A Case Study to Evaluate the Effect Nagar Ghrita Sneha Pan in the Management of Amavata w.s.r. of Rheumatoid Arthritis

Amavata is a disease affecting joints all over the body and also have other extra articular manifestation. Clinical feature of Amavata such as pain, swelling, stiffness, fever, general disability are more identical mentioned in classical texts.In classics, Acharya chakradutt has mentioned Treatment of Amavata is Deepan, Pachan, Shodhan, Shaman Snehapan, Vaitaran Vasti, Virechan[1] etc. Among them Snehapan after Virechan is very effective in the chronic cases of Amavata Literary material from Ayurvedic texts was compiled critically analysed and clinically observed on patient to include the key references necessary for evaluating the hypothesis. Pachan Karma will be carried out with Nagar+Gokshur kwath 50ml twice daily for 3 days and then Sarvanga Abhyanga Swedana/Baluka swedana will be carried out for next 3 days and then Virechan karma will be with Eranda tail 30ml added to Haritaki kwath 50 ml.after Nagar Ghrita sneha pan for 10 days. The result suggest that Nagar Ghrit Pan after Virechan karma is effective in the management of Amavata.