Ayurveda treatment of Rheumatoid arthritis by prescribing illness specific medicinal herbs and dietary recommendations

Rheumatoid arthritis (RA) is an illness which is of auto-immune in nature and it produces chronic inflammation in the joints – in particular the smaller joints of the body. Apart from causing inflammation in the joints, which is the cardinal sign of such an autoimmune illness, it also produces injury to other vital organs in the body as it leads to vitiation in the physiological aspects on many levels.

Its a type of illness which usually shows symptoms with regards generalized weakness, in particular the morning stiffenss which lasts upto 1-2 hours, whole body muscle aches even on resting, loss of appetite and no desire to eat anything. When such symptoms are not addressed by any ayurveda consultant, the disease further gets progressed to stage 2 and its at this particular stage, when joint pain starts troubling the patient. Its like trapped in an unending loop, because due to stiffness, pain in the joints patient tends to be at ease always and not make much movements, which leads to further development of tenderness, stiffness. And when the lining of the joint becomes inflamed in nature, it releases more fluid which encourages the swelling to be more severe in nature and its at this stage when smaller joints like wrist, knees, elbows, fingers, toes, ankle etc also start getting affected with similar physiological characteristics.

In Medical terminology, we also refer Rheumatoid arthritis (RA) as systemic illness because it has the potential to affect multiple organs in our body and its this progressive tendencies, that can ultimately cause joint destruction and disability issues. When we are speaking of the concern with regards multiple organs getting affected, its with regards the diffuse inflammation it can produce in lungs, membrane around the heart (pericardium), pleura (membrane of the lungs), sclera (white tissue of the eyes), in the nodules etc. Its only due to severe progression tendencies of autoimmune behavior which makes Rheumatoid arthritis (RA) a very troublesome for patients.

Ayurveda, the ancient system of holistic healing rooted in the principles of natural balance, offers a distinctive perspective on rheumatoid arthritis (RA), a chronic inflammatory condition affecting the joints. Ayurveda sees RA as a result of imbalances in the doshas—Vata, Pitta, and Kapha—and underscores the importance of treating the root cause rather than merely alleviating symptoms.

1. Dosha Imbalances: According to Ayurveda, rheumatoid arthritis is primarily associated with aggravated Vata dosha. Vata, related to the elements of air and ether, governs movement and is located predominantly in the joints. When Vata becomes imbalanced, it leads to dryness, erratic movement, and degeneration in the joints, contributing to the inflammatory nature of RA. Pitta dosha may also play a role, as its imbalance can lead to inflammation and heat in the joints, exacerbating symptoms. Kapha, associated with water and earth, can contribute to stiffness and swelling in the joints when imbalanced.
2. Ama (Toxins) Formation: Ayurveda attributes the formation of ama, or toxins, to impaired digestion and metabolism. Ama is considered a sticky, undigested substance that can accumulate in the joints, leading to inflammation and pain. In the context of rheumatoid arthritis, the presence of ama exacerbates joint damage and inflammation.
3. Aggravating Factors: Various factors can contribute to the aggravation of doshas and the formation of ama in the context of rheumatoid arthritis. Irregular dietary habits, inappropriate lifestyle choices, stress, and exposure to environmental toxins can disturb the delicate balance of the doshas, contributing to the progression of the disease.
4. Digestive Fire (Agni) and Rheumatoid Arthritis: Ayurveda places a strong emphasis on the role of Agni, the digestive fire, in maintaining health. Impaired digestion can lead to the formation of ama and exacerbate the symptoms of rheumatoid arthritis. Ayurvedic treatments often involve measures to kindle and strengthen Agni, promoting proper digestion and reducing the formation of toxins.
5. Prana and Ojas: The concepts of Prana (life force) and Ojas (vital essence) are vital in Ayurveda’s approach to rheumatoid arthritis. Prana governs the flow of energy in the body, and imbalances can contribute to pain and stiffness in the joints. Ojas, associated with immunity and vitality, is often compromised in RA, making the joints susceptible to inflammation and damage. Ayurvedic interventions aim to restore balance to Prana and nourish Ojas to support overall joint health.
6. Individualized Treatment: Ayurvedic treatment for rheumatoid arthritis is highly individualized, recognizing the unique constitution (Prakriti) of each person. Different individuals may manifest RA in distinct ways, and treatment strategies are tailored to address the specific doshic imbalances and factors contributing to the disease. This individualized approach involves personalized dietary recommendations, herbal formulations, and lifestyle modifications.
7. Herbal Remedies: Ayurveda employs a variety of herbs to manage rheumatoid arthritis. Anti-inflammatory herbs such as turmeric (Curcuma longa), ginger (Zingiber officinale), and boswellia (Boswellia serrata) are commonly used to alleviate pain and reduce joint inflammation. These herbs are believed to balance the doshas and help eliminate ama from the body.
8. Detoxification (Panchakarma): Panchakarma, a series of detoxification procedures in Ayurveda, is often recommended for rheumatoid arthritis. Therapies like Virechana (purging) and Basti (medicated enema) aim to eliminate accumulated toxins, balance the doshas, and rejuvenate the body. Panchakarma is considered a powerful tool in addressing the underlying causes of RA.
9. Lifestyle Modifications: Ayurveda places great emphasis on lifestyle choices to manage rheumatoid arthritis. Regular exercise, tailored to the individual’s constitution, helps maintain joint flexibility and reduce Vata imbalance. Adequate rest, stress management techniques, and maintaining a routine are also crucial components of lifestyle modifications in Ayurvedic treatment.
10. Dietary Guidelines: Ayurvedic dietary recommendations for rheumatoid arthritis focus on balancing the doshas and reducing the formation of ama. A diet that includes warming and easily digestible foods is often suggested. Spices like turmeric and ginger are incorporated for their anti-inflammatory properties, while foods that may aggravate dosha imbalances are minimized.

