Rhumatoid Artharitis

In rheumatoid arthritis, the body's immune system attacks its own tissue, including joints. In severe cases, it attacks internal organs. Rheumatoid arthritis affects joint linings, causing painful swelling. Over long periods of time, the inflammation associated with rheumatoid arthritis can cause bone erosion and joint deformity. While there's no cure for rheumatoid arthritis, physiotherapy and medication can help slow the disease's progression. 

Amavata is a disease in which vitiation of Vata Dosha and accumulation of Ama take place in joint(s), and it simulates rheumatoid arthritis (RA) at modern parlance.

Shamana (conservative) and Shodhana (biological purification of the body) treatments are advised in Ayurveda

The features of Amavata are much identical to RA, an autoimmune disorder which causes chronic inflammatory and symmetrical polyarthritis.[3] In Ayurveda, Nidana Parivarjana (avoidance of causative factors) is considered as the first and foremost line of management for any disease. Virechanakarma is a Shodhana process (biological purification of the body) to balance the vitiated Dosha in general and Pitta Dosha in particular.[4] Hence, this study included both the treatment modalities, i.e. Nidana Parivarjana and Virechanakarma to manage Amavata effectively.