Publisher

V

P

G

A

R

Volume : 03

Issue : 03

ISSN No. : 2584-2757

Volume : 03

INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH

ROGANIDAN VIKRUTIVIGYAN PG ASSOCIATION

FOR PATHOLOGY AND RADIODIGNOSIS

Reg. No. : MAHA-703/16(NAG)

Issue

: 03

Year of Establishment – 2016

: https://doi.org/10.5281/zenodo.19597286

DOI

Impact Factor : 1.013

INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH

Ayurvedic Management Of Amavata W.S.R. To Rheumatoid Arthritis – A Case

Study

Dr. Akanksha R. Raut ¹, Dr. Vipul Kanani ², Dr. Sapna Upadhyay³

1

Third year PG scholar ,Rognidan Evum Vikriti Vigyan Department, RTAM, Akola

²Professor & HOD,Rognidan Evum Vikriti Vigyan Department, RTAM, Akola

³Associate Professor,Rognidan Evum Vikriti Vigyan Department, RTAM, Akola

Corresponding Author: Dr.Akanksha Raut

E-Mail : araut.ytl@gmail.com

Article Info: Article Received on : 06/02/2026

Article Reviewed on: 08/04/2026

Article Published on : 15/04/2026

Cite this article as: - Raut, A., Kanani, V., & Upadhyay, S. (2026). Ayurvedic Management Of Amavata W.S.R. To Rheumatoid

Arthritis – A Case Study. International Journal of Diagnostics And Research, 3(3), 48–54. https://doi.org/10.5281/zenodo.19597286

Abstract

Amavata is one of the commonest disorder caused by the impairment of Agni. It develops due to the accumulation of

Ama in association with aggravated Vata Dosha, which then localizes in the Shleshma sthana i.e. joints producing

symptoms of Amavata, such as Sandhishool, Sandhishotha, Sandhigraha etc. Amavata can be correlated with so

many inflammatory joint disease but due to similarities in clinical features it can be correlated with Rheumathoid

Arthritis . Rheumatoid Arthritis is an autoimmune disease marked by symmetrical polyarthritis, joint deformity, and

progressive disability. The management in Modern medical science primarily focuses on symptomatic relief and

immune suppression, often associated with long-term adverse effects. This case study evaluates the effectiveness of

Ayurvedic management in a diagnosed case of Amavata. A 58-year-old female patient approached to Rognidan OPD

with a chief complaint of pain and morning stiffness in the multiple joints of both hands from one year, swelling in

both hands and wrist joint from 3 months, intermittent low-grade fever from 3 months. After few days, pain got

aggravated and found difficulty in the daily routine activity with severe stiffness. Blood investigation of the patient

revealed that she was anaemic with HB – 9.4 gm/dl, had elevated ESR & CRP and positive RA factor. According to

her symptoms, and the lab reports we diagnosed her as a patient of Aamvata(RA). Patient was advised Shamana

Chikitsa with Tb. Rasnadi guggul, Tb. Sanjivani vati, Tb. Punarnava Mandoor, Tb. Muscalt forte(Aimil pharma)

and Syp. Rasnasaptak Kwath as orally and Valuka Pottali Swed for external application. After treatment, marked

improvement was observed in signs and symptoms and inflammatory markers. There was no side effect observed

during and after treatment. Hence it is concluded that the given drug can be of great help in managing the cases of

Rheumatoid Arthritis.

Keywords: Amavata, Rheumatoid Arthritis, Ama, Vata, Shaman chikitsa

Copyright @ : - Dr.Akanksha Raut Inter. J.Digno. and Research IJDRMSID0107 |ISSN :2584-2757

48

Volume : 03 Issue : 03

INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

cause of disease and restoring health, rather than

just managing symptoms, making it a suitable

Introduction :

Amavata is a chronic inflammatory disorder

described in Ayurvedic classics, resulting from the

accumulation of Ama and aggravation of Vata

dosha. Impaired digestive fire (Mandagni) leads to

the formation of Ama, which circulates in the body

and localizes in the shleshma sthana i.e.joints,

producing pain, swelling, stiffness, and restricted

movement. Classical features of Amavata include

Angamarda (body ache), Aruchi (loss of appetite),

approach for conditions like Rheumatoid Arthritis

(RA).Here, the OPD patient was diagnosed as

Amavata (RA) as per the signs and symptoms, so

on the OPD basis Shaman chikitsa was given to

patient with herbs like Tikta (bitter) and Katu

(pungent) Rasa as well as Deepana-Pachana,

Shothahara and Vednasthapana properties.

