Ankylosing spondylitis
Journal name: Journal of Ayurveda and Integrative Medicine
Original article title: Ankylosing spondylitis
The Journal of Ayurveda and Integrative Medicine (JAIM) is an open-access publication promoting collaboration between Ayurveda, traditional medicine, and biomedicine, publishing research on integrative health sciences
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Mukesh Edavalath
Journal of Ayurveda and Integrative Medicine:
(A monthly peer-reviewed publication)
Full text available for: Ankylosing spondylitis
Year: 2010 | Doi: 10.4103/0975-9476.72619
Copyright (license): CC BY-NC-ND 4.0
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Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Ankylosing spondylitis”. 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) Pain (Paiṇ):
Pain is a primary and debilitating symptom of ankylosing spondylitis (AS). It characterizes the disease's inflammatory nature, impacting the patient's quality of life. Understanding pain's characteristics helps in the diagnosis and guides appropriate treatment strategies in both modern and Ayurvedic medicine, aiming to alleviate discomfort and restore functionality.
2) Disease:
Ankylosing spondylitis is a chronic inflammatory disease classified under spondyloarthropathies. Its management involves understanding the disease's progression and manifestations. The disease's complexity, particularly its connection to the genetic marker HLA-B27, necessitates tailored therapeutic approaches. Early diagnosis enhances outcomes, emphasizing the importance of precise disease identification.
3) Fever:
Fever often accompanies ankylosing spondylitis, representing systemic inflammation or infection. In the presented case, the patient's febrile state necessitated immediate management to alleviate discomfort and guide further treatment. Ayurvedic therapies aim to address fever while treating the underlying causes, restoring balance and comfort in the patient's health.
4) Medicine:
Medicinal interventions are pivotal in managing ankylosing spondylitis, both in modern and Ayurvedic practices. A multifaceted approach incorporating pharmacologic agents and herbal formulations aims to reduce pain, inflammation, and disease progression. Understanding the pharmacodynamics of each medicine is essential for effective treatment tailored to the individual patient's needs.
5) Stiffness:
Stiffness, especially in the morning, is a hallmark symptom of ankylosing spondylitis, often indicating the extent of spinal involvement. This symptom can significantly impact daily activities and mobility. Treatment strategies in both modern and Ayurvedic medicine focus on relieving stiffness, enhancing flexibility, and improving the patient's overall functional capacity.
6) Niruha (Nirūha):
Niruha refers to a therapeutic enema used in Ayurvedic medicine, particularly beneficial for treating Vata disorders. In the context of ankylosing spondylitis, Niruha is employed to expel undigested toxic matter (ama) from the body, aiding in pain relief and restoring balance. Its application is crucial in addressing chronic inflammatory conditions.
7) Basti:
Basti, or enema therapy, is a cornerstone of Ayurvedic treatment aimed at detoxifying and balancing doshas, specifically Vata. In the treatment of ankylosing spondylitis, Basti therapies focus on removing toxins and alleviating associated symptoms. Its effective use showcases the holistic approach of Ayurveda toward chronic illnesses.
8) Amavata (Āmavāta, Ama-vata):
Amavata is an Ayurvedic term referring to a condition analogous to rheumatic diseases, emphasizing undigested food as a root cause. The identification of ankylosing spondylitis as Amavata allows for targeted Ayurvedic treatment, focusing on the removal of ama and restoring balance in the body’s energies.
9) Swelling:
Swelling is a symptom often seen in inflammatory conditions such as ankylosing spondylitis. It indicates synovial inflammation in the affected joints. The management of swelling in Ayurvedic terms involves using specific herbal formulations and therapies to reduce inflammation, leading to improved joint mobility and pain relief.
10) Table:
Tables, such as those listing Ayurvedic formulations or treatment regimens, serve as important reference tools in clinical practice. They clarify the dosages and components of treatments provided to patients, ensuring that practitioners adhere to standardized guidelines for effective management of conditions like ankylosing spondylitis.
11) Life:
The impact of ankylosing spondylitis on a patient’s life can be profound, affecting physical function, emotional well-being, and social interactions. Effective treatment aims to restore a patient’s quality of life, enabling them to return to daily activities. Holistic management encompasses both physical and mental health considerations.
