Shunthi Siddha Jal in Amvata: A Case Study on Rheumatoid Arthritis
Journal name: World Journal of Pharmaceutical Research
Original article title: Role of shunthi siddha jal, pachan and shodhan chikitsa in amvata w.s.r to rheumatoid arthritis – a case study
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Amogh L. Joshi, Rajan B. Kulkarni and Sanjivani N. Rathod
World Journal of Pharmaceutical Research:
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Full text available for: Role of shunthi siddha jal, pachan and shodhan chikitsa in amvata w.s.r to rheumatoid arthritis – a case study
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20239-28498
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Summary of article contents:
Introduction
Amavata, a condition that closely resembles Rheumatoid Arthritis (RA), is increasingly prevalent among the younger population today. It is characterized by the vitiation of the Vata dosha and the accumulation of Ama (toxins) in the joints, leading to symptoms such as joint swelling, pain, and stiffness. Ayurveda offers a holistic approach to treat Amavata, focusing on natural therapies like Shamana (conservative treatment) and Shodhana (biological purification), as opposed to modern medicine's reliance on potentially harmful medications. A case study was conducted to evaluate the effectiveness of Ayurvedic management in a 16-year-old female patient diagnosed with Amavata.
Understanding Ama and Vata Dosha
The core issue behind Amavata lies in the interaction between Ama and Vata dosha. Ama refers to a toxic state stemming from various ailments in the body and is primarily associated with poor digestion (Mandagni). When Ama combines with the vitiated Vata dosha, it localizes in the joints (Shleshmasthana), leading to significant pain and swelling. Ayurvedic texts advocate a stepwise treatment approach, starting with Langhana (fasting) to eliminate Ama, followed by therapies that enhance digestion and improve metabolic activity, ultimately leading to the pacification of vitiated Vata dosha and alleviating symptoms.
The Ayurvedic Treatment Approach
Ayurveda prescribes a regimen that incorporates both internal and external treatments. In this case study, the patient received a tailored treatment plan that included medications such as Aampachak Kwath and Amruta Guggul, which have properties like digestion enhancement and detoxification. Additionally, external therapies such as Swedana (fomentation) and Shothahar Lepa (local application) were utilized, aimed at reducing swelling and promoting joint mobility. The treatment was complemented by dietary modifications to support effective digestion and manage symptomatology.
Clinical Outcomes and Observations
Following the Ayurvedic interventions, significant improvements were observed in the patient's condition. The assessment metrics revealed a notable decrease in pain, swelling, and tenderness over a 30-day follow-up period. Laboratory investigations also indicated favorable changes, such as a reduction in ESR and uric acid levels. These results underscore the effectiveness of the Ayurvedic management strategy in addressing the symptoms and underlying pathology of Amavata, providing a promising alternative to conventional treatment options.
Conclusion
The successful management of Amavata in this case study illustrates the potential of Ayurvedic principles in treating chronic ailments that are often resistant to modern medical treatments. By employing a comprehensive approach that combines dietary interventions, medicinal formulations, and specialized therapies, Ayurveda can address both symptomatic relief and the root causes of the condition. However, this case study serves as an initial evaluation, and further research with larger sample sizes is needed to substantiate these findings and ensure that the effectiveness of Ayurvedic treatment can be generalized to a broader population.
FAQ section (important questions/answers):
What is Amavata and how does it relate to rheumatoid arthritis?
Amavata is an Ayurvedic term resembling rheumatoid arthritis, caused by Vata dosha vitiation and Ama accumulation in joints, leading to pain and stiffness.
What Ayurvedic treatments are effective for Amavata?
Ayurvedic treatments include Shamana (conservative care) and Shodhana (biological purification), applying therapies like Virechana, Snehapana, and specific medications to address symptoms.
How was the 16-year-old female patient diagnosed?
The patient was diagnosed with Amavata based on classical Ayurvedic symptoms and criteria established by the American Rheumatology Association in 1988.
What treatment plan was implemented for the patient?
The treatment plan included internal medications, external therapies, diet modifications, and a Shodhana process using Virechana over several days for effective management.
What were the significant results observed after treatment?
After treatment, there was a notable decrease in pain, swelling, and tenderness in both wrists and phalanges, suggesting effective management of Amavata symptoms.