Case Report :

A 58 yrs. old female patient presented with pain

and morning stiffness in the multiple joints of both

hands from one year, swelling in both hands and

wrist joint from 3 months, intermittent low-grade

fever from 3 months. And she said that after few

days, her pain got aggravated and found difficulty

in the daily routine activity. Along with joint pain,

she had stiffness in multiple joints which was more

in morning hours and after inactivity and lasts for

about 1-2 hour. Also, she had complained of loss of

appetite. She has no history of Diabetes,

Hypertention or any other major illness in the past.

Trishna

(excessive

thirst),

Alasya

(fatigue),

Gourava (heaviness), Jwara (fever), Avipaka

(indigestion), and Shotha (swelling), as described in

Madhav Nidan^[1]

.

Amavata is clinically similar to Rheumatoid

arthritis, a systemic autoimmune disorder that

primarily affects the synovial joints, leading to

swelling, pain, stiffness and progressive destruction

of cartilage and bone, often leading to functional

disability^[2]. In nearly two-thirds of patients, the

disease begins gradually, presenting with symptoms

such as fatigue, anorexia, low grade fever,

Aims And Objective :To study the ayurvedic

generalized

weakness,

and

musculoskeletal

discomfort. Morning stiffness lasting for more than

one hour is an almost invariable symptom and is

present in almost all cases^[3]. RA affects the

multiple joints bilaterally symmetrical, commonly

involving small joints of the hands, wrists and feet

but larger joints and extra articular organs may also

be affected as the disease progresses.Treatment in

modern medicine has limitations due to their side

effects with long-term use. Considering the chronic

nature and limitations of conventional therapy,

Ayurvedic management offers a holistic and safe

approach. Ayurveda focuses on eliminating the root

management of Aamvata w.s.r. to Rheumatoid

Arthrities.

Materials And Methods :

 Study design – Randomized open labelled

clinical study with pre-test and post-test design.

 Conceptual study – Ayurvedic and Modern

literary

review

of

Aamvata

(Rheumatoid

Arthritis) was done.

 Clinical study – Detailed history taking along

with physical and systemic examinations and

assessment of the treatment was done.

Copyright @ : - Dr.Akanksha Raut Inter. J.Digno. and Research IJDRMSID0107 |ISSN :2584-2757

49

Volume : 03 Issue : 03

INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

Examination

Baseline Lab. Investigations –

Hb. – 9.4 gm/dl

A) Ashtavidha parikshan –

1. Nadi (Pulse) – Vata Kaphaj

RA Factor – 56 IU/mL

2. Mala (Faeces) – Baddhata (constipation)

3. Mutra (Urine) - Samyaka (Normal)

4. Jivha (Tongue) – Sama (Coated)

5. Shabda (Speech) – Spashta (Clear)

6. Sparsha (Touch) - Ushna (Warm)

7. Druk (Eyes) - Samyaka (Normal)

8. Aakruti (Body type) – Madhyam (Normal)

B) Systemic Examination –

CRP – 32 mg/L

ESR – 78 mm/hr

Therapeutic Intervention –

Therapeutic

intervention

begin

with

the

administration of Shaman Chikitsa.

Sr.No.

1.

Drugs

Dose

Time

Route

Anupan

Duration

Rasnadi Guggulu

500mg

BD

Oral

Luke warm

water

45 days

 Respiratory Examination – AEBE Normal

 Central Nervous System- Conscious and

oriented

Sanjivani vati

500mg

BD

Oral

Adrak ras

followed

with water

Gud +Luke

warm water

water

45 days

2.

