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Line 1,934:
Line 1,934: − + − + − Investigations:+ − Serological investigations like Erythrocyte sedimentation rate, C-reactive protein, uric acid, quantitative and qualitative assessment of rheumatoid factor may be investigated as biomarkers. − Radiological investigations including X-rays of affected part − Ultrasound, histopathological study and angiography. − + − + + + + + + + + + + + + − Prognosis considering present developments in medicine:
→Constituent conditions of vatarakta
Rheumatoid arthritis and gout are two most common rheumatological conditions.
Rheumatoid arthritis and gout are two most common rheumatological conditions.
Those patients with involvement of small joints of extremities resemble rheumatoid arthritis, on the other hand patients with mono-articular or oligo-articular arthritis and associated elevated uric acid resemble gout. There is a difference of opinion among Ayurvedic physicians, some call ''vatarakta'' as gout and others call rheumatoid arthritis. Some Ayurvedic physicians consider ''amavata'' as rheumatoid arthritis. However, it can be observed that the patients diagnosed as rheumatoid arthritis show clinical features of vitiation of ''vata'' associated with ''kapha dosha''. Whereas, the patients diagnosed as gouty arthritis show clinical features of vitiation of ''vata'' associated with ''pitta dosha''. Therefore, the former case can be treated on the lines of ''vatarakta'' associated with ''kapha'', while the latter can be treated on principles of vatarakta associated with pitta. