Efficacy of 'Shunthyadi Kwath ' in Amavata.

Efficacy of 'Shunthyadi Kwath ' in Amavata. Vd. Jadhav N.C.*1. Vd. Bhawar V.S 2, Vd. Nimbalkar S.R 3 1. Asst. professor, Kayachikitsa Dept. Gune Ayurved College A. nagar. Maharashtra,, India. 2. Asst. professor and H.O.D. Agadtantra Dept, Gune Ayurved College A. nagar. Maharashtra, India; waghekiran@gmail.com 9270058061 3. Asso. professor,h.o.d. Shalyatantra Dept. Gune Ayurved College A. nagar. Maharashtra, India. drdeshmukhanjali@gmail.com * Corresponding Author: drnitin57@gmail.com 9975 055757 Abstract :- Changing lifestyle by means of dietic and behaviour pattern plays a major role in the manifestation of several diseases. Thus, this also leads to the development of the disease Amavata. Amawata is a disease that millions of adults and children in the world suffer from. Ayurveda, the ancient system of Indian medicine is a treasure of outputs and data obtained through invasive research of many thousands of years. The whole world is attracted by the Ayurvedic management of Amavata as a ray of hope and efforts are made to achieve the rational solution for Amavata.. Introduction: Amavata is a common problem in the society In this disease, mobile joints are mainly affected with severe pain (Shoola), inflammation and disability. It is one of the common debilitating disease by the virtue of its chronicity and implications.it is the disease of madhyam rog-marga and having chirkari swabhav. Advanced technology and advanced science has made considerable efforts in understanding the etiopathology of the disease. The disease rheumatoid arthritis can be presented as very similar to Amavata. Patients get marginal relief but still continue to suffer. They are rushing towards Ayurveda, when the disease is in chronic stage with side effects. To face this global challenge, trial drug has been selected for clinical research. Key words:- Shunthi, Gokshur, kwath, Amavata, pain-relief. Trial Drug :- A combination of 2 dravyas was selected and prepared in the form of Kwath (decoction) which is named as Shunthyadi Kwath. 1.Shunthi 2.Gokshur. Aims :-To study Efficacy of ' Shunthyadi Kwath ' in Amavata. Objects : 1.To study effect of ' Shunthyadi Kwath ' in Amavata for pain relief, 2) To study effect of ' Shunthyadi Kwath ' on inflammation. in Amavata. 1

Materials and Methodology:- Study design :- No. of patients - 30 Medicine - Shunthyadi Kwath (Shundhi &goksur churna are taken in equal quantity.) Dose - 80 ml. Kala - Rasayana Kala i.e. Early in the morning. Once daily on empty stomach. Kwath is given in luke warm form. Duration - 7 days Criteria of Selection of patients :- The case selection was random regardless of age,sex, occupation and socio-economic condition. Both acute and chronic phase of Amvata pt.s were taken for the study. Total 30 pt.s were selected of both sexes ageing from 10 Yrs upto 60 Yrs. A special case paper pro forma has made. Patient subjected for the clinical research have been selected presenting with signs and symptoms as mentioned in Madhav Nidana. Criteria of Exclusion of patients : Those patients having permanent joint damage, pregnancy and Hypertension, diabetes mellitus, cardiac disease, paralysis, old age (below 10 yrs and above 60 yrs) Steroid dependants were excluded. 30 patients were selected for the study. Shunthyadi Kwath was given to patients for 7 days. After giving Shunthyadi Kwath daily follow up was recorded Diet: Laghu Ahar, Mudga Yush, Leafy vegetables of bitter taste, Rice of sathe Sali etc. Assessment of patient was done with the help of Oxford pain chart & Visual Analog Scale. Relief Criteria is divided into 3 grades. Fair - Relief 70% and above. Moderate - Relief 50% and above. Poor - Relief below 50% To study the effect of Shunthyadi Kwath in Amavata, a special Ayurvedic version rating scale is designed. Pain relief in patient is given 0-4 Nos. 0 - None 1 - Slight Relief 2 - Moderate Relief 3 - Good Relief 4 - Complete Relief. Assessment of patients was also made for following general signs and symmptoms. 1. Agnideepan 2. Sharir Laghavata 3. Jwara 4. Proper Sleep 5. Reduction of joint pain and inflammation 6. Improvement in joint mobility. OBSERVATIONS: The assessment was carried out before and after treatment to evaluate the total effect of treatment. 1) SEX: Incidence is higher in females, probable reason being females have to do physical 2