What is the conclusion regarding Amavata treatment from the case study?
The case study concluded that Ayurvedic treatment effectively manages Amavata, warranting further studies with larger patient populations for broader evaluation of efficacy.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Shunthi Siddha Jal in Amvata: A Case Study on Rheumatoid Arthritis”. 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 refers to a concept in Ayurveda that resembles Rheumatoid Arthritis. It is characterized by the vitiation of the Vata dosha and accumulation of Ama in the joints, leading to pain and inflammation. Understanding Amavata is crucial for applying Ayurvedic principles to treat joint ailments effectively.
2) Swelling:
Swelling, or 'sandhishotha' in Ayurvedic terminology, is an important symptom of Amavata. It indicates the accumulation of fluids in the joints due to inflammation. The presence of swelling helps clinicians assess the severity of the condition and is critical for determining the efficacy of treatments administered.
3) Pain:
Pain, referred to as 'sandhishoola,' is a primary symptom in conditions like Amavata. It can range from mild discomfort to debilitating pain, affecting mobility. Pain management in Ayurveda focuses on alleviating this symptom through various therapies aimed at restoring balance in the body's doshas.
4) Disease:
Amavata is classified as a chronic disease in Ayurveda, reflecting its long-term impact on health and quality of life. Understanding the disease process, including its causative factors and pathogenesis, is essential for effective Ayurvedic treatment and management strategies tailored to the individual's needs.
5) Joshi (Josi):
Amogh L. Joshi is the lead author of this case study. His work focuses on integrating traditional Ayurvedic principles with modern medical understanding, providing valuable insights into the management of Amavata. The author’s expertise lends credibility to the findings presented and their relevance in clinical practice.
6) Table:
Tables in research articles provide structured data that aids in understanding treatment outcomes, patient assessments, and clinical parameters. In this study, tables summarize important findings, such as patient pain, swelling, and tenderness assessments before and after treatment, enabling quick comprehension of results.
7) Rheumatoid arthritis:
Rheumatoid arthritis (RA) is an autoimmune disorder characterized by chronic inflammation of joints. In Ayurveda, it correlates with Amavata, emphasizing the need for holistic treatment approaches. Understanding RA helps Ayurvedic practitioners tailor interventions, addressing both physical symptoms and underlying imbalances in the body’s doshas.
8) Ayurveda (Ayus-veda):
Ayurveda is an ancient system of medicine from India focused on holistic healing and balance. It emphasizes the harmony between body, mind, and spirit, using personalized treatments like dietary adjustments, herbal remedies, and purification techniques. Its principles are foundational for addressing conditions like Amavata.
9) Medicine:
Medicines in Ayurveda, often referred to as 'Aushadhi', play a pivotal role in treating various ailments. The appropriate selection and combination of medicinal herbs aimed at managing the symptoms and addressing the root causes of conditions like Amavata are fundamentally essential in Ayurveda.
10) Dosha (Dosa):
Doshas are fundamental concepts in Ayurveda describing bodily energies: Vata, Pitta, and Kapha. The vitiation of these doshas leads to various disorders, including Amavata. Understanding dosha imbalances is crucial for developing effective treatment plans that restore health and equilibrium within the body.
11) Study (Studying):
The study investigates the effects of Ayurvedic treatments on a 16-year-old female diagnosed with Amavata. It aims to provide evidence for the effectiveness of Ayurveda in managing this condition, thereby contributing to the growing body of literature on holistic health approaches in chronic diseases.
12) Vata:
Vata is one of the three doshas and is primarily associated with movement and communication in the body. In Amavata, vitiation of Vata leads to disturbances in joint function. Ayurvedic treatments aim to pacify Vata to alleviate symptoms associated with this condition.
13) Shodhana (Sodhana):
Shodhana refers to the purificatory processes in Ayurveda aimed at detoxifying the body. This therapy is important in managing Amavata by eliminating accumulated toxins (Ama) from the system and restoring balance among the doshas, particularly Vata, for improved health outcomes.
14) Langhana (Lamghana):
Langhana signifies a therapeutic approach in Ayurveda that emphasizes lightening the body, often through fasting or specific dietary therapies. This method is essential in treating conditions like Amavata by promoting digestion, reducing Ama, and alleviating excess Vata symptoms.