3.

Punarnava Mandoor

 Cardio Vascular System- S1S2 normal

C)Samprapti Ghatak –

Tb. Muscalt forte

500mg

20 ml

BD

Oral

45 days

4.

5.

Rasnasaptak kadha

Luke warm

water

 Dosha – Vata - Kapha Pradhan Tridoshaj

 Dushya – Rasa, Mamsa, Asthi, Majja

 Srotas – Annavaha, Rasavaha, Asthivaha ,

Majjavaha

Valuka Pottali Sweda

BD

Local

application

-

45 days

6.

-

Advised –

 Agni

–

Jatharagnimandya

,

Dhatvaagnimandhya.

 Valuka Pottali Sweda was advised in the

form of external treatment.

 Srotodushti – Sang and Vimarggamana

 Udbhava sthan – Amashaya – chiefly

production of Aam, Pakvashayav- Mula

sthan of Vata

 Patient was advised general physical

activity and to avoid Aamjanya Aahara

(Dadhi, Matsay, Guda, Ksheer), etc ^[4]

.

 Adhisthana –Slesmasthana- Sandhi

 Vyakti sthana – Sandhi

Grading for assessment of diseases –

 Roga Marga – Madhyama

 Vyadhi Swabhava – Chirakari

General Examination –

The results of the therapy were assessed on the

basis of clinical signs and symptoms mentioned in

the ayurvedic texts before the start of the therapy

and after completion of treatment^[5].

 Pulse rate –78/min

 Blood pressure – 122/86 mmHg

 SPO2 – 98%

 Weight – 62kg

Sandhishool (Pain in joint)

0

1

No Pain

Diagnostic Assessment – Based on the signs and

symptoms the present case was diagnosed as

Rheumatoid Arthritis. The assessment was done by

comparing the baseline parameters with 45 days

administration of Shaman Chikitsa.

Mild Pain

Moderate, but no difficulty in moving body

part

Slight difficulty in moving body part due to

pain

Much difficulty in moving body part due to

pain

2

3

4

Copyright @ : - Dr.Akanksha Raut Inter. J.Digno. and Research IJDRMSID0107 |ISSN :2584-2757

50

Volume : 03 Issue : 03

INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

Result :Follow up and outcome – After 45 days

Sandhishoth (Swelling in joints)

patient

was

advised

to

undergo

following

0

1

2

3

4

No Swelling

investigation after taking regular medications.

Table –Effect of therapy before and after

treatment.

Swelling involving only one joint

Swelling involving 2-4 joint

Swelling involving 5-7 joint

Swelling involving more than 7 joints

Sr.

No.

Test

done

Reference

range

Observed value

Before After

treatment treatment

Sandhistabadhata (Stiffness in joints)

13-18:

male

11.5-16.5:

female

0 – 6 mg/

L

0-10 male

0-20

female

1 – 20 IU/

mL

0

1

2

3

4

No Stiffness

11.6 gm/

Hb%

9.4 gm/ dl

dl

1

Stiffness last for 5min to 2 hrs

Stiffness last for > 2 hrs to 4hrs

Stiffness last for > 4 hrs to 6 hrs

Stiffness last for > 6 hrs

CRP

ESR

32 mg/ L

05 mg/L

2

3

4

78 mm/ hr 18 mm/ hr

RA

Factor

56 IU/ mL

22 IU/ mL

Jwara (Fever)

0

1

2

3

4

No fever

99⁰F – 100⁰F

Mild 101⁰F - 102⁰F

Moderate 103⁰F - 104⁰F

Severe > 104⁰F

Aruchi (Anorexia)

0

1

2

3

4

Normal desire for food

Eating timely with less desire

Effect of therapy

before treatment.

Effect of therapy after

treatment.

Decrease desire for food late than normal

Desire for food only after long interval

Taking late food without any desire

Table – Improvement in symptoms (based on

assessment criteria)

15^thday

30^thday

45^thday

Sr.

no.