In conclusion, Ayurveda views rheumatoid arthritis as a complex interplay of dosha imbalances, ama formation, and compromised digestive function. The holistic approach of Ayurvedic treatments involves addressing the root causes of the disease, individualizing interventions, and utilizing a combination of herbal remedies, detoxification procedures, lifestyle modifications, and dietary changes. By restoring balance to the doshas and promoting overall well-being, Ayurveda aims not only to manage the symptoms of rheumatoid arthritis but also to enhance the quality of life for individuals affected by this chronic condition.

Ayurveda, the ancient system of holistic healing, offers a range of home remedies for managing rheumatoid arthritis (RA).

These remedies focus on balancing the doshas, reducing inflammation, and promoting overall well-being. It’s important to note that individuals with RA should consult with a qualified Ayurvedic practitioner before incorporating these remedies into their routine, as the approach is often personalized based on one’s constitution and specific imbalances.

1. Turmeric (Curcuma longa): Turmeric is a potent anti-inflammatory herb with a long history in Ayurveda for its ability to alleviate joint pain and swelling. Curcumin, the active compound in turmeric, is known for its anti-arthritic properties. One can incorporate turmeric into their diet by adding it to warm milk, curries, or by taking turmeric supplements after consulting with an Ayurvedic practitioner.
2. Ginger (Zingiber officinale): Ginger is another anti-inflammatory herb that can be beneficial for those with rheumatoid arthritis. It can be included in the diet by using it in cooking, making ginger tea, or taking ginger supplements. Ginger’s warming properties help balance Vata dosha and reduce joint pain.
3. Triphala (Three Fruits Blend): Triphala, a combination of three fruits (Amalaki, Bibhitaki, Haritaki), is a classic Ayurvedic formulation known for its detoxifying and anti-inflammatory properties. It helps in removing toxins (ama) from the body and supports digestive health. Consuming Triphala powder or tablets may be beneficial for individuals with RA.
4. Ajwain (Carom Seeds) and Methi (Fenugreek) Tea: Ajwain and methi are known for their anti-inflammatory and analgesic properties. Prepare a tea by boiling ajwain and methi seeds in water. Strain the mixture and drink this tea regularly to help reduce inflammation and joint pain.
5. Castor Oil Packs: Castor oil packs are a traditional Ayurvedic remedy for joint pain. Soak a piece of flannel cloth in warm castor oil, place it over the affected joint, and cover it with a plastic wrap. Apply heat using a hot water bottle for 20-30 minutes. This remedy is believed to alleviate pain and reduce inflammation.
6. Guggul (Commiphora wightii): Guggul is a resin from the Commiphora wightii tree with anti-inflammatory and analgesic properties. It is known for its effectiveness in managing joint disorders. Guggul supplements, after consultation with an Ayurvedic practitioner, may be recommended to support joint health.
7. Panchakarma Therapies: Panchakarma, a series of detoxification procedures in Ayurveda, can be performed under the guidance of a qualified practitioner. Virechana (purging) and Basti (medicated enema) are specific Panchakarma treatments that may be beneficial for individuals with RA to eliminate toxins and restore balance to the doshas.
8. Lifestyle Modifications: Ayurveda emphasizes the importance of a healthy lifestyle for managing rheumatoid arthritis. Regular exercise, tailored to individual abilities, helps maintain joint flexibility and balance Vata dosha. Adequate rest, stress management techniques, and maintaining a routine are crucial components of lifestyle modifications.
9. Warm Oil Massage (Abhyanga): Regular self-massage with warm Ayurvedic oils, such as sesame oil, can help improve circulation, reduce stiffness, and nourish the joints. This practice is known as Abhyanga and is particularly beneficial for balancing Vata dosha.
10. Dietary Guidelines: Ayurvedic dietary recommendations for rheumatoid arthritis include incorporating warm, cooked foods and minimizing cold, raw foods. Spices like turmeric, ginger, and cumin can be used generously in cooking. Avoiding foods that may aggravate dosha imbalances, such as dairy, excessive caffeine, and nightshades, is often advised.