15) Nashik:
Nashik is a city in India where the Ayurvedic treatment in this case study took place. Its significance lies in being a center for traditional medicine, contributing to research, clinical practice, and education in Ayurvedic healing methods aimed to combat conditions like Amavata.
16) Drug:
Drugs refer to herbal or medicinal formulations used in Ayurveda for therapeutic purposes. The selection of appropriate drugs is vital in managing conditions like Amavata, as they directly influence the efficacy of treatment protocols targeting inflammation and restoring Vata balance.
17) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha, a specific Ayurvedic concept, embodies the air and ether elements governing communication and movement in the body. Its vitiation is central to the pathology of Amavata, leading to symptoms like pain and stiffness. Recognition of this concept assists practitioners in formulating targeted treatments.
18) Vitiation (Vitiated):
Vitiated refers to the imbalance of doshas or deterioration of bodily functions. In cases like Amavata, understanding what it means to have vitiated Vata can guide practitioners in creating targeted treatment regimens that restore equilibrium and alleviate symptoms effectively.
19) Stiffness:
Stiffness, particularly joint stiffness, is commonly associated with Amavata. It severely restricts mobility and affects daily activities. Treatment methodologies in Ayurveda aim at alleviating stiffness through both internal and external therapies, enhancing range of motion and improving the quality of life for affected individuals.
20) Shunthi (Sunthi, Sumthi, Shumthi):
Shunthi, or ginger, is a prominent herb in Ayurveda renowned for its anti-inflammatory and digestive properties. Its role in treating Amavata is significant as it helps to alleviate symptoms like pain and stiffness while improving digestion, addressing the underlying issues of Ama accumulation.
21) Siddha:
Siddha translates to 'perfected or accomplished' in Ayurveda, referring to the preparation of herbal medicines. This concept underscores the importance of properly processed herbal combinations, such as 'Shunthi Siddha Jal,' which enhance therapeutic efficacy and patient outcomes in the treatment of conditions like Amavata.
22) Sutra:
Sutra denotes a set of guiding principles or aphorisms in Ayurveda. It’s essential in providing frameworks for diagnosis and treatment planning. The 'Chikitsa Sutra' specifically guides practitioners on how to effectively manage conditions such as Amavata through structured therapeutic approaches.
23) Diet:
Diet is a crucial aspect of Ayurvedic treatment, emphasizing the need for balanced nutrition to maintain health and facilitate healing. Specific dietary recommendations are made to support the digestive fire (Agni) and reduce Ama, playing an important role in the management of Amavata.
24) Yogaratnakara (Yoga-ratnakara):
Yogaratnakara is an important Ayurvedic text that outlines concepts related to the treatment of diseases such as Amavata. It provides systematic approaches for managing symptoms and restoring balance within the body through dietary choices, detoxification, and various therapeutic techniques.
25) Purification:
Purification in Ayurveda refers to therapeutic practices aimed at detoxifying and clearing the body of Ama or toxins. This process is vital for treating chronic conditions like Amavata, as it helps restore balance among doshas and enhances overall health and vitality.
26) Accumulation (Accumulating, Accumulate):
Accumulation refers to the buildup of Ama in the body, often due to poor digestion (Mandagni) or improper dietary habits. This buildup contributes to disorders like Amavata, necessitating Ayurvedic interventions focused on detoxification and restoring the natural balance of the body's systems.
27) Samprapti:
Samprapti refers to the pathogenesis or development of a disease in Ayurveda. In the case of Amavata, it describes how the progression of symptoms arises from the imbalance of doshas, allowing practitioners to structure comprehensive treatment plans tackling each aspect of this pathway.
28) Suffering:
Suffering encapsulates the patient experience of having a chronic condition such as Amavata, marked by persistent pain, inflammation, and decreased quality of life. Understanding the suffering allows for compassionate care and highlights the importance of effective treatment strategies to alleviate these distressing symptoms.
29) Mandagni (Manda-agni, Mamdagni):
Mandagni signifies a weak or impaired digestive fire in Ayurveda, leading to improper digestion and formation of Ama. Its restoration is critical, as a robust Agni is necessary for breaking down foods properly and preventing the accumulation of toxins, which is central to managing Amavata.