0 day

Symptoms

(1^stfollow (2^ndfollow (3^rdfollow

(before t/t)

up)

Alasya (Lethargy)

Sandhishool (pain in joint)

++++

+++

++

+

1

2

0

1

2

3

4

No alasya

Sandhishotha (swelling in

joints)

Sandhistabdhata (stiffness in

joints)

++

+

0

Starts work in time with efforts

Unable to start of work in time

Delay in start of work

+++

3

Jwara (Fever)

+

0

+

0

4

5

6

Aruchi (Anorexia)

Alasya (Lethargy)

+++

++

Never able to start the work

Copyright @ : - Dr.Akanksha Raut Inter. J.Digno. and Research IJDRMSID0107 |ISSN :2584-2757

51

Volume : 03 Issue : 03

INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

Trivrit, Sunthi, Pippali, Maricha, Vidanga,

Discussion :

Devadaru, Chitraka, Kushtha, Haridra,

Amavata is a commonest inflammatory joint

disease because of which patient’s life becomes

miserable, patients are crippled. No effective

remedies are available so far in modern science.

According to Ayurveda, the basic pathology in the

Amavata is the formation of Ama in the body due to

Agnimandya, followed by vitiation of all the three

Daruharidra, Haritaki, Bibhitaki, Amalaki,

Danti, Chavya, Kalinga, Pippalimula,

Musta, Mandur Bhasma). It helps to

improve the hemoglobin level and enhances

total iron-binding capacity thereby reducing

the symptoms of anemia. Punarnavadi

Mandoor also has Rasayana property which

doshas,

predominantly

Vata.

Therapeutic

helps

immunity and strength. It acts has diuretic

and anti-inflammatory drug. It also

improves appetite with the help of its

Deepana (appetizer) and Pachana

(digestive) properties.

regulate

metabolism,

enhance

approaches focus on correction of function of Agni,

eliminate Ama, and pacify aggravated Vata.

Mode of action of drugs –

[6]

1. Rasnadi Guggul

– Rasnadi guggulu is

commonly used medicine for the treatment

of Aamvata. It contains Rasna, Guggulu,

Eranda Mool, Devdaru, Shunthi. Due to its

Katu, Tikta Rasa, Laghu, Ruksha Guna,

Ushna Virya and Katu Vipaka, it works as

Amapachaka, Vata-shamaka, Shothahara

and Vedanasthapana. That’s why it is very

effective to reduce inflammation, acts as

mild laxative to eliminate toxins and

improves mobility, thereby breaking the

pathogenesis of Aamvata.

4. Tb. Muscalt forte - (Nirgundi, Guduchi,

Rasna, Lodhra, Sunthi, Punarnava, Kutaki,

Sudh guggul, Sudh Shilajeet, Pippali,

Suranjan,

Haridra,

Erandmool,

Ashwagandha). It nourishes and protects the

joints health, protects cartilage. It relieves

the pain, swelling and inflammation.

5. Rasnasaptak Kadha - (Rasna, Gokshura,

Eranda, Devadaru, Punarnava, Guduchi,

Aragvadha, Dhataki). It helps in enhancing

the function of the musculoskeletal system.

It also helps in reducing the pain and

inflammation in the joints and reduce joint

2. Sanjivani Vati^[7]- (Vidang, Sunthi, Pippali,

Triphala, Vacha, Guduchi, Sudh bhallataka,

Sudh vatsnabh) helps to reduce Aam, as it

has Deepan and Pachan in nature and Vata

balancing property. To lower the symptoms

of fever it may be used as Anti – pyretic.

Due to the presence of Shuddha Vatsnabh

here it is used as analgesic and antipyretic

drug to provide relief in the symptoms of

Rheumatoid Arthritis.

stiffness.

Rasna

may

also

help

in

eliminating the toxins which are affecting

the joints.

