A Clinical Ayurvedic Management on Post-Chikungunya Arthropathy as Aamvata-Case Study

Abstract

Introduction: Post-viral arthritis (PVA) is a condition characterized by temporary inflammatory symptoms, such as  joint pain, stiffness, and swelling that develop following viral infections. As described by Acharya Charaka in the  Charaka Samhita, complications following fevers can lead to a Vata-dominant Sannipataja condition, marked by the  aggravation of Vata Dosha. This imbalance manifests as joint pain, stiffness, a sense of heaviness, headaches, and  dizziness, often involving Pitta and Kapha Doshas as well. Objectives: This study aims to evaluate the effectiveness of Ayurvedic interventions, particularly Panchakarma  therapies, such as Panchtikatksheer basti and Anuvasan basti in the management of PVA. Materials and Methods: A 34-year-old female patient visited the outpatient department with a history of  Chikungunya fever 7 days prior. She presented with body ache, fever, and reddish patches all over the body. Three to  four days later, after the appearance of red rashes, she developed joint stiffness, joint pain, and mild swelling in the  face, as well as in the upper and lower limbs. Severe stiffness in both knees caused significant difficulty in walking  without assistance. The treatment protocol included Panchakarma therapies, along with oral Ayurvedic medications. Results: The patient exhibited marked improvement in joint flexibility and experienced substantial relief from  symptoms. After 16 days of Ayurvedic treatment, there was a significant reduction in joint pain, stiffness, and  swelling. Conclusion: This case highlights the potential of Ayurvedic therapies, including Panchakarma and Shamana treatments, in effectively managing PVA. These approaches not only provide symptomatic relief but also help correct  underlying Doshic imbalances, thereby enhancing joint mobility and overall quality of life.