12) Rheumatoid arthritis:
Rheumatoid arthritis (RA) is a related condition often considered in differential diagnoses for ankylosing spondylitis. Understanding the distinctions between the two aids in appropriate treatment selection. While both are inflammatory arthropathies, their management strategies differ significantly, necessitating precise diagnosis to prevent mismanagement and ensure effective care.
13) Ayurveda (Āyurveda, Ayus-veda):
Ayurveda is a holistic healing system emphasizing balance among body, mind, and spirit. In managing ankylosing spondylitis, Ayurvedic principles focus on individualized treatment plans that address the root cause of disease symptoms, promoting healing through natural therapies and lifestyle modifications aligned with the patient’s constitution.
14) Guggulu:
Guggulu is an important Ayurvedic herb known for its anti-inflammatory properties. In treating ankylosing spondylitis, formulations containing Guggulu help to reduce pain and swelling, enhancing joint function and overall health. Its incorporation in treatment regimens demonstrates Ayurveda’s approach of using herbal remedies for managing chronic conditions.
15) Samana (Śamana, Samāna, Samaṇa, Samanā, Śāmana, Sāmana, Shamana, Samānā):
Shamana refers to the pacifying treatments in Ayurveda aimed at balancing aggravated doshas and relieving symptoms without inducing drastic changes. In the treatment of ankylosing spondylitis, Shamana therapies help alleviate pain and inflammation, supporting the patient's overall well-being while addressing the chronic nature of their condition.
16) Sandhi (Shandhi, Samdhi):
Sandhi translates to 'joint' in Ayurveda, highlighting the focus on joint health in the context of diseases like ankylosing spondylitis. Treatments specifically target the affected sandhis (joints) to reduce inflammation and pain, showcasing the Ayurvedic approach to managing joint-related disorders through localized therapies.
17) Eranda (Eraṇḍa, Eramda):
Eranda, or castor oil, is valued in Ayurveda for its purgative and anti-inflammatory properties. Its use in treatments of ankylosing spondylitis supports detoxification and pain relief, enhancing overall health. The application of Eranda within therapeutic regimens exemplifies Ayurveda’s utilization of natural substances for health benefits.
18) Gulika (Guḷikā, Guḷika, Gulikā):
Gulika refers to tablet or pill formulations in Ayurveda, often used for ease of administration of therapeutic herbs. In managing ankylosing spondylitis, specific Gulika combinations target inflammation and support joint health, reflecting the versatility of Ayurvedic systems in delivering effective treatment interventions in chronic conditions.
19) Vyadhin (Vyādhī, Vyādhi, Vyadhi, Vyādhin):
Vyadhi, meaning disease in Ayurveda, underpins the need for understanding disease manifestation and causative factors. In ankylosing spondylitis, accurate Vyadhi identification guides treatment planning. Correct diagnosis according to Ayurvedic principles aids in designing personalized treatment protocols aimed at restoring health and balance within the patient.
20) Blood:
Blood analysis plays a critical role in diagnosing conditions like ankylosing spondylitis. Evaluating markers such as ESR, and HLA-B27 assists in confirming the inflammatory nature of the disease, guiding effective treatment strategies. Both modern and Ayurvedic practices consider blood characteristics to devise suitable treatment protocols.
21) Vata (Vāṭa, Vaṭa, Vāta, Vaṭā):
Vata is one of the three doshas in Ayurveda that embodies movement and function within the body. In conditions like ankylosing spondylitis, Vata imbalance is a critical factor contributing to inflammation and pain. Ayurvedic treatments aim to pacify Vata through diet and therapies to restore health and balance.
22) Male (Mālē):
Ankylosing spondylitis predominantly affects young males, with a higher prevalence compared to females. Recognizing this demographic trend aids healthcare providers in early diagnosis and management, capitalizing on the impact of biological and genetic factors intrinsic to the male population’s susceptibility to this chronic condition.
23) Salt (Salty):
Salt, particularly rock salt, is utilized in Ayurvedic formulations and treatments. Its therapeutic properties are recognized in balancing doshas and enhancing digestion. Understanding the role of salt in disease management, such as ankylosing spondylitis, informs dietary recommendations aligning with Ayurvedic principles for holistic health.
