International Journal of Trend in Scientific Research and Development (IJTSRD)

Volume 6 Issue 6, September-October 2022 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470

Effect of Eranda Taila as a Pain

Management in Amavata: A Case Study
Dr. Naseema Nadaf1, Dr. Manjunath Akki2, Dr. Suresh N Hakkandi3
1
PG Scholar, Department of Panchakarma,
2
Professor, Department of Panchakarma,
3
Professor and HOD, Department of Panchakarma,
1,2,3
Shri Jagadaguru Gavisiddeshawara Ayurvedic Medical College and Hospital, Koppal, Karnataka, India

ABSTRACT How to cite this paper: Dr. Naseema

Vata associated with Ama creating a disease known as Amavata. Nadaf | Dr. Manjunath Akki | Dr. Suresh
Ama is due to the derangement of Agni (digestive power). The N Hakkandi "Effect of Eranda Taila as a
clinical entity of Amavata can be correlated with rheumatoid arthritis. Pain Management in Amavata: A Case
RA is a long term autoimmune disorder that primarly affects joints Study" Published in
International Journal
causing warmth, swelling and pain. In Rheumatoid arthritis, the
of Trend in
body’s immune system attacks its own tissue including the joints. Scientific Research
Rheumatoid Arthritis is a chronic inflammatory disorder affecting and Development
many joints, including those in the hands and feet. The study was (ijtsrd), ISSN: 2456-
carried out in a clinically diagnosed cases of Amavata (rheumatoid 6470, Volume-6 | IJTSRD52095
arthritis). An attempt was made to assess the efficacy of Murchita Issue-6, October
Eranda taila as Shamana Snehapana in Amavata (Rheumatoid 2022, pp.1429-1432, URL:
Arthritis). www.ijtsrd.com/papers/ijtsrd52095.pdf

KEYWORDS: Amavata, Rheumatoid Arthritis, Murchita Eranda taila Copyright © 2022 by author (s) and
International Journal of Trend in
Scientific Research and Development
Journal. This is an
Open Access article
distributed under the
terms of the Creative Commons
Attribution License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)

INTRODUCTION:
In Ayurveda, it is explained that indulgence in body), Apaka (indigestion) and Angashunatva
incompatible foods and habits with lack of physical (oedema of the body parts)5. When the condition gets
activity produce Ama in the body1.This Ama is the exacerbate Bahusandhi Shotha (Joint Swelling),
utmost important causative factor for various Bahusandhi Shula (Joint Pain), Sandhi Stabdhata
diseases2. It also affects simultaneous joints of the (Joint stiffness) may be presented6.
body, Amavata is one such disease which affects
Amavata is generally compared with Rheumatoid
joints of the body. arthritis, it is an Autoimmune disorder of unknown
In case of Amavata, Vata and Kapha dosas get etiology with multiple joints involvement and affects
vitiated and aggravated at a time and enter the Trika many other system too. The cause of rheumatoid
sandhi as a result the joint becomes rigid and stiff 3. arthritis is not yet fully understood. Rheumatoid
Amavata belongs to Abhyantara as well as arthritis typically affects the small joints in hands and
Madhyama Roga marga. The Samprapti starts in the feet. Along with joint inflammation and pain,
Annavaha srotas and then extends through Madhyama many people experience fatigue, loss of appetite and a
Roga marga with special inclination for Kapha low-grade fever7. Because RA is a systemic
sthana4. disease, it may also affect organs and body systems.
In later stage deformities of the joints may results
General clinical features of Amavata are Angamarda
and it leads to restriction of the movements of the
(body aches), Aruchi (anorexia), Trushna (thirst),
joints.Arthritis affects 15% people i.e. over 180
Alasya (malaise), Gaurava (feeling of heaviness in the
Million people in India5. Female gender is a risk factor

