An Open Randomized Controlled Clinical Trial Of Karpaskulatthikadi Pottali Sweda In Amavata With Special Reference To Rheumatoid Arthritis.

Rheumatoid Arthritis is a chronicautoimmune disease that causes inflammation and it primarily affects joints, leadingto disability and reduced quality of life. It is more prevalent in women, with a globalprevalence ranging from 0.3 – 2.1% . It is a genetic disorder. Rheumatoid Arthritiscauses inflammation with Sign symptoms including pain, swelling, tenderness of joints,joint stiffness, fatigue, fever, loss of appetite.Above mentioned sign and symptoms of Rheumatoid Arthritis can be correlated withAmavata. In Ayurveda, Amavata first explained in Madhavnidana by Madhavkara. He alsoexplained that samprapti of almost all diseases begin with the agnimandya which leads  to formation of Ama, this ama is a most important causative factor for various diseases . Amavata is a disease in which vitiation of Vata Dosha and accumulation of Ama takeplace in joints. Whenever that Ama gets localized in the body tissue or joints, it can leadto production of pain, stiffness, swelling, tenderness in the related joints. It is thedisease of Madhyam rogamarg Asthi and Sandhi are the chief site for the manifestation of cardinal symptoms like Angmard, Sandhishool, Shandhishoth and Sandhigraha. Bhaishajya Ratnavali has explained chikitsa of Amavata in detail including its specific line oftreatment like Langhana, Swedana, Deepana, Pachana, Snehpana, Virechana and Basti from above, Swedana, Snehapana, Virechana, Basti are Panchakarma procedures whichare traditional ayurvedic treatment that plays a crucial role in managing Aamvata.In Ayurvedic treatment principles for Amavata involve therapeutic methods likeSwedana.

Here Karpaskulatthikadi Pottali Sweda include karpasthi, kulattha, til, yava,erandamula, Atasi, varshabhu, shanabeej, kanji after making Pottali, Sweda will begiven to sarvang for 7 days. So, it will help in reduction of samavata which ultimatelyreduces stiffness, pain, swelling of joints. Also, it is affordable, easy for administration.