It’s essential to remember that these home remedies are general suggestions and may not be suitable for everyone. Consulting with an experienced Ayurvedic practitioner is crucial for personalized guidance based on individual constitution, imbalances, and severity of the condition. Additionally, these remedies should be used as complementary approaches and not as substitutes for conventional medical treatments. Integrating Ayurvedic principles into lifestyle, diet, and self-care routines, under proper guidance, can contribute to the overall management of rheumatoid arthritis.

Rheumatoid arthritis (RA) in Ayurveda is viewed through the lens of doshic imbalances, particularly an aggravation of Vata dosha.

Ayurveda recognizes the interconnectedness of the body, mind, and spirit, and symptoms of rheumatoid arthritis are understood as manifestations of underlying imbalances affecting the joints, digestive system, and overall well-being.

1. Joint Pain and Swelling (Shula and Shopha): Joint pain, or “Shula,” is a primary symptom of rheumatoid arthritis in Ayurveda. This pain is often accompanied by swelling, termed as “Shopha.” The aggravation of Vata dosha is believed to lead to dryness and depletion of synovial fluid in the joints, causing pain and stiffness.
2. Stiffness (Stambha): Stiffness, or “Stambha,” is a common complaint in rheumatoid arthritis. It is particularly pronounced in the morning or after periods of inactivity. Ayurveda attributes stiffness to the accumulation of Ama (toxins) and the disturbed flow of Vata in the joints.
3. Reduced Range of Motion (Akunchana): The decreased range of motion, or “Akunchana,” is a consequence of joint inflammation and the impaired lubrication of joints due to Vata imbalance. This can affect the ability to move the joints freely.
4. Fatigue (Kshaya): Ayurveda recognizes fatigue, or “Kshaya,” as a symptom of rheumatoid arthritis. The constant pain, inflammation, and the body’s effort to counteract these effects can lead to overall weakness and exhaustion.
5. Digestive Disturbances: Ayurveda emphasizes the connection between the digestive system and joint health. In rheumatoid arthritis, impaired digestion may lead to the formation of Ama, contributing to joint inflammation. Symptoms like indigestion, bloating, or irregular bowel movements may be observed.
6. Tenderness (Toda): Tenderness, or “Toda,” in the joints is a common symptom in RA. The joints become sensitive to touch due to inflammation and aggravated Vata, making them tender and painful.
7. Swan Neck Deformity and Joint Deformities: Advanced cases of rheumatoid arthritis may lead to joint deformities, such as the “swan neck” deformity where the fingers are bent at the middle joint while hyperextended at the end joints. Ayurveda attributes these deformities to the long-term accumulation of Ama and the vitiation of Vata in the joints.
8. Fever (Jwara): In some cases of rheumatoid arthritis, individuals may experience a low-grade fever or intermittent episodes of fever. Ayurveda sees this as a sign of systemic inflammation and the body’s attempt to counteract the doshic imbalances.
9. Emotional Disturbances: Ayurveda acknowledges the connection between the mind and the body. Rheumatoid arthritis can impact mental well-being, leading to emotional disturbances such as anxiety, stress, and depression. The chronic nature of the disease and its impact on daily life contribute to emotional imbalances.
10. Loss of Appetite (Aruchi) and Weight Loss: Rheumatoid arthritis can affect the digestive fire, leading to a reduced appetite, or “Aruchi.” The chronic inflammation and metabolic changes associated with RA may also result in weight loss over time.