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F: M=3:1 but before age 45 it is 6:1, prevalence can’t get relief. then he admitted in SJG Hospital
increaseswith age6. Despite the administration of best before four years back, he feals some more comfort,
available modern drugs, the disease has a tendency to Now he was agree to take shamanoushdis.
progress and cripple the patient. Conventional
History:
medicines like NSAID’s (Non-steroidal anti There is no history of Diabetes Mellitus,
inflammatory drugs) have adverse effects on GIT and Hypertension or family history of Rheumatoid
DMARD’s (Disease modifying anti-rheumatoid artheritis.
drugs) cause hepatic, renal and bone marrow
suppression. Thus Ayurveda provides a safe, Clinical Examination:
economic and effective treatment of RA. He was examined through both locally and
systemically. The general condition of patient was
Acharya Chakrapanidatta elaborately describes the stable, fully conscious, and well oriented. his vitals
principles and line of treatment for Amavata8. were found to be normal limits, Blood pressure-
Langhana (fasting), Swedana (sudation), use of drug 130/70 mm/hg, Pulse rate-70/min. His body height
of Tikta (bitter) and Katu (pungent) Rasa, Deepana was 5 feet 5inch, and his body weight
drugs (stimulating hunger) are beneficial in the 52kg.Cardiovascular system was found normal.
management of Ama stage of Amavata. In Nirama
stage Snehapana (oleation), Virechana Karma Local Examination of joint, inspectionaly moderate
(therapeutic purgation) and Vasti Karma (enemas) swelling of right knee joint, Right little finger with
can beperformed. absence if discoloration. By palpation sever
tenderness of right little finger with Hard swelling of
In various sciences different treatment protocols are
right knee and little finger, Slightly raised
explained for Amavata but only partial success is
temperature of right little and right knee joint,
achieved and it still remains a challenging problem.
Crepitus felt at b/l Limb. Rest of Deformities of Hand
Bhaishajya Ratnavalli In ‘Amavata chikitsa
and joints are absent.
prakaranam’ mentioned Snehapana as one of the
treatments modality9. The concept of Earanda taila10 Management:
and Bruhat Saindhavadyam taila11as taila pana is The patient was managed with shamana snehapana.
being selected because of their Vatahara property and First as a purvakarma vishwanar churna given for
it stimulates the Agni. It is having properties like, upto shamana of Ama after to advise for Murchita
Vatanulomana, Shoolaghna, Margashodhana, by Eranda taila in one karsha matra BD for 14 days.
these properties may help in minimizing clinical Follow up period:
features of Amavata. The pain reducing and anti- In this duration patient was advised to avoid
inflammatory qualities of Eranda may be particularly Ashtamahadoshkara Bhava, as to avoid expose to
helpful in those with inflammatory disease like cold breez, Heavy weight lifting, Resting in One
Amavata. And it is a safe, less complicated and most position.
importantly cost-effective treatment. Hence an effort
is made to know the efficacy of Earanda taila as Advise to take lukewarm water, shuntijala pana,
Shamana Snehapana in Amavata (Rheumatoid ushanavastra dharana etc. For shamana Aushadhi-
artharitis). Amavatari rasa 1 BD, Rasnasaptaka Kashaya 10ml
BD before food with lukewarm water was continued
CASE REPORT: for 14 days.
A 33 year old Male Patient from Kudarimathi koppal,
Visited Panchakarma OPD of SJG Ayurveda Medical After 14day patient was visited again, there was
college and Hospital koppal, on 28th August reduced symptom of Right knee joint with little joint
2021.Complaints of Pain in both knee joint, Right pain and stiffness. All medication was stopped and
little finger and knee joint with swelling and stiffness advised for proper diet and regimen.
since 15 days. DISCUSSION:
Presenting Complaints; Amavata is a chronic progressive systemic disorder
A 33 year male patient from Kudaromathi that primarily targeted to the locomotor system.
complening of both knee joint, b/l elbow joint, b/l Amavata is named after two major pathogenic factors
wrist joint, rt ankle joint pain since 15 years but it Ama and Vata which mainly affects Sandhi. Samhitas
persist for only 3 months. From now 15 days back he explained the role of Ama in disease manifestation
was suffering with above complaints. and their management. Madhavakara was the first to
refer this disease as a separate entity followed by the
Initially he visited to SDM Dharwad, he dropout the other authors. As such there is no geographical
medicine. After he consulted to local doctor but he distribution of the disease Amavata, but it is more

