviating pain and improving joint function.
29) Shodhana (Sodhana):
Shodhana is the Ayurvedic process of detoxification, crucial in treating Amavata. Procedures like Sadhyovirechana help expel toxins (Ama) from the body, restore Agni, and balance Doshas, leading to significant improvement in symptoms like pain and swelling.
30) Pradhana:
[see source text or glossary: Pradhana]
31) Medicine:
[see source text or glossary: Medicine]
32) Madhura:
[see source text or glossary: Madhura]
33) Shotha (Sotha):
Shotha or swelling is a key symptom of Amavata. Ayurvedic treatments involving Rooksha therapies like Dhanyamla Dhara help reduce Shotha by promoting fluid circulation and elimination of Ama, thereby decreasing inflammation and improving joint function.
34) Alasya:
Alasya refers to tiredness or lethargy, a common complaint in Amavata. Treatments like Sadhyovirechana and Agnilepa help improve energy levels by eliminating Ama, balancing Doshas, and promoting overall physical and mental vigor.
35) Srotas (Shrotas):
Srotas are the channels in the body responsible for transporting nutrients and waste. Effective management of Amavata involves ensuring these channels are free from blockages by promoting Ama Pachana and enhancing the body's detoxification processes.
36) Vyadhin (Vyadhi):
Vyadhi refers to disease or illness in general. In this context, Amavata is the primary Vyadhi being studied, which is managed through targeted Ayurvedic treatments aimed at balancing Doshas and eliminating Ama from the body.
37) Dosha (Dosa):
Doshas are the fundamental bio-energetic forces in Ayurveda—Vata, Pitta, and Kapha. Amavata primarily involves the vitiation of Vata and the presence of Ama. Treatments aim to balance these Doshas and eliminate toxins to restore optimal health and function.
38) Laghu:
[see source text or glossary: Laghu]
39) Tikta:
Tikta or bitter taste is valued in Ayurveda for its detoxifying and nourishing properties. In the treatment of Amavata, Tikta Rasa is used to improve digestion and metabolism, helping to eliminate Ama and balance Agni, thereby reducing symptoms of the disease.
40) Dhatu:
Dhatu refers to the body's tissues. In Amavata, Ama can affect various Dhatus, disrupting their function. Ayurvedic treatments aim to purify the Dhatus and restore their proper functioning by eliminating Ama and balancing Doshas.
41) Jala:
[see source text or glossary: Jala]
42) Rheumatoid arthritis:
Rheumatoid arthritis, a chronic inflammatory disorder, resembles Amavata in Ayurveda. It is managed with anti-inflammatory and detoxifying treatments, such as Sadhyovirechana and Dhanyamla Dhara, which aim to balance Vata and eliminate toxins from the body.
43) Shakha (Sakha):
[see source text or glossary: Shakha]
44) Nabhi:
[see source text or glossary: Nabhi]
45) Agni:
[see source text or glossary: Agni]
46) Vega:
[see source text or glossary: Vega]
47) Food:
[see source text or glossary: Food]
48) Pradhana-karma:
[see source text or glossary: Pradhana-karma]
49) Madhurarasa (Madhura-rasa):
[see source text or glossary: Madhura-rasa]
50) Madhavakara:
[see source text or glossary: Madhavakara]
51) Shothahara (Sothahara, Shotha-hara):
[see source text or glossary: Shothahara]
52) Stiffness:
Stiffness, or Sandhistabdata, is a common symptom in Amavata. Ayurvedic treatments like Agnilepa and Dhanyamla Dhara aim to improve flexibility and reduce stiffness by detoxifying the body and balancing Vata Dosha.
53) Abhyanga (Abhyamga):
[see source text or glossary: Abhyanga]
54) Sandhana (Samdhana):
Sandhana is a fermentation process used to prepare formulations like Dhanyamla. Such preparations possess properties like Agneya and Teekshna, making them effective in detoxifying the body and managing conditions like Amavata through external applications.
55) Romakupa (Roman-kupa):
[see source text or glossary: Romakupa]
56) Swelling:
[see source text or glossary: Swelling]
57) Sukshma (Suksma, Shukshma):
[see source text or glossary: Sukshma]
58) Koshtha (Kostha):
Koshtha refers to the gastrointestinal tract. In treatments like Sadhyovirechana for Amavata, cleansing the Koshtha is crucial to eliminate Ama and balance Agni, thereby promoting better overall digestion and health.
59) Vipaka:
[see source text or glossary: Vipaka]
60) Thirst:
[see source text or glossary: Thirst]
61) Bahya:
[see source text or glossary: Bahya]
62) India:
[see source text or glossary: India]
63) Matam:
[see source text or glossary: Madam]
64) Shri (Sri, Sr):
[see source text or glossary: Shri]
65) Sama (Shama):
[see source text or glossary: Sama]
66) Vaha:
[see source text or glossary: Vaha]
67) Kala:
[see source text or glossary: Kala]
68) Angamardaprashamana (Angamardaprasamana, Angamarda-prashamana):
[see source text or glossary: Angamarda-prashamana]
69) Ashtangasamgraha (Astangasamgraha, Astangasangraha, Ashtanga-samgraha, Ashtanga-sangraha, Ashtangasangraha):
[see source text or glossary: Astanga-sangraha]
70) Rasavahasrotas (Rasavaha-srotas):
Rasavaha Srotas refers to the channels responsible for circulating the essence or nutrient plasma throughout the body. In Amavata, these channels may get blocked with Ama, and treatments aim to cleanse these pathways to ensure proper nutrient flow and remove toxins.
71) Vedanasthapana (Vedana-sthapana):
[see source text or glossary: Vedana-sthapana]
72) Paschat-karma:
[see source text or glossary: Paschat-karma]
73) Anabhishyandin (Anabhisyandin, Anabhisyandi, Anabhishyandi):
[see source text or glossary: Anabhishyandi]
74) Bastikarman (Bastikarma, Basti-karman, Basti-karma):
[see source text or glossary: Basti-karma]
75) Pushpavati (Puspavati, Pushpa-vati):
[see source text or glossary: Pushpavathi]
[Note: The above list is limited to 75. Total glossary definitions available: 160]
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Amavata, Apaka, Aruchi, Angamarda, Vatadosha, Jwara, Inclusion criteria, Exclusion criteria, Clinical study, Ama Pachana, Trushna, Sandhi Shoola, Sandhi Shotha, Gourava, Dhanyamla dhara, Agnilepa, Intervention model, Amavata Management, Randomized assignment.