Abstract
Amavata is a disease due to Agni maandya induced Amotpatti and vata prakopa. So, to correct this, Amahara and Vatahara chikitsa is required simultaneously. Ushna, teekshna, Ruksha-Amahara Chikitsa along with Snigdha-Vatahara line of treatment needs to be adapted. Therefore,Rukshana and Snehana will yield good results. Rheumatoid arthritis is the disease where most symptoms have close resemblance with Amavata. Amavata has usual presentations like Angamarda, Aruchi, Trushna, Alasya, Gourava, Jwara, Apaka, Shoonanga. But in some unusual presentations where there is Saama Kapha along with Vaata, Vedana, Ruja in Trika, Agnidorbalya, Aruchi, Gourava,Utsahahaani, Vitvibaddhata are seen. As mentioned in the treatment of Avarana, here also Vyatyasa Chikitsa is done. So, in order to balance Saama Kapha and Vata, Vyatyasa chikitsa is adopted. In order to tackle Bahudoshavastha, Vaitarana basti(Kaala basti) given as a Shodhana chikitsa. To remove Kapha Avarana-Ushna Teekshna Chikitsa like Alepa, Dhanymladhara. Kati Basti to alleviate Vata though it is Snigdha, it acts as Vyatyasa Chikitsa. With this principle a male patient aged about 31 years who was diagnosed as Amavata/Rheumatoid arthritis was treated with Vaitarana basti, Dhanymladhara, Alepa and Kati Basti for a period of 7 days which showed significant reduction in the symptoms of Amavata along with Rheumatoid factor.