24) Drug:
Drugs in conventional medicine aim to manage symptoms of ankylosing spondylitis through anti-inflammatory and analgesic actions. The juxtaposition of Ayurvedic herbs and modern pharmaceuticals emphasizes the importance of integrating different approaches to maximize therapeutic outcomes, ensuring comprehensive care for managing chronic inflammatory diseases.
25) Aegle marmelos:
Aegle marmelos, also known as Bael, is an important medicinal plant in Ayurveda noted for its digestive and anti-inflammatory properties. Its inclusion in treatment regimens for ankylosing spondylitis highlights Ayurveda’s focus on using effective natural resources to enhance digestive health, thereby addressing the root cause of the disease.
26) Madanaphala:
Madanaphala is a medicinal herb in Ayurveda recognized for its potential to alleviate pain and inflammation. In treating ankylosing spondylitis, Madanaphala formulations are valuable for their supportive role in managing symptoms, showcasing the effectiveness of plant-based therapies in chronic inflammatory conditions.
27) Developing:
Developing characteristics or symptoms in ankylosing spondylitis requires careful observation for diagnosis and effective management. Initiating treatment early can significantly alter the disease course, as understanding the nuances of symptom progression is vital for tailoring intervention strategies aimed at enhancing patient outcomes.
28) Anuvasana (Anuvāsana):
Anuvasana refers to the oil-based enema therapy in Ayurveda, specifically targeting Vata disorders. In ankylosing spondylitis treatment, Anuvasana plays a critical role in alleviating pain and supporting joint health as part of a comprehensive therapeutic strategy, highlighting the efficacy of Ayurvedic practices for chronic inflammatory diseases.
29) Simhanada (Siṃhanāda, Simha-nada):
Simhanada refers to a specific Ayurvedic formulation known for its detoxifying and anti-inflammatory properties. Its application in managing ankylosing spondylitis supports the aim of reducing systemic inflammation while enhancing joint mobility. The strategic use of Simhanada illustrates the potential benefits of traditional herbal remedies in chronic conditions.
30) Gandharva (Gāndharva, Gamdharva, Gamdharvadurve):
Gandharva refers to a specific preparation in Ayurveda derived from the castor plant, known for its detoxifying and purifying attributes. Its use in ankylosing spondylitis treatment underscores the holistic approachof Ayurveda in addressing underlying issues of the disease while alleviating symptoms associated with chronic inflammation.
31) Vatarakta (Vātarakta, Vata-rakta):
Vatarakta is an Ayurvedic condition likened to gout, characterized by inflammation and pain in joints. Its differentiation from ankylosing spondylitis is crucial for appropriate treatment. Acknowledging presentations of Vatarakta guides Ayurvedic practitioners in selecting interventions that are tailored to specific manifestations of rheumatic diseases.
32) Alasya (Ālasya, Alāsya, Ālāsya, Ālasyā):
Alasya means lethargy or heaviness, often accompanying chronic conditions like ankylosing spondylitis. This symptom impacts the patient’s quality of life, necessitating targeted treatment strategies to enhance vitality. Ayurvedic management of Alasya involves rejuvenating therapies and dietary adjustments to boost energy levels and restore the patient’s overall health.
33) Family:
Family history plays a significant role in assessing the etiology of conditions like ankylosing spondylitis. Genetic predispositions may contribute to disease occurrence, underscoring the importance of a thorough family history in determining treatment strategies and enhancing prevention measures for future generations.
34) Nature:
Understanding the nature of ankylosing spondylitis involves recognizing its chronic inflammatory progression and associated symptoms. Acknowledging disease nature facilitates targeted therapeutic approaches that address both the physical and emotional components of the illness, enhancing overall patient care and outcomes.
35) Aruci:
Aruchi, or loss of appetite, is a common symptom in chronic diseases like ankylosing spondylitis, indicating systemic involvement and distress. Addressing Aruchi informs dietary recommendations and treatment protocols, aiming to restore normal appetite and nutritional balance through suitable interventions.