Ayurvedic diagnosis of rheumatoid arthritis involves assessing the individual’s constitution (Prakriti) and the current state of doshic imbalances (Vikriti). The severity and nature of symptoms guide the formulation of a personalized treatment plan. Ayurvedic treatments aim to pacify aggravated Vata, eliminate Ama, and restore balance to the entire system. This may involve a combination of herbal remedies, dietary modifications, lifestyle changes, and therapeutic procedures such as Panchakarma to detoxify the body.

The extent of pain in Rheumatoid Arthritis is viewed through the lens of dosha imbalance, and Ayurvedic practitioners aim to address the root cause while managing symptoms. Here’s a detailed exploration of the extent of pain in Rheumatoid Arthritis in Ayurvedic terms:

1. Dosha Imbalance (Vata and Ama):

   • In Ayurveda, Rheumatoid Arthritis is often associated with an aggravated Vata dosha, leading to pain, stiffness, and inflammation in the joints. The presence of Ama, toxins resulting from impaired digestion, further contributes to dosha imbalances and joint symptoms.

2. Vataja Shoola (Pain Associated with Vata Dosha):

   • The pain in Rheumatoid Arthritis is classified as Vataja Shoola, indicating pain associated with Vata dosha. Vata-related pain is often described as variable, throbbing, and shifting. It may be exacerbated by factors that increase Vata, such as cold weather and irregular lifestyle.

3. Dhatu Involvement (Asthi Dhatu and Majja Dhatu):

   • Ayurveda recognizes the involvement of specific tissues (Dhatu) in Rheumatoid Arthritis. Asthi Dhatu (bone tissue) and Majja Dhatu (marrow tissue) are particularly affected, leading to changes in joint structure, inflammation, and pain. Ayurvedic treatments aim to restore the balance of these tissues.

4. Agni Mandya (Digestive Impairment):

   • Digestive impairment, or Agni Mandya, is considered a contributing factor to the accumulation of Ama in Rheumatoid Arthritis. When digestion is weak, undigested food particles can form toxins that circulate in the body, leading to joint inflammation and pain.

5. Sandhi (Joint) Involvement:

   • The pain in Rheumatoid Arthritis is localized to the joints, especially the small joints of the hands and feet. Ayurveda recognizes the Sandhi (joint) as a site where Vata tends to accumulate, and the imbalance in this area results in pain and stiffness.

6. Vidradhi (Abscess Formation):

   • In advanced stages of Rheumatoid Arthritis, Ayurveda acknowledges the possibility of Vidradhi formation, which refers to the development of abscesses. These abscesses may contribute to increased pain, swelling, and further dosha imbalance.

7. Specific Quality of Pain:

   • The pain in Rheumatoid Arthritis is often described as aching, gnawing, and persistent. It may be more pronounced in the morning or after periods of rest, which aligns with Vata dosha characteristics.

8. Role of Mamsa Dhatu (Muscle Tissue):

   • The involvement of Mamsa Dhatu (muscle tissue) is considered in the pain experienced in Rheumatoid Arthritis. Muscles surrounding the affected joints may undergo stiffness and atrophy, contributing to the overall pain perception.

9. Aggravating and Alleviating Factors:

   • Ayurveda considers various factors that can either aggravate or alleviate pain in Rheumatoid Arthritis. Aggravating factors may include exposure to cold weather, sedentary lifestyle, irregular dietary habits, and mental stress. Alleviating factors often involve practices that pacify Vata dosha, such as warm oil massages, warm compresses, and adherence to a Vata-pacifying diet.