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 International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
prevalent in Urban communities. Amavata manifested confirmed by observing Gatra Mardavata.
due to the Virudha Ahara and Vihara, abnormal
Malanam Vinihanti Sangam- Mala Sanga
functioning of Agni has a major role in the initiation generally occurs due to Rukshata,
of disease process Ama and Vata are the chief
pathogenic factor involved in the disease. Samprapti Sneha overcomes this Rukshata by its Snigdha and
of the disease originated from Annavaha srotas with Vishyanda properties and the Sanga sets right.Actions
special to of Shleshmasthana. Amadosha has an of Snehana can be attributed to properties present in
affinity for various joint spaces as it resembles the Sneha Dravya. In this regard it is very much
physical properties of Shleshaka kapha, present in necessary to discuss the actions of these properties
joint spaces. Sandhi Shula, Sandhi Shotha, Stabdatha, with respect to Snehana.
and Sparsha Asahishnuta being main features of the Drava -Brings moistness in the Srotas and
disease along with Angamarda, Jwara, Alasya and constituents of the body.
Nidraviparyaya etc. being constitutional symptoms of
the disease. The treatment includes Langhana, Helps in diffusion of Sneha over the body.
Deepana and Amapachana under the heading Helps in Dosha Vilayana process
Shamana Chikitsa.
Acts like a Dissolving media to the Dosha
Acharya Vaghbata Mentioned Snehana is an ideal
treatment when Vayu is located in Snayu, Sandhi and Snigdha -Snigdha and Drava both are
Sira. where Snehapana helps for reduction of Pain, complimentary to one another.
Stiffness & tenderness. Keeping these views of Snigdha brings softness of Srotas and by this
Acharya in mind we have Selected to treat the there is a better conveyance of Dosha, Dhatu and
condition with Shamana Snehapan. Mala.
Discussion on Mode of Action of Shamana Picchila -Shleshmala property is important to
Snehapana: bring Dosha Utklesha.
Arunadatta commenting on Shamana Snehapana that
Helps Sneha to come in contact with Doshas for
"shamano hi snehoyatratatrasthamdosham kupitham
longer duration.
sarvashareeravyapitvat shamanaroopatvat".
Picchila is having Pranadharana and Ojo
(A. H. Su 16/19).As the sneha is given when the
Vivardhana action; hence it protects the body
person is hungry the body channels are said to be
structures from negative onslaught of Shodhana.
widely open facilitating the easy and quick spread of
the sneha in the body. Thus the sneha reaches the site Mrudu -Brings Srotomardavata, by generating
of lesion and rectifies the morbid dosha. softness, laxity, loosens the Dosha Sanghata.
Sneho Anilam Hanti Sukhshma-By virtue of Sukshma property Sneha
Mrdu Karoti Deham reaches to each and every part of the body.
Malanam Vinihanti Sangam [Ca.Si.1/7].
Sukshma is having Soto Vishodhana property,
Cakrapani clarifies that these are functions of thus aiding in bringing the Doshas back to Koshta.
Shodhana Snehana, but we can take this as useful in
Shamananga Sneha also. On the basis of above Sara -Sara is having 'Vyaptishilatva' i.e.,
version actions of Snehana may be analysed as spreading nature, thus helps in Spreading of
follows- Sneha all over the body.
Sneho Anilam Hanti -Vata Nigraha is one of the Prerana and Vatanulomana action of Sara Guna
criteria mentioned by Caraka to bring Doshas helps in movement of Doshas back to Koshta.
back to Koshta. As Sneha is having exactly Though Guru, Shita and Manda are mentioned
opposite Guna to Vata Dosha, Sneha allots the as properties of Sneha, but these have more of
proper Gati to Vata and helps to bring the Shamana or Brumhana value than aiding in
Shakhagata Dosha into Koshta. Vatashamana Shodhana Snehana action.
effect of Snehana can be known by observing
Vatanulomana action. Medicinal Effect:
Snehapana helps in Vatanashamana by virtue of its
Mrdu Karoti Deham- Sneha by virtue of its Snigdh Guna, The Symptoms caused by both Vata
Snigdha, Mrdu qualities brings softness in Dosha and Kapha doshas i.e Gaurava, Sthambha, Shula are
Sanghata, Srotas and Deha, which are very reduced by this procedures. So selected the Snehpana
important to bring Dosha to Koshta and Utklesha as a treatment for Amavata.
stage. This Mrdukarana effect of Sneha can be

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Eranda having the Madhura, Katu, Kashaya rasa with [4] Prof. Yadunandana Upadhyaya, Madhava
Snigdha, Suksma Guna, is of Usana virya so it does Nidana with Madhu Kosh Commentery and
Kapha Vatahara &Recana.Eranda taila is useful in vidyotini hindi tika, 25th chapter, 2nd shlok,
curing Amavata it subsides the pain of Kukshi, Basti Varanasi, chaukhambha Prakashan, Reprint -
and Kanda Kati and it have the Shothahar, Shulahara 2009, P.no 508
properties.
[5] www.arthritis-india.com assessed on
CONCLUSION: 27/02/2020.
Amavata is a disease mainly due to the Amarasa
[6] Praveen Kumar and Michel Clark, Kumar clark
produced in Amashaya.
clinical Medicne, chapter 10th, U.S.A,
Womens are more likely than men to develop Philadelphi, 6th Edition 2005, P no -555.
Amavata (Rheumatoid artheritis).
[7] Acharya Yadavji Trikamji, Charaka samhita
For those who Consume the Incompatible food Chikitsa sthana with Chakrapanidatta
&Virrudha Vihara as expose to cold, wind to be commentary edited by Acharya Yadavji
risk of developing Amavata. Trikamji, 28th chapter, Sloka no 195, Varanasi,
Snehapana is indicated in Amavata, Murchita Chaukambha Orientalia, Reprint 2009, P.no 625.
Erandataila as Shamana snehapana. [8] Dr. Indradeva tripati, Chakradatta, edited by
Erandataila are having Properties of Snigdha, Prof. Ramanath Dwivedi, Amavata Chikitsa,
Sukshama with Usana Virya does digestion of Varanasi, Chaukambha Orientalia, Printed 2005,
Amarasa and helps for subside of Vata and Kapha P.no 166.
dosha. [9] Dr. Kanjiv lochan, Bhaisajy ratnavali, 29th
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