36) Shopha (Śopha):
Sopha refers to swelling in Ayurvedic terms. In ankylosing spondylitis, joint swelling is indicative of inflammation and underlying pathology. Targeting Sopha through specific treatments helps improve mobility and function, showcasing the relevance of Ayurvedic strategies in managing inflammatory conditions.
37) Lepa:
Lepa refers to the medicinal paste or application used in Ayurveda for localized treatment of pain and inflammation. In ankylosing spondylitis management, Lepa is used to alleviate symptoms in affected joints, demonstrating the effectiveness of external applications in complementing internal therapeutic strategies.
38) Yoga (Yogā):
Yoga refers to the practice involving physical postures and breathing techniques, benefiting patients with ankylosing spondylitis. Incorporating yoga enhances flexibility, reduces stiffness, and promotes overall well-being. The synergy of yoga and Ayurvedic treatment offers a holistic approach to managing chronic inflammatory diseases.
39) Janu (Jānu, Janū, Jāṇu):
Janu denotes the knee joints in Ayurveda. In the context of ankylosing spondylitis, articulation in the knees can be significantly affected, leading to pain and mobility issues. Targeting the Janu joints through specialized treatments is essential for improving the patient’s functional capacity and quality of life.
40) Food:
Food plays a crucial role in Ayurvedic treatment, particularly in addressing conditions like ankylosing spondylitis. Diet modifications are integral to restoring balance and supporting digestive health, which is central to overcoming disease symptoms. Tailoring diet in response to the patient's needs enhances overall treatment efficacy.
41) Diet:
Diet is the cornerstone of Ayurvedic treatment, tailored to individual constitution and current health conditions. In ankylosing spondylitis, a diet promoting digestion and detoxification is pivotal to managing symptoms. Ayurveda emphasizes the significance of dietary choices in restoring health and maintaining balance.
42) Hand:
Hand function can be compromised in ankylosing spondylitis due to inflammation or stiffness. Addressing joint mobility in hands is vital for daily activities, necessitating targeted treatment approaches that improve joint function and reduce pain, ultimately fostering independence and quality of life.
43) Tinospora cordifolia:
Tinospora cordifolia, often called Guduchi, is a revered herbal remedy in Ayurveda known for its immune-boosting and anti-inflammatory properties. Its role in treating chronic inflammatory diseases like ankylosing spondylitis emphasizes the significance of using powerful herbal solutions to alleviate symptoms and promote recovery.
44) Solanum xanthocarpum:
Solanum xanthocarpum, a medicinal plant, is recognized in Ayurveda for its anti-inflammatory properties. It is utilized in formulations to address conditions such as ankylosing spondylitis, showcasing the potential of traditional agricultural resources in contributing to effective holistic health solutions through herbal medicine.
45) Terminalia chebula:
Terminalia chebula, or Haritaki, is an important herb in Ayurveda recognized for its purgative and digestive benefits. Its application in treating ankylosing spondylitis focuses on enhancing digestive function, supporting detoxification, and addressing symptoms resulting from metabolic imbalances, thus aiding overall treatment efficacy.
46) Burning sensation:
Burning sensation, if experienced during urination or other contexts, indicates possible inflammation or irritation, necessitating careful evaluation. In ankylosing spondylitis patients, managing symptoms of burning involves addressing underlying causes through targeted therapies and adjustments in the treatment plan to ensure patient comfort.
47) Cyperus rotundus:
Cyperus rotundus, known as Nut grass or Nagara, is traditionally used in Ayurvedic remedies for alleviating pain and inflammation. Its inclusion in formulations for ankylosing spondylitis treatment enhances the anti-inflammatory effects of the regimen, highlighting Ayurveda’s approach to sourcing local natural remedies for combatting chronic conditions.
48) Saussurea lappa:
Saussurea lappa, or costus, has potent anti-inflammatory properties recognized in Ayurveda. Its use in managing ankylosing spondylitis leverages these anti-inflammatory qualities to reduce pain and inflammation, illustrating the effectiveness of incorporating traditional herbs into modern treatment practices for chronic ailments.
49) Solanum indicum:
Solanum indicum is utilized in Ayurvedic formulations due to its therapeutic potential in treating inflammatory conditions. Its incorporation in ankylosing spondylitis regimen highlights the significance of diverse plant sources in addressing symptoms and fostering holistic healing in chronic rheumatic diseases.
