The term arthritis covers a group of more than 100 disease that involve inflammation of joints and discomfort in connective tissues throughout the body. In many parts of the world the disease is called rheumatism. The arth part comes from the greek word meaning joint,while itismeans inflammation or infection. Thus the word arthritis means inflammation of joint.
There are three great enemies of mankind, 1 Atherosclerosis â€“ which is a greatest killer. 2 Rheumatoid Arthritis â€“ which is the greatest crippler 3Psychological Diseases â€“ which is the greatest social problem.
The most common forms
The most common forms of arthritis are osteo â€“ arthritis and rheumatoid arthritis. In the U.S over 16 million people have osteo arthritis and about 6 million people have rheumatoid arthritis. Osteo arthritis is sometime known as the wear and tear disease or old age arthritis.
Rheumatoid arthritis is inflammatory and attacks more than one joint. It may cause disease in the lungs, skin, blood vessels, eyes,spleen,and heart.this is a type of arthritis that can cripple and even kill. It is a chronic disease, but in some cases aute spells occur when inflammation flares up unpredictably. About three times more women have this type than men. ďż˝ The wear and tear disease Osteo arthritis affects more people than any other type..physicians refer it as a degenerative joint disease. Patient usually know this disease best as old age arthritis.
How is osteo arthritis is treated
There is no cure for
osteo arthritis. The goal of therapy is to control the disease and possibly
slow its progress by keeping the affected joints mobile, preventing further disability
, and relieving pain. In some cases drugs,special exercises, rest and heart are
Especially a weight
reducing diet does help the patients
of osteo arthritis.
What causes Rheumatoid Arthritis ?
It most commonly affects people between ages of 20 and 40. the
cause for rheumatoid arthritis is unknown.
How is Rheumatoid Arthritis is diagnosed ?
A test calles ESR(
Erythrocyte Sedimentation Rate) will indicate the presence of any inflammation
in your body.
Another test with blood sample determine the presence of
R.A.(Rheumatoid Arthritis) factor, an abnormal antibody present in most people
who have rheumatoid arthritis.
How is Rheumatoid Arthritis is treated.
The goal of therapy
are reduction of inflammation and pain, preservation of function, and
prevention of deformity.
Cold treatment:- usually it is recommended for the first 24
to 48 hours after an acute injury.
NSAID (Non Steroidal Anti â€“
Inflammatory Drugs):- most of them act like aspirin in that they interfere
with the formation of prostaglandins, which trigger the inflammation.
Steroid;- steroid s are
the most potent anti inflammatory drugs available. Normally your body makes its
own steroids, but when you begin to take steroids as drugs , your body slowly
loses its ability to produce them. For this reason , when you go off a
steroid programme you must do it very slowly so your body can regain its ability to produce
its own steroids. An abrupt cessation of the drug could subject your body to a
harmful jolt. This is why its most important to follow your doctors exact
instructions concerning steroids.
Remission including drugs:-
Still in the experimental stage is a new gold containing drugs that can be
taken orally. This would be a great advantage, because the present weekly
injections may be painful and require frequent visits to the physicianâ€™s
Predisposing factors of
Normal ageing process
Overstraining of back may cause it.
Hereditary factors cant be ruled out.
Occupation and life style may also be related to
Overweight may also affect the larger weight
Rise in uric acid in blood serum.
Mental tension/ stress can also be counted.
Whether conditions have also been considered
responsible for causingarthritis
especially damp and cold water.
AYURVEDIC CONCEPT OF AAM â€“ VATA
The general symptoms of the
disease are ,
Loss of appetite
Constipation or Diarrhoea
If we evaluate these symptoms according
to doshas , they are mainly of vata
and kapha . Pain the predominant symptom of vata; all other symptoms show kapha
derangement. No vruddhi or growth without kapha.
As far as the ayurvedic aetiology of AAM â€“
VATA is concerned, mainly jataragni
is involved. Agni is the fire. It can
be slow ( mand), intense (tikshna) , alternating (vishamam), or normal ( sam ).
If the fire is normal the digestion is
perfect. If the fire is intense then the food is over cooked or burnt. If the
fire is slow or mand then the food remain half cooked or ill cooked. Or
improperly cooked. Then it is not useful and hence the body tissue donâ€™t accept
them and hence it is a waste called AAM, because they cant be assimilated in to
the dhatus. According to Ayurveda , GIT
changes are primary and fundamental. The pre requisite in the series of
pathogenesis of R.A. is the hypo functioning of the digestive mechanism or
impaired digestion. The AAM is so formed is sticky ,
cold and heavy. It gets deposited in the various channels of circulation and
obstruct the passage of VATA. Where ever the passage is obstructed there is
congestion or inflammation. There is an association of vataand aam and the disease which manifests
itself is known as AAM- VATA.So aama â€“
vata is a vata kaphaja derangement. Food and mode of living which aggravates
vatha and kapha precipitate the disease and hence they should be avoided.
The aam literally means unripe , uncooked,
immature or undigested indicating the incomplete processing due to deficiency
of chemical of physical fire ( agni). In humans it refers to incomplete digestion
of fooddue to impared digestive secretions. Ofcourse in relation of RA the role
of impaired digestive mechanism has been focussed as a primary cause.
As we have stated above RA is not a localised
disorder but a systemic one . the systemic manifestation of symptoms are loss
of appetite. Excessive salivation, bad taste in the mouth, thirst , nausea,
vomiting, gurgling, constipation, pain and distension, of abdomen, polyurea,
giddiness, cardiac irregularities, disturbed sleep, lassitude, heaviness and burning
sensation in the body.
In modern science, shatin etcâ€¦have also
confirmed the involvement of digestive system in the etiology of RA, which is
very closer to Ayurvedic concept.
If we accept this etiologythen we have to follow the principles of Ayurveda
enunciated in the treatment of this disease â€“ RA and that is FASTING.
Fasting does not mean abstaining
from food only. It is also advised to keep cool and have physical and mental
SO THE TREATMENT (therapy and
drug) SHOULD BE
Clinically well tried
Should be backed by long clinical experience.
Should be harmless.
Should satisfy the etiological points enunciated
Should protect and preserve vital organs and
Should prevent catabolic effects of modern NSAID.
Must have quick and lasting penetration to have
immediate and lastingeffect.
Should have balanced combination of drugs so as
to have a synergistic action.
It should have anti â€“ inflammatory and analgesic