Changes

If associated with fever: Amavatari rasa, Vettumaran gulika<ref name=Edava/>

If associated with fever: Amavatari rasa, Vettumaran gulika<ref name=Edava/>

===[[Panchakarma]] procedures with safety precautions===

====[[Panchakarma]] procedures with safety precautions====

====Therapeutic enema ([[basti]])====

=====Therapeutic enema ([[basti]])=====

'''Panchamuladi basti:''' In a study, 12 patients having rheumatoid arthritis (amavata) were managed with Ayurvedic treatment protocol. It included initial 3 days of fasting followed by 3 days of [[deepana]] and [[pachana]] therapy with 10gm trikatu powder 3 times a day with hot water after food. This is followed by 15 days of therapeutic enema ([[basti]]) schedule. Here the schedule of [[basti]] includes 2 medicated unctuous enema (anuvasana basti) initially, 5 decoction enema (niruha basti) and 5 medicated unctuous enema (anuvasana basti) intermittently and 5 medicated unctuous enema (anuvasana basti) in the end. Panchamuladi basti is used as niruha and panchamuladi taila is used for anuvasana. There were highly significant results in disease specific symptoms like pain in joints, swelling, stiffness, warmth and tenderness in joints. Highly significant results were also seen in general symptoms like heaviness (gaurava), malaise (angamarda), indigestion (apaka), edema (angashunata) and laziness (alasya). Total 70% reduction in thirst and a complete recovery from feverishness were also reported. The alkaline nature of this [[basti]] cures the ama along with it controls the [[vata dosha]] also. Unctuous enema also helps to control [[vata dosha]] by acting directly over the main site of [[vata]] that is colon (pakwashaya).<ref name=Baria/>

'''Panchamuladi basti:''' In a study, 12 patients having rheumatoid arthritis (amavata) were managed with Ayurvedic treatment protocol. It included initial 3 days of fasting followed by 3 days of [[deepana]] and [[pachana]] therapy with 10gm trikatu powder 3 times a day with hot water after food. This is followed by 15 days of therapeutic enema ([[basti]]) schedule. Here the schedule of [[basti]] includes 2 medicated unctuous enema (anuvasana basti) initially, 5 decoction enema (niruha basti) and 5 medicated unctuous enema (anuvasana basti) intermittently and 5 medicated unctuous enema (anuvasana basti) in the end. Panchamuladi basti is used as niruha and panchamuladi taila is used for anuvasana. There were highly significant results in disease specific symptoms like pain in joints, swelling, stiffness, warmth and tenderness in joints. Highly significant results were also seen in general symptoms like heaviness (gaurava), malaise (angamarda), indigestion (apaka), edema (angashunata) and laziness (alasya). Total 70% reduction in thirst and a complete recovery from feverishness were also reported. The alkaline nature of this [[basti]] cures the ama along with it controls the [[vata dosha]] also. Unctuous enema also helps to control [[vata dosha]] by acting directly over the main site of [[vata]] that is colon (pakwashaya).<ref name=Baria/>