30) Aushadhi (Ausadhi, Aushadhin, Ausadhin):
Aushadhi refers to herbal preparations or medicines used in Ayurvedic healing. It encompasses various formulations that are specifically developed to target ailments, including Amavata, through detoxification and rebalancing of doshas, providing a natural and holistic approach to wellness.
31) Language:
Language in this context serves as a means to communicate complex Ayurvedic concepts and practices. Proper understanding and usage of medical language enable practitioners to explain, educate, and document findings regarding conditions like Amavata effectively.
32) Samana (Shamana):
Shamana indicates palliative or soothing treatments aimed at relieving symptoms without altering the disease’s underlying pathology. In managing Amavata, Shamana approaches can help alleviate pain and discomfort while supporting overall balance within the body's systems during treatment.
33) Sandhi (Shandhi, Samdhi):
Sandhi refers to joints in Sanskrit, which are affected in conditions like Amavata. Understanding the structure and function of Sandhi is crucial for diagnosing joint diseases and applying appropriate Ayurvedic treatments to restore joint health and mitigate symptoms of pain and swelling.
34) Ruksha (Ruksa):
Ruksha means 'dry' in Ayurveda. Ruksha properties are essential in treatments aimed at counteracting excess Kapha and certain types of Ama in the body. In the context of Amavata, Ruksha therapies can help to alleviate swelling and improve mobility by balancing the doshas.
35) Asthi (Ashthi):
Asthi refers to bones in Ayurveda, playing a key role in joint health. Conditions like Amavata affect the synergy between the Asthi and joints (Sandhi). Maintaining healthy Aynthi through Ayurvedic principles helps in managing and preventing joint diseases effectively.
36) Laghu:
Laghu means 'light' in Ayurveda and often pertains to foods or therapies that aid digestion and balance. In treating Amavata, Laghu properties are crucial for providing digestible foods that minimize the formation of Ama, thus promoting overall health and preventing complications.
37) Observation:
Observation denotes the act of closely monitoring a patient's condition, symptoms, and responses to treatment. In a clinical context, observation is essential for evaluating the progression of Amavata and determining the success of the applied Ayurvedic interventions.
38) Ashtavidha (Astavidha, Ashtan-vidha):
Ashtavidha refers to the eight-fold examination process in Ayurveda, which includes various assessments leading to diagnosis. This methodology is fundamental for understanding patients in conditions like Amavata, guiding tailored treatment approaches based on comprehensive evaluations.
39) Shothaghna (Sothaghna, Shotha-ghna):
Shothaghna signifies the property of a medicine to reduce inflammation and swelling. In treating Amavata, employing Shothaghna herbs can mitigate acute symptoms, making them essential components of Ayurvedic formulations aimed at managing joint pain and associated swelling in patients.
40) Discussion:
Discussion in research allows for the interpretation of findings and implications for practice. It enables practitioners to critically analyze the results of treatments for Amavata and explore future strategies for improving Ayurvedic management in diverse patient populations.
41) Vatarakta (Vata-rakta):
Vatarakta is another Vata-related disorder, often compared to gout, where the body's Vata dosha is involved. While related, understanding the distinctions between Vatarakta and Amavata is essential for developing specific treatment plans in Ayurveda focused on each condition’s unique manifestations.
42) Mahatikta (Maha-tikta):
Mahatikta is a specific herbal formulation known for its purifying and detoxifying properties in Ayurveda. Used in therapies for Amavata, it plays a crucial role in Shodhana practices by eliminating toxins and reducing the burden of Ama in the body.
43) Samjivani (Sanjivani):
Sanjivani refers to rejuvenating herbs or formulations in Ayurveda, known for their restorative properties. In the context of Amavata treatment, incorporating Sanjivani elements can enhance recovery and promote overall vitality in patients enduring chronic conditions.
44) Pariksha (Pariksa):
Pariksha means 'examination' or 'assessment' in Ayurveda. It is integral to diagnosis and treatment planning, with various methods like Ashtavidha Pariksha helping practitioners understand the nuances of conditions such as Amavata, thus ensuring a comprehensive approach to patient care.
45) Sthanika:
Sthanika relates to localized conditions or disorders affecting specific body parts, relevant in Amavata where joint inflammation occurs. Understanding Sthanika manifestations is crucial for targeted Ayurvedic treatments that specifically address local inflammation and pain symptoms.