10. Holistic Approach to Pain Management:

    • Ayurvedic treatments for Rheumatoid Arthritis involve a holistic approach to pain management. Beyond addressing the physical symptoms, Ayurveda emphasizes lifestyle modifications, dietary changes, and mental well-being. Practices like meditation, yoga, and specific herbal formulations may be incorporated into the treatment plan.

It’s crucial to note that Ayurvedic assessments of pain in Rheumatoid Arthritis are individualized, considering the unique constitution and circumstances of each person.

It’s crucial to note that Ayurvedic approaches to rheumatoid arthritis are holistic and individualized. Consulting with a qualified Ayurvedic practitioner is essential to receive personalized guidance and ensure that the chosen interventions align with one’s unique constitution and imbalances. Additionally, Ayurveda complements conventional medical treatments, and individuals with rheumatoid arthritis should maintain open communication with their healthcare providers when exploring Ayurvedic approaches.

Causes of Rheumatoid arthritis:

 ” Sa Kashtaha Sarvarogaanaam yadaa prakupito Bhavet | Hastha paada shiro gulpha trika jaanu uru sandhishu || Karoti sarujam shopham yatra doshaha prapadyate | Sa desho rujate atyatham vyaviddha iva vrishchkaihi || ”

• Signs and symptoms of Ama in the body:
• Srotosang – obstruction of channels;
• Balakshaya – loss of strength;
• Gauravta – heaviness;
• Anilamudhta – impediment to the flow of Vayu;
• Klama – lethargy;
• Ajeerna – indigestion;
• Atyapraseka – excessive salivation;
• Vegavrodha – disturbance of the natural urge in terms of faeces, urine, flatus, etc.;
• Mandagni – anorexia;
• Angsada – malaise.

In Ayurveda, the causes of rheumatoid arthritis (RA) are seen as a complex interplay of doshic imbalances, compromised digestive function, and the accumulation of toxins.

1. Imbalanced Doshas: Ayurveda considers the three doshas—Vata, Pitta, and Kapha—as fundamental energies governing the body. Rheumatoid arthritis is primarily associated with an aggravated Vata dosha. Vata, related to the air and ether elements, is responsible for movement, and its imbalance can lead to dryness, stiffness, and pain in the joints. Pitta and Kapha imbalances may also contribute, aggravating inflammation and causing structural changes in the joints.
2. Impaired Digestive Function (Mandagni): Ayurveda places a significant emphasis on the digestive system, considering it the root of health. Impaired digestion, or “Mandagni,” can lead to the accumulation of undigested food particles and the formation of Ama. In the context of rheumatoid arthritis, Ama is believed to contribute to joint inflammation and pain.
3. Ama Formation: Ama, or toxins, are considered a key factor in the development of rheumatoid arthritis. When digestion is compromised, the incomplete breakdown of food leads to the formation of Ama. This sticky, undigested substance circulates in the body and accumulates in the joints, disrupting their normal function and contributing to inflammation.
4. Weak Agni (Digestive Fire): The strength of Agni, the digestive fire, is crucial for proper digestion and metabolism. Weak Agni can result from poor dietary habits, irregular eating patterns, or other factors. When Agni is insufficient, the digestive process becomes inefficient, contributing to the formation of Ama and doshic imbalances.
5. Srotas (Channels) Blockage: Ayurveda recognizes the importance of Srotas, subtle channels of circulation, in maintaining health. Blockages or imbalances in these channels can contribute to the manifestation of various diseases, including rheumatoid arthritis. The accumulation of Ama and doshic imbalances may obstruct the Srotas, affecting the flow of nutrients and energy.
6. Incompatible Diet and Lifestyle: Consuming foods and engaging in lifestyle practices that are incompatible with one’s constitution (Prakriti) can disturb the doshic balance and contribute to the development of rheumatoid arthritis. Ayurveda emphasizes the importance of personalized dietary and lifestyle choices to prevent and manage imbalances.
7. Infections and Environmental Factors: In Ayurveda, environmental factors, including exposure to extreme weather conditions and infections, are considered potential triggers for rheumatoid arthritis. These factors can disturb the doshas and contribute to the vitiation of Vata, leading to joint-related issues.
8. Genetic Predisposition (Samsarga): Ayurveda acknowledges the role of genetic predisposition, termed as “Samsarga,” in the manifestation of certain diseases. While genetics alone may not be the sole cause of rheumatoid arthritis, an individual’s inherent constitution can influence their susceptibility to doshic imbalances and Ama formation.