50) Piper longum:
Piper longum, known as long pepper, has extensive use in Ayurveda for enhancing digestion and acting as an anti-inflammatory agent. Its role in ankylosing spondylitis treatment underscores the importance of incorporating versatile herbs that support systemic health while alleviating chronic symptoms of inflammation.
51) Young women (Young woman):
Young women are less frequently diagnosed with ankylosing spondylitis compared to young men. Recognizing gender differences in prevalence can inform screening and awareness efforts, encouraging timely diagnosis and treatment to improve outcomes for affected female patients in a traditionally male-dominated demographic.
52) Rock salt:
Rock salt, or Saindhava, is used in Ayurveda for its purifying properties and ability to balance the body's elements. Its incorporation in treatments for ankylosing spondylitis emphasizes the significance of natural elements in restoring health and maintaining fluid balance, aligning with Ayurvedic dietary recommendations.
53) Young men (Young man):
Young men represent a significant demographic affected by ankylosing spondylitis, with higher prevalence rates compared to women. recognizing this trend facilitates targeted education and management strategies to address the unique needs and risks faced by this population, improving early diagnosis and intervention.
54) Desmodium gangeticum:
Desmodium gangeticum is an Ayurvedic herb noted for its anti-inflammatory and analgesic properties, making it useful in treating ankylosing spondylitis. Its inclusion in herbal formulations highlights Ayurveda’s reliance on nature to provide treatment options aimed at alleviating chronic inflammatory symptoms effectively.
55) Terminalia bellirica:
Terminalia bellirica, recognized in Ayurveda for its health benefits, has potential roles in managing inflammatory conditions. Its incorporation into treatment regimens for ankylosing spondylitis underscores the value of multi-herb compositions aimed at addressing systemic health challenges in holistic healing practices.
56) Tribulus terrestris:
Tribulus terrestris, known for its supportive effects on vitality, is used in Ayurveda to enhance balance and alleviate discomfort associated with various ailments. Its relevance in the ankylosing spondylitis treatment emphasizes the essential role of adapting herbal solutions to improve patients' overall well-being in chronic conditions.
57) Oroxylum indicum:
Oroxylum indicum is an Ayurvedic herb valued for its anti-inflammatory properties, contributing to the management of chronic conditions like ankylosing spondylitis. Its inclusion in therapeutic formulations reflects Ayurveda’s broad scope of plant-based treatments aiming for systemic relief in chronic inflammatory diseases.
58) Ricinus communis:
Ricinus communis, or castor, is essential in Ayurveda for its purgative properties. It is administered as part of treatments for ankylosing spondylitis to aid detoxification and alleviate discomfort, emphasizing the importance of this plant in managing symptoms through holistic approaches.
59) Anuvasanabasti (Anuvāsanabasti, Anuvasana-basti):
Anuvasana-basti refers to the therapeutic oil enema specifically targeting Vata-related disorders. Utilizing Anuvasana-basti in ankylosing spondylitis treatment underscores the focus on addressing joint health and pain relief through carefully administered Ayurvedic therapies meant to restore balance and well-being.
60) Gmelina arborea:
Gmelina arborea, or Gamhar, is used in Ayurvedic formulations for its therapeutic properties in managing inflammation. Its inclusion in treatments for ankylosing spondylitis demonstrates Ayurveda's holistic approach by leveraging the benefits of local flora to combat chronic diseases and enhance quality of life.
61) Acorus calamus:
Acorus calamus, or sweet flag, is used in Ayurveda for its therapeutic benefits in digestive and respiratory health. Its incorporation in ankylosing spondylitis management highlights the integration of diverse herbal remedies to improve overall health and address specific symptoms related to chronic inflammatory conditions.
62) Niruhabasti (Nirūhabasti, Niruha-basti):
Niruha-basti refers to a specific type of medicated enema involving therapeutic decoctions. Its application in ankylosing spondylitis focuses on detoxification and balancing Vata dosha, demonstrating Ayurveda's strategy to address chronic inflammatory disease by promoting internal balance and symptom relief.