46) Abhayadi:
Abhayadi refers to a group of medicinal recipes used in Ayurvedic practice, particularly for managing vitiated conditions linked to Ama and Vata. Incorporating Abhayadi-based formulations is essential in the treatment protocols for conditions like Amavata, ensuring effective management strategies.
47) Pottali:
Pottali indicates a type of herbal bolus used in Ayurvedic therapies. It is often employed for fomentation to alleviate symptoms like stiffness and pain in conditions such as Amavata. Pottali therapies help to reduce vitiated doshas and promote healing through localized treatment.
48) Avaleha:
Avalehas are semi-solid herbal preparations in Ayurveda often used for their therapeutic properties. In managing conditions like Amavata, Avaleha formulations help improve digestion and reduce Ama, thus playing a vital role in holistic treatment approaches focused on restoring balance.
49) Trivrit (Tri-vrit, Trivrt):
Trivrit is a specific herb known for its purgative properties in Ayurveda. It is commonly used in Virechana (purification) therapies to help eliminate accumulated Ama in patients with Amavata, promoting detoxification and restoring proper digestive function.
50) Tikshna (Tiksna):
Tikshna translates to 'sharp' or 'potent' in Ayurvedic terminology, which often describes the action of certain herbs or medicines. In the management of Amavata, employing Tikshna properties can aid in breaking down Ama and alleviating pain and inflammation effectively.
51) Vikara:
Vikara denotes disorders or diseases in Ayurveda, including disturbances in dosha balance leading to health issues. Understanding Vikara such as Amavata helps in formulating effective treatment plans aimed at restoring dosha equilibrium and alleviating symptom severity.
52) Ghrita (Ghrta):
Ghrita refers to medicated ghee, a key component in Ayurvedic formulations. It is often used for its nourishing and restorative properties and can play a crucial role in managing Amavata by enhancing digestion and aiding in detoxification processes.
53) Dipana:
Dipana signifies the enhancement of digestive fire or Agni, which is critical in Ayurveda for proper digestion and preventing Ama buildup. Improving Dipana is a primary approach in treating Amavata, ensuring optimal absorption and metabolic efficiency.
54) Rasaja (Rasa-ja):
Rasaja pertains to health conditions that affect the body’s Rasa or vital fluids, including nutritional deficiencies and systemic imbalances. Recognizing Rasaja influences helps Ayurvedic practitioners address underlying issues contributing to diseases like Amavata systematically.
55) Valuka:
Valuka indicates the use of heated sand in Ayurvedic therapies, typically for local application in fomentation methods. In Amavata management, Valuka therapies can help alleviate stiffness and pain by promoting circulation and easing muscle tension around affected joints.
56) Vyadhin (Vyadhi):
Vyadhi translates to 'disease' or 'ailment' in Ayurveda. It encompasses various health conditions, including Amavata. Understanding Vyadhi is crucial for proper diagnosis and treatment planning, focusing on symptoms, underlying imbalances, and tailored interventions for effective healing.
57) Edema (Oedema):
Oedema refers to the swelling caused by fluid retention in body tissues. In Amavata, oedema presents in affected joints, complicating mobility and comfort. Traditionally, Ayurvedic therapies aim to reduce oedema through detoxification and balancing vitiated doshas, enhancing joint function.
58) Nature:
Nature refers to the intrinsic characteristics and behaviors of biological elements within the body, including doshas and their interactions. In understanding Amavata, it is vital to consider the nature of bodily processes and how they contribute to health and disease balance.
59) Pitta:
Pitta is one of the three doshas in Ayurveda, characterized by heat and transformation. In contrast to Vata and Kapha, Pitta's role in conditions like Amavata must be understood to ensure comprehensive treatment strategies that harmonize all dosha dynamics within the patient.
60) Kalpa:
Kalpa refers to preparations in Ayurveda, encompassing various forms of medicines such as powders, decoctions, or pastes. Kalpa plays an essential role in the formulation of Ayurvedic treatments tailored for Amavata, ensuring effective delivery of herbal ingredients to the body.
61) Karma (Karman):
Karma meaning 'action' in Ayurveda extends to therapeutic interventions and lifestyle changes. Understanding the Karma related to dietary and medicinal treatments is crucial for managing chronic conditions like Amavata, emphasizing proactive measures to restore health balance.
