Traditional Ashtavaidyan Ayurvedic Therapy in the Functional Improvement of Patients with Gouty Arthritis
In this study, 30 patients of both the sexes having 20-60 years age, diagnosed on the basis of both objective and subjective parameters as of gouty arthritis were treated at IPD (21 days) and OPD levels (21 days). Initially the inpatients were subjected to modified Shastika-Shali-Pinda Sveda for 14 days followed by Abhyanga with Pinda Taila for next 7 days and simultaneously internal medicines comprising of Varunadi Kahaya (100 ml twice a day), Chandra-Prabha Gutika (1 tablet twice a day) and Kokilakshakam Toyam (1 liter/day for drinking in place of water) was given. Thereafter they were treated at OPD level and were asked to continue the same internal medicine along with daily application of Pinda Taila all over the body and Balaguluchyadi Taila over scalp for the next 21 days.
The results of this study showed significant reduction in serum uric acid and significant improvement in functional parameters, evaluated by using the DAS-28 score, disability index, SF-36 (quality of life index) and global assessment of disease activity scale. The laboratory parameters used to evaluate the liver and kidney functions indicated that the prescribed treatment is safe.
Keywords: Gouty arthritis, uric acid, Vatarakta, Shastika-Shali-Pinda Sveda, Varunadi Kashaya, Kokilakshaka, Pinda-Taila