Illness specific herbs used in preparing ayurveda medications for Rheumatoid arthritis

• Guggulu – Cammiphora mukul
• Eranda – Ricinus communis
• Haritaki – Terminalia chebula
• Kupilu – Strychnos nux-vomica
• Markandika – Cassia angustifolia
• Palasha – Butea monosperma
• Shyonaka – Oroxylum indicum
• Nirgundi – Vitex negundo
• Rasna – Pluchea lanceolata
• Methika – Trigonella foenum-graecum
• Narikela – Cocos nucifera
• Aparajita – Clitoris ternatea
• Tagara – Valeriana jatamansi
• Taruni – Rosa centifolia
• Varahikanda – Dioscorea bulbifera
• Kakamachi – Solanum nigrum
• Jeevanti – Leptadania reticulata
• Chandrashura – Leptidium sativum
• Chirbilva – Holoptelea integrifolia

Here is an exploration of some commonly used medicinal plants in Ayurveda for rheumatoid arthritis:

1. Turmeric (Curcuma longa): Turmeric is a well-known and extensively used herb in Ayurveda for its potent anti-inflammatory and antioxidant properties. Curcumin, the active compound in turmeric, is believed to inhibit inflammatory pathways, making it beneficial for reducing joint pain and inflammation in rheumatoid arthritis.
2. Ginger (Zingiber officinale): Ginger has anti-inflammatory and analgesic properties that can be beneficial for individuals with rheumatoid arthritis. It is known to help reduce joint pain, swelling, and morning stiffness. Consuming ginger tea or adding fresh ginger to meals are common ways to incorporate it into the diet.
3. Boswellia (Boswellia serrata): Boswellia, also known as Indian frankincense, contains boswellic acids that have anti-inflammatory effects. This herb is commonly used in Ayurvedic formulations for rheumatoid arthritis to reduce joint swelling, pain, and improve joint function.
4. Ashwagandha (Withania somnifera): Ashwagandha is an adaptogenic herb that helps the body cope with stress and inflammation. It is believed to possess immune-modulating properties, making it a valuable herb in managing autoimmune conditions such as rheumatoid arthritis.
5. Triphala (Three Fruits Blend): Triphala, a combination of three fruits—Amalaki, Bibhitaki, and Haritaki—is known for its detoxifying properties. It aids in digestion, eliminates toxins (ama), and supports overall well-being. Triphala can be used to cleanse the digestive system in individuals with rheumatoid arthritis.
6. Guggul (Commiphora wightii): Guggul is derived from the resin of the Commiphora wightii tree and has anti-inflammatory and anti-arthritic properties. It is used in Ayurveda to reduce joint pain, swelling, and stiffness associated with rheumatoid arthritis.
7. Trikatu (Three Pungents): Trikatu is a combination of three pungent herbs—ginger, black pepper, and long pepper. It is known for its digestive and anti-inflammatory properties. Trikatu is often used to enhance digestion, which is crucial in preventing the formation of ama in rheumatoid arthritis.
8. Giloy (Tinospora cordifolia): Giloy, also known as Guduchi, is an immunomodulatory herb used in Ayurveda to enhance the immune system. It is believed to help regulate the immune response, making it potentially beneficial for autoimmune conditions like rheumatoid arthritis.
9. Shallaki (Boswellia serrata): Shallaki, another name for Boswellia, is specifically used in Ayurveda for its anti-inflammatory effects on joint tissues. It helps reduce joint pain, inflammation, and supports overall joint health in rheumatoid arthritis.
10. Manjistha (Rubia cordifolia): Manjistha is known for its blood-purifying properties. It is believed to help eliminate toxins from the blood and support the detoxification process in the context of rheumatoid arthritis. Manjistha may be included in formulations targeting joint health.
11. Haridra (Curcuma longa): Haridra, also known as wild turmeric, is another variety of turmeric used in Ayurveda. It possesses anti-inflammatory and antioxidant properties, making it beneficial for managing inflammation and pain associated with rheumatoid arthritis.
12. Punarnava (Boerhavia diffusa): Punarnava is a diuretic herb that helps in eliminating excess fluid from the body. It is used in Ayurveda to reduce swelling and edema, which can be beneficial in managing symptoms of rheumatoid arthritis.