work is because females has tendency immediately on full stomach. Male 9 30% Female 21 70% 2) AGE : In 30 cases of study highest no. of patients are 31-40 yrs of age group (43.3%). 3) SOCIO- ECONOMIC DISTRIBUTION: is equal - 15 patients are lower middle and 15 patients are poor class. Poor people highly suffer to Amavata disease because of poor hygienic condition, poor economic, not eating snigdha ahara, eating a ruksha ahara, daily hard working. 4) DIET: According to diet 16 patient are mixed diet (53.3%) and 14 patient are vegetarian. TABLE- Reduction in Joint Circumference. Only Knee joint has taken for measurement as knee joint is involved in 20 patients. Sr.No. Before After l. 39 cms 38.5 ms 2. 34 cms 33.5 cms 3. 31 cms 31 cms 4. 45 cms 43.5 cms 5. 38 cms 38 cms 6. 32 cms 32 cms 7. 31 cms 31 cms 8. 40 cms 40 cms 9. 38 cms 37.2 cms 10. 42 cms 42 cms 11. 35 cms 34 cms 12. 31 cms 29.5 cms 13. 40.5 cms 39 cms 14. 32 cms 32 cms 15. 37 cms 37 cms 16. 39.5 cms 38.5 cms 17. 42 cms 42 cms 18. 33.5 cms 32 cms 19. 30 cms 28.5 cms 20. 36 cms 36 cms TABLE - Relief in Percentage with grade de No. of patients % of Relief Fair 2 6.6% Moderate 4 13.3% Poor 24 80% Observations about Symtom Shool (Pain) Relief gradation of Pain According to Oxford pain chart. Severity of Pain Gradation Relief No Pain 0 Complete Mild Pain 1 Good Moderate Pain 2 Moderate Severe Pain 3 Slight Unbearable Pain 4 Severity of Pain before Treatment Severity of No. of Percentage 3

Pain Patients upset you. 0 0 0% 1 3 10% 2 19 63.3% 3 3 10% 4 5 16.6% Severity of Pain After Tretament Severity of No. of Percentage Pain patients 0 1 3.33% 1 15 50% Visual Analog Sealer- There is 10cm horizontal line, for each day pain assessment. There is 0 marking on left hand side and marking of 10 on right side end. 0 indicated absolute no pain. 10 indicates most severe pain. Each cm indicates digits from 0 to 10. Patients were asked to grade their pain and define according in no. 0 5 10 2 6 20% 3 7 23.3% 4 1 3.33% Oxford Pain Chart:- Pain Day 0 2 5 7 Intensity how bad has your pain been Severe Moderate Mild None Relief how much pain relief the Complete Good Kwath given Moderate today Slight None Side effects has the treatment Result:- The effect of kwath in the treatment of Amavata is proved on the basis of statistical analysis having significant value i.e.less than 0.001(P< 0.001). Shundhyadi kwath is useful in treatment of Amavata. Conclusion:- 1) Shunthi is Amavataghani. Gokshur is madhura rasa, madhura vipaka, and sheeta virya. Guru and Snigdha guna act as Deepaniya, Vatanuloman, malanuloman mutrala. 2) Shunthyadi kwath has action as Deepana, Pachana, Vatanulomana, Vedan sthapana, Shothaghana. 3) Action of kwath starts from mahastrortas and reach upto minute channels and also help in maintaining the proper movement of vayu along the natural channels. When mahastrotas are treated properly, agni is 4

improved then and further progress of the disease is hampered. DISCUSSION: 1) The study shows that when treatment is taken early it gives better response. 2) The drug may be tried for 15days for better results. 3) This drug given internally(shamanopkram) is useful when we cannot give elimination therapy(shodhan). 4) Further study is still require to identify the exact indication and it's possible mode of action.. References: 1. Yogratnakar Amavatchikitsa,page no.(566-67),editor; Brahmashanker Shastri. ChoukhambaAcademy,5 th edition,1993. 2. Bhavprakash,Bhavprakash uttarardhavodyotini hindi commentary by Mishra brahmashanker, published by ChoukhambaAcademy5th edition,2001,amvatarogadhikar-26 madhyamkhanda. 3. Madhav nidanshastri, Sudershan, Vidyotini Hindi commentary, Varanasi 2006 4. Charak Samhita withayurveda dipika commentary of Chakrapanidutta published by Choukhamba Academy 3 rd edition. 5. Kirtikar R.K.and Basu B.D. Indian medicinal plants1933. 6. Bhavprakash nighantu-hindi commentary by K.C.Chunekar,edited by G. S. Pandey 1969.page no (13-14,279-80). Cite this article: Efficacy of 'Shunthyadi Kwath ' in Amavata. Vd. Jadhav N.C.*1. Vd. Bhawar V.S 2, Vd. Nimbalkar S.R 3-2014; 3(1): 1-5 5