6. Valuka Pottali Sweda^[9]- It is a type of

Ruksha sweda. It expels the morbid Ama,

vata, kapha and meda. It causes sweating

and brings about lightness and a feeling of

3. Punarnava

Mandoor^[8]

-

(Punarnava,

Copyright @ : - Dr.Akanksha Raut Inter. J.Digno. and Research IJDRMSID0107 |ISSN :2584-2757

52

Volume : 03 Issue : 03

INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

health in the afflicted joints, muscles and

soft tissues Relieves stiffness and rigidity of

thighs and lower limbs.

3. Golwalla Medicine for students, 22nd

edition, chapter no., 10: 502- 503

4. Yogratnakar. Ama Vata Chikitsa Chapter 3

Conclusion :

The present study highlights that the Ayurvedic

management of Amavata (Rheumatoid Arthritis)

demonstrates therapeutic potential through a

5. Arnett FC, Edworthy SM, Bloch DA,

McShane DJ, Fries JF, Cooper NS et al. The

American Rheumatism Association 1987

revised criteria for the classification of

multimodal

pathophysiology of Ama accumulation and Vata

vitiation. Interventions including Deepana-

Pachana, and Shamana therapies such as Rasnadi

Guggulu contribute to significant clinical

approach

targeting

the

core

rheumatoid

arthritis.

Arthritis

and

Rheumatism

& Rheumatism-

Arthritis Care & Research; 31(3):315-324)

improvement in parameters like pain, swelling,

stiffness, and functional disability.The observed

outcomes suggest that Ayurvedic treatment not only

6. Bhaishajya Ratnavali, Ama Vata Chikitsa

Chapter 29

provides symptomatic relief

but also addresses

7. Govind Dasa Sena, Bhasajya Ratnavali,

chapter no 9 Jwarchikitsa Aadhyay , verse

no 59 Chaukhambha Sanskrit Prakashan

Varanasi, 15th edition 2013

disease modifying aspects by improving Agni,

reducing systemic inflammation, and enhancing

metabolic correction thereby improving quality of

life. Furthermore, the integrative approach appears

to be safe and well-tolerated, with minimal adverse

effects.

8. Govind Dasa Sena, Bhasajya Ratnavali,

chapter no 16, Pandu Roga Chikitsa, verse

sense 88, Chaukhambha Sanskrit Prakashan

Varanasi, 15th edition 2013

References :

1. Yadunandana Upadhyay, Madhav Nidan of

Madhavakara,

Madhukosha

Hindi

commentary, First Volume, 25th chapter,

Amavatanidanam, Chaukhamba Sanskrit

Sansthan, Varanasi, Reprint;2003. p 508-9.

9. Vd. Vijay Shankar kale, Charak Samhita,

Sutrasthana, Chapter no 14 Swedadhyaya,

verse no 39-40, Chaukhambha Sanskrit

Prakashan Varanasi, 2009

2. Milind Y. Nadkar, API text book of

medicine,

Rheumatology

Arthritits,

Chapter

7,

Declaration of patients consent - Patient’s written

consent has been collected and preserved by the

author(s).

Rheumatoid

Association

of

Physicians of India, Mumbai, 8th ed. 2008,

p. 291

Copyright @ : - Dr.Akanksha Raut Inter. J.Digno. and Research IJDRMSID0107 |ISSN :2584-2757

53

Volume : 03 Issue : 03

INTERNATIONAL JOURNAL OF DIAGNOSTICS AND RESEARCH [ISSN No.: 2584-2757]

Financial support and sponsorship - Nil

Conflicts of interest - There are no conflicts of

interest.

ISSN: 2584-2757

DOI : https://doi.org/10.5281/zenodo.19597286

Dr. Akanksha Raut Inter. J.Digno. and Research

This work is licensed under Creative

Commons Attribution 4.0 License

Submission Link : http://www.ijdrindia.com

Benefits of Publishing with us

Fast peer review process

Global archiving of the articles

Unrestricted open online access

Author retains copyright

Unique DOI for all articles

https://ijdrindia.com

Copyright @ : - Dr.Akanksha Raut Inter. J.Digno. and Research IJDRMSID0107 |ISSN :2584-2757

54