63) Janusandhi (Jānusandhi, Janu-sandhi):
Janu-sandhi refers to the knee joints in Ayurveda, which are often affected in conditions like ankylosing spondylitis. Addressing the needs of the Janu-sandhi through targeted therapies is crucial for improving pain, mobility, and overall function in affected patients.
64) Mudgayusha (Mudgayūṣa, Mudga-yusha):
Mudga-yusha is a type of green gram soup used in Ayurvedic diets. Its nutritional benefits support overall health and aid in detoxification, making it an essential dietary component for patients with conditions like ankylosing spondylitis, contributing to their recovery and general well-being.
65) Vatadosha (Vātadoṣa, Vata-dosha):
Vata-dosha governs movement and is critical in Ayurvedic diagnosis and treatment of diseases like ankylosing spondylitis. An imbalance of Vata leads to symptoms such as pain and stiffness, necessitating focused treatment to restore equilibrium, showcasing the integral role of dosha analysis in personalized care.
66) Green gram:
Green gram, or mung bean, is high in nutrients and used in Ayurvedic diets to promote health and digestion. Its inclusion in ankylosing spondylitis management emphasizes the significance of nourishing foods, supporting restorative processes while addressing gastrointestinal health in patients with chronic conditions.
67) Discussion:
The discussion surrounding ankylosing spondylitis encompasses diagnostic challenges, treatment modalities, and patient experiences. Engaging in comprehensive analysis supports the development of effective management strategies, facilitating informed decision-making in both modern and traditional healing practices tailored to individual patient needs.
68) Similarity:
Establishing similarity between ankylosing spondylitis and other rheumatic conditions is important for accurate diagnosis and treatment. Recognition of overlapping symptoms guides practitioners in differentiating conditions, ensuring tailored therapeutic interventions that enhance patient care and recovery outcomes.
69) Vaivarṇya (Vaivarnya, Vaivanrya):
Vaivarnya refers to a discoloration of the skin, indicative of underlying pathology in some Ayurvedic diagnoses. While not a primary feature of ankylosing spondylitis, understanding its significance can aid practitioners in evaluating symptoms and guiding proper treatment approaches based on individual presentations.
70) Dhanyamla (Dhānyāmla, Dhanya-amla):
Dhanyamla is a fermented rice preparation in Ayurveda recognized for its health benefits, particularly in aiding digestion and detoxification. Its use in ankylosing spondylitis treatment underscores the importance of dietary components that enhance metabolic function and support overall health within Ayurvedic practices.
71) Amavatari (Āmavātāri, Amavata-ari):
Amavatari refers to Ayurvedic formulations specifically designed to treat Amavata, resembling conditions like ankylosing spondylitis. These preparations target underlying causes of the disease through a holistic approach, emphasizing the importance of tailored herbal solutions in managing chronic inflammatory disorders effectively.
72) Suffering:
The suffering associated with ankylosing spondylitis extends beyond physical symptoms, impacting emotional and psychological well-being. Addressing suffering necessitates comprehensive care, combining pain management, support systems, and holistic therapies to improve quality of life and promote recovery among patients facing chronic disease challenges.
73) Vibandha:
Vibandha refers to constipation, a symptom that may accompany chronic conditions like ankylosing spondylitis. Addressing Vibandha in treatment is essential for restoring gastrointestinal health, enhancing overall well-being, and ensuring successful management of the disease's multifaceted manifestations and related symptoms.
74) Makshika (Mākṣika, Makṣika, Makṣīkā, Mākṣīka):
Makshika refers to honey, a significant ingredient in Ayurveda. It is utilized for its nourishing, healing, and anti-inflammatory properties. Incorporating Makshika in formulations for ankylosing spondylitis treatment showcases Ayurveda's approach of integrating natural substances to promote health and alleviate symptoms of chronic conditions.
75) Vomiting:
Vomiting, if associated with ankylosing spondylitis, can signify more severe systemic involvement or side effects of treatment. Understanding the causes of vomiting helps practitioners navigate treatment adjustments, ensuring patient comfort while maintaining therapeutic efficacy in managing chronic inflammatory diseases.
[Note: The above list is limited to 75. Total glossary definitions available: 114]
Other Science Concepts:
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