A comparative clinical study on the efficacy of Rasna Panchaka and Rasna Saptaka Kwata along with Murungadi Lepa (Local application) in the management of Amavata (Rheumatoid Arthritis)
Paranagama AMM
Samarakoon SMS
ABSTRACT
Amavata is a chronic inflammatory disorder described in Ayurveda which causes significant impairment in daily functioning due to intense joint pain and stiffness. The present study aims to evaluate the efficacy of Rasna Panchaka Kwata along Murungadi Lepa and Rasna Saptaka Kwata along with Murungadi Lepa in the management of Amavata. Based on the clinical characteristics, this disease can be correlated with Rheumatoid Arthritis (RA) as described in contemporary medicine. This study was carried out as a randomized, single-blind, parallel-group, comparative clinical trial on 60 patients diagnosed with Amavata, admitted to the Inpatient Department (IPD) of National Ayurveda Teaching Hospital, Borella. Assessment on Amavata based on classical texts and the fulfillment of 2010 EULAR/ACR criteria for Rheumatoid Arthritis. The patients were randomly allocated into two groups of 30 in each. Group A was given Rasna Panchaka Kwata (120 ml) and Group B was given Rasna Saptaka Kwata (120 ml), both along with external application of Murungadi Lepa twice a day daily for 14 days. After the intervention, comparing the Post data of Group A with Group B it was observed that subjective parameters of the both group like as Sandi shoola, Sandi shotha, Sandi sthabdata, Aruchi, Thrushna, and Jawara, were statistically highly significant (p>0.001) except Angamarda, Alasya, Apaka, Bahumutratatha, and Nidra Viparya, which were statistically significant with p <0.05. Objective parameters were observed that there was an improvement of the mean values of the Rh factor, which is statistically highly significant (p<0.001) except ESR, CRP, and Hb count were statistically insignificant, which is p >0.05. In the overall improvement of both Group A and B, it has been observed that the majority of the subjective parameters have markedly improvement followed by the intervention of Rasnadi Sapthaka kwata along with Murungadi lepa. It was proved that the both interventions in the Amavata treatment protocol it gives best relief from the disease.
Key words: Amavata, Murungadi Lepa, Rheumatoid Arthritis, Rasna Panchaka Kwata, Rasna Saptaka Kwata