Arti Maske and Nimbalkar NR

Aamvata is one of the most common disorders affecting a large adult population. The term Aamvata is formed from two words, Aam and Vata. Aamvata is Madhyam marg vyadhi& It is firstly mentioned as separate disease by Madhavkara. In the pathogenesis of Aamvata, both Aam and Vata act as the main pathogenic factors. The aggravated Vata carries Aam and deposits it in the Shlesmasthana (Asthi, Sandhi, and Aamashaya), leading to the development of Aamvata.so here Aamvata develops due to Agnidushti, formation of Aam, and derangement of the joints (Sandhivikruti). Therefore, the ideal treatment is one that restores normal Agni, digests and eliminates Aam, regulates Vata, and maintains the health of the joints and Sandhistha Shleshma.

The symptomatology of Aamvata, as described in Ayurvedic literature, closely parallels the clinical presentation of rheumatoid arthritis. Aamvata is characterized by the association of Aam with vitiated Vata doṣa, leading to pain, stiffness, swelling, and restricted movements of the joints. Similarly, rheumatoid arthritis is a chronic, progressive autoimmune joint disorder that predominantly affects multiple joints in a bilateral and symmetrical manner. In India, the prevalence of rheumatoid arthritis ranges from 0.5-3.8% in women and 0.15-1.35% in men. Acharya Chakradatta has described specific Chikitsa Siddhanta for the management of Amavata, which includes Langhana, Swedana, administration of drugs possessing Tikta and Katu Rasa with Deepana properties, along with Virechana, Snehapana, and Basti. By applying these therapeutic principles, a case of Aamvata was treated successfully. Significant improvement was noted in the signs and symptoms following the treatment, and no complications were observed during the course of therapy.

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