• Dr.Jeevan.E.P

Ayurveda Care for Rheumatism




It is understood that the structural understanding of allopathy played a significant role in its success over the last century in the fight against communicable diseases. However, now the burden of disease has undergone a dramatic shift, from communicable to non-communicable diseases as these diseases are characterized by multi-factorial causality that does not have an underlying microbial cause. The derangement of functions within the body may occur due to multiple causes like diet, life-style or environment, and the resultant disease in such a case is typically characterized by gradual progress and complex manifestation, involving more than one organ system and chronicity. This includes chronic metabolic disorders like Diabetes, Hypertension, Arthritis, Cancer etc. It is now becoming quite evident that, there can never be a one wonder drug to cure all of these diseases instead that they have to be tackled through a multi-dimensional strategy involving dietary changes, life-style modification, changes in one’s immediate environment and medicine, which is precisely the forte of Ayurveda. Hence people suffering from these disorders, are now resorting to Ayurvedafor help.


Let us now discuss about Ayurvedaand Rheumatism.

As mentioned earlier, the derangement of functions within the body may occur due to multiple causes like diet, life-style etc. This is a gradual progress characterized by complex manifestation that involves more than one organ system and chronicity. Some of the typical examples of these diseases, which are now being referred to as chronic metabolic disorders is Rheumatism (rheumatoid arthritis). However, in Ayurveda, vatarakta/sandhigata vata is considered as Rheumatism, especially rheumatoid arthritis. This comes under the domain of vatavyadhimostly affecting the extremities. The site where vataraktais manifested are hands, feet, fingers, including toes and all joints. Here, hands and feet are seen to be affected in the beginning and later spreading to all the other parts of the body because of the fluidity, mobility and subtle pervasive nature of vataand rakta. While they move through the vessels, they get obstructed in the joints, which make them further aggravated because of the tortuous nature of the course in the joints and the morbid matter that gets lodged there. Being localized in the joints it gets further associated with pittaand produce different types of inflammation characterized by the nature of these elements. Hence, we can consider vataraktaas a problem representative of metabolic disorders which are caused due to the change in the life-style, diet, environment etc. that gives rise to the pain in all the joints which becomes unbearable.

Ayurveda defines a disease as a disturbance of vata, pitta and kapha in an individual from once homeostatic state, which in turn allow to decide the therapeutic regimen suitable to an individual depending on these body humors. This is a major challenge with Ayurvedatreatment. We cannot say with certainty how many days a treatment will require since this treatment is customized to a patient. However, patients undergo Ayurvedatherapy as either an in-patient or an outpatient basis for stipulated number of days as per the direction of the physician. The therapy is advised either immediately or after internal medicine. But once the therapy is advised the patient is required to be either admitted or visit the physician on a daily basis until the completion of the treatment. Subsequently, they are advised to come for a follow-up. The results of the treatment are fully appreciable after the specific restriction and regimen of post treatment. But how long do they remain pain free? From the experience of clinicians, it is observed that in acute cases and relatively young patients, the pain is completely relieved and never comes back unless the patient continues to indulge in an unfavorable dietary or life-style pattern. However, in chronic patients, it is usually advisable to undergo treatment once a year. Ayurvedaexpert analysis of dosha pre-dominance depending on Ayurvedafundamentals and also on the basis of symptoms observed. The physician well versed in appropriate permutation and combination of therapies should apply the therapeutic measures after determining its location and relative strength of doshas responsible for the causation of ailment.

Ayurveda Remedies for Rheumatism

External therapy: Abhyanga (oil massage), Pariseka(pouring of medicated oil/decoction), upanaha (poultice) in baseline condition.

In severe condition: Virechana (purgatives), Asthapana(decoction enema), Snehapana (intake of medicated oil internally).

Raktamokshana (blood-letting) as per the symptoms.

Internal medications:

Kashaya/decoction: Kokilakshaka kashayam, Balaguduchiyadhi kashayam, Manjistadhi kashayam(if associated with skin ailments, usually given at later stages); Rasnerandadhi kashayam(used in the initial stages when it is associated with pain and oedema); Rasnasaptaka kasayam(used in initial stage); Punarnavadhi kashayam.

Choorna:

Shaddharana choornam; Astachoornam; Hinguvachadhi choornam. These are given in tastelessness, dissention of the abdomen and downward movement of vata.

Arishtam:

Abhayarishtam(downward movement of vata); Punarnavarishtam(when associated with swelling); Amritharishtam(when associated with fever); Bala arishta(can be given in later stage);

Guggulu:

Kaisora guggulu(when associated with (exudation, dryness crepitations); Punarnavaguggulu(useful when associated with swelling); Amrutha guggulu; Simhanada guggulu.

Rasaoushadas:

Vataraktantaka rasa;Mahatarakeshvara rasa;

Lepana:

Jatamayadhilepana(when associated with swelling); Kottamchukkadi lepana; Manjistadhi lepa

Food habits:

Pegion pea; chanaka; green gram; Old barley; Wheat; Red rice; Milk of cow, buffalo and goat.

Don’ts

Foods which are pungent, salty and sour and foods which are difficult to digest, like black gram, horse gram, peas, curd, sugarcane, alcohol, radish, sour gruel, alkalies; flesh of aquatic animals are incompatible diet for rheumatism.

Contribution of Yoga: Chronic pain, joint instability, gait difficulties and deformities disturb daily activities of the patient, and consequently the quality of life is impaired. This chronic pathological process in turn affects mental health resulting in stress, depression etc. As an integral part of Ayurveda, yogahere plays an important role. Many yogic postures and meditation are advised in this aspect.

Hence we compile this list of resources for you to help you access the care you need to get—and stay—healthy with a chronic condition. Ayurveda Treatment for rheumatism is better because it has no side-effects; it is the holistic way of treating.

Here, we offer a 21- day treatment which is in-house; with this the condition might be completely cured or may need more sessions for better results depending on the severity. We are happy to inform you that we have specialized consultants for the cure. Ayurveda care offers special Ayurveda treatment with body purification, with the help of different treatments like: lepana (application of ointments), abhayanga (oil massage), snehapana (taking medicated ghee), pizhichil (full body massage), and Vastis (enema) with a strict diet regime called pathya, as the part of the protocol of Ayurveda treatment.

The doctor will suggest to you the internal medicines required to continue and doctor will also advice the next course of treatments, for better results depending on the severity.

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