Over the counter ayurveda medications prescribed for Rheumatoid arthritis

• Balaguluchiadi Tiktham,
• Ajamodadi churna,
• Yograj guggulu,
• Punarnavadi Tiktham
• Rasnadi Kashaym,
• Amavatari ras,
• Guggulu Tikhtam
• Ashwagandha
• Siddha Makardhawaj vati

Here are some commonly used Ayurvedic medications for rheumatoid arthritis:

1. Rasna Saptak Kwath: Rasna Saptak Kwath is a decoction prepared from a combination of herbs, including Rasna (Pluchea lanceolata) and others. It is used for its anti-inflammatory and analgesic properties, helping to reduce joint pain and inflammation in rheumatoid arthritis.
2. Triphala Guggulu: Triphala Guggulu is a classical Ayurvedic formulation that combines Triphala (three fruits blend) with Guggulu (Commiphora wightii). It is known for its detoxifying properties, aiding in the elimination of toxins (ama) from the body. Triphala Guggulu is used to support joint health and reduce inflammation.
3. Punarnavadi Guggulu: Punarnavadi Guggulu is a formulation containing Punarnava (Boerhavia diffusa) and Guggulu. It is used for its diuretic and anti-inflammatory properties, helping to reduce swelling and inflammation in joints associated with rheumatoid arthritis.
4. Yogaraja Guggulu: Yogaraja Guggulu is a traditional formulation that combines Guggulu with various herbs, including Triphala, Chitrak (Plumbago zeylanica), and others. It is used for its anti-inflammatory and immune-modulating effects, making it beneficial for managing rheumatoid arthritis symptoms.
5. Maharasnadi Kwath: Maharasnadi Kwath is a decoction prepared from a combination of herbs, including Rasna, Guduchi (Tinospora cordifolia), and others. It is used to balance Vata dosha and alleviate joint pain, stiffness, and inflammation in rheumatoid arthritis.
6. Ashwagandharishta: Ashwagandharishta is a fermented herbal preparation that includes Ashwagandha (Withania somnifera) and other herbs. It is used for its adaptogenic and immune-modulating properties, which may help in managing autoimmune conditions like rheumatoid arthritis.
7. Mahayogaraja Guggulu: Mahayogaraja Guggulu is a potent formulation containing a variety of herbs, including Triphala, Shilajit (mineral pitch), and Guggulu. It is used to balance doshas, reduce inflammation, and improve joint function in rheumatoid arthritis.
8. Amrutadi Guggulu: Amrutadi Guggulu is a formulation containing Amruta (Tinospora cordifolia), Guggulu, and other herbs. It is used for its anti-inflammatory and immune-modulating effects, contributing to the management of rheumatoid arthritis symptoms.
9. Dashamoola Rasayana: Dashamoola Rasayana is a rejuvenating herbal formulation that includes a blend of ten roots. It is used for its anti-inflammatory and immunomodulatory properties, supporting overall health and vitality in conditions like rheumatoid arthritis.
10. Shallaki (Boswellia serrata) Capsules: Shallaki, also known as Boswellia, is available in capsule form and is used for its anti-inflammatory effects. It helps reduce joint pain, inflammation, and stiffness associated with rheumatoid arthritis.
11. Guduchi (Tinospora cordifolia) Capsules: Guduchi capsules are prepared from the stem of the Guduchi plant. Guduchi is known for its immune-modulating properties and may be used to support the immune system in rheumatoid arthritis.
12. Arthrella Tablet: Arthrella Tablet is a combination of herbs like Guggulu, Ashwagandha, Shallaki, and others. It is used to reduce inflammation, improve joint mobility, and alleviate pain in rheumatoid arthritis.