62) Mudga:
Mudga refers to green gram, an important dietary element in Ayurveda known for its light and digestible properties. Its incorporation in the diet can aid in managing Ama and Vata imbalance in Amavata, contributing to improved digestion and overall health.
63) Tikta:
Tikta signifies the bitter taste in Ayurveda, often associated with detoxifying herbs. The use of Tikta formulations can be beneficial in alleviating symptoms of Amavata, as they help clear accumulated Ama from the body and promote overall wellness.
64) Ushna (Usna):
Ushna translates to 'hot' or 'heating' properties in Ayurvedic herbology. These properties are essential for managing conditions characterized by vitiated Vata, like Amavata, as they facilitate digestion, reduce stiffness, and alleviate pain through enhanced metabolic activity.
65) Basti:
Basti refers to the administration of medicated enema in Ayurveda, a powerful Shodhana therapy. In treating Amavata, Basti therapy can expel Ama and restore doshic balance, thus addressing conditions manifesting from Vata imbalances effectively and efficiently.
66) Bahya:
Bahya means 'external' in Sanskrit, referring to therapies applied to the body’s surface, such as external applications or topical treatments. Bahya therapies are integral in managing Amavata symptoms, providing localized relief consistent with Ayurvedic treatment principles.
67) Rajan:
Rajan may pertain to personal author identities or culturally significant names in Ayurveda literature. As part of an academic context, understanding the authorship and contributions of figures like Rajan can enhance comprehension of influential Ayurvedic practices and philosophies.
68) Balya:
Balya refers to substances that promote strength and vitality in Ayurveda. Utilizing Balya herbs and formulations can help patients recovering from conditions like Amavata regain energy and improve overall health, supporting their physical and functional recovery process post-treatment.
69) Water:
Water is essential for health and its role in Ayurvedic treatment is paramount. Proper hydration aids in digestion, detoxification, and prevents Ama formation. In conditions like Amavata, ensuring adequate water intake is crucial for maintaining bodily processes and supporting therapeutic interventions.
70) Hand:
Hand refers to an individual joint often affected by Amavata, specifically in rheumatoid arthritis scenarios. Understanding hand function and the impact of joint health is vital for assessing treatment effectiveness and improving daily living activities for affected individuals.
71) Agni:
Agni represents the digestive fire in Ayurveda, crucial for maintaining health. A strong Agni is essential for digestion and preventing Ama accumulation. In treating conditions like Amavata, optimizing Agni through appropriate dietary adjustments is vital for effective disease management.
72) Lepa:
Lepa refers to topical applications of herbal pastes in Ayurveda aimed at reducing localized swelling and pain. In the management of Amavata, Lepa therapies can deliver direct benefits to affected joints, enhancing the quality of life by offering symptomatic relief.
73) Katu:
Katu translates to 'pungent' and is one of the six tastes in Ayurveda, often associated with digestive stimulation. In the treatment of Amavata, incorporating Katu elements may promote digestive health and combat the build-up of Ama, thereby enhancing overall treatment efficacy.
74) Rasa (Rasha):
Rasa refers to 'taste' in Ayurveda, foundational in understanding dietary principles and therapeutic practices. Recognizing the role of different Rasas in healing, patients with Amavata can be guided on dietary choices that mitigate symptoms and restore balance within the body's metabolism.
75) Bala:
Bala signifies strength or vigor in Ayurvedic texts. It emphasizes the need to promote physical and mental well-being amid chronic conditions like Amavata. Strategies focusing on restoring Bala encourage holistic healing principles that address comprehensive patient needs during treatment.
[Note: The above list is limited to 75. Total glossary definitions available: 80]
Other Science Concepts:
Discover the significance of concepts within the article: ‘Shunthi Siddha Jal in Amvata: A Case Study on Rheumatoid Arthritis’. Further sources in the context of Science might help you critically compare this page with similair documents:
Mandagni, Vatadosha, Rheumatoid arthritis, Assessment criteria, Shodhana Therapy, Shamana Therapy, Ayurvedic Management, Virechana Therapy, Swedana therapy, Langhana therapy, Pachana therapy, Chikitsa Siddhant, Amavata disease, Clinical results, Ama condition.