Ayurveda, the ancient system of holistic healing, provides a comprehensive approach to the management of rheumatoid arthritis (RA).

The treatment strategies in Ayurveda aim to balance doshas, eliminate toxins, and promote overall well-being. It’s essential to note that Ayurvedic treatment for rheumatoid arthritis is highly individualized, considering the person’s unique constitution (Prakriti), doshic imbalances (Vikriti), and the specific nature of the disease.

Here are some types of treatments used in Ayurveda for rheumatoid arthritis at Nakra Ayurveda Hospitals and Herbals Pvt Ltd:

1. Shodhana Chikitsa (Purification Therapy): a. Panchakarma: Panchakarma is a set of five therapeutic procedures designed to purify the body and eliminate accumulated toxins (ama). Specific Panchakarma therapies for rheumatoid arthritis include Virechana (purging therapy) and Basti (medicated enema). Virechana helps remove excess Pitta dosha and ama, while Basti is particularly beneficial in balancing aggravated Vata dosha associated with RA.
2. Shamana Chikitsa (Palliative Therapy): a. Herbal Medications: Herbal formulations are tailored to the individual’s doshic constitution and the imbalances contributing to rheumatoid arthritis. These formulations may include a combination of anti-inflammatory, analgesic, and immune-modulating herbs such as Turmeric, Ginger, Boswellia, Guggulu, and Ashwagandha.

   b. Ayurvedic Dietary Guidelines: Dietary modifications play a crucial role in Ayurvedic treatment. Recommendations often include the consumption of warm, easily digestible foods, emphasizing anti-inflammatory spices like turmeric and ginger. Avoidance of foods that may aggravate doshic imbalances, such as cold and raw foods, is also advised.

   c. Lifestyle Modifications: Lifestyle changes focus on balancing daily routines to support overall well-being. Regular exercise, tailored to the individual’s capacity and constitution, is recommended. Practices like yoga and meditation can help manage stress, which is considered a contributing factor in rheumatoid arthritis.

3. Brimhana Chikitsa (Nourishing Therapy): a. Rasayana Therapy: Rasayana refers to rejuvenation therapy, aimed at nourishing the body’s tissues and promoting vitality. Specific Rasayana formulations may be recommended to enhance immunity, improve joint health, and address the systemic effects of rheumatoid arthritis.

   b. Taila (Medicated Oil) Massage (Abhyanga): Abhyanga involves the application of medicated oils to the body through massage. This practice helps improve circulation, reduce stiffness, and nourish the joints. Taila massage is particularly beneficial for balancing aggravated Vata dosha associated with rheumatoid arthritis.

4. Manasa Chikitsa (Psychological Therapy): a. Stress Management: Ayurveda recognizes the mind-body connection, and stress is considered a significant factor in the manifestation of rheumatoid arthritis. Stress management techniques, including meditation, deep breathing exercises, and mindfulness, are incorporated to promote mental well-being.
5. Rasabandha (Metallic Formulations): Certain Ayurvedic formulations contain metallic preparations, known as Bhasmas or Rasas. These may be used in specific cases of rheumatoid arthritis to balance doshas and enhance the therapeutic effects of herbal medications.
6. Vata-Pacifying Therapies: Rheumatoid arthritis is often associated with aggravated Vata dosha. Ayurvedic treatments focus on Vata-pacifying therapies, including: a. Swedana (Sudation Therapy): Involves inducing sweating through therapies like herbal steam baths to balance Vata and reduce stiffness. b. Basti (Medicated Enema): Basti treatments, especially Niruha Basti, involve the administration of medicated enemas to alleviate Vata-related symptoms and eliminate toxins.

It’s important to highlight that Ayurvedic treatment for rheumatoid arthritis is not a one-size-fits-all approach. The therapies are personalized based on an individual’s constitution, doshic imbalances, and the stage of the disease. A qualified Ayurvedic practitioner assesses the patient comprehensively before devising a tailored treatment plan. Additionally, Ayurvedic interventions should be integrated as complementary measures alongside conventional medical treatments. Regular communication with healthcare providers is crucial for individuals with rheumatoid arthritis undergoing Ayurvedic treatment to ensure a coordinated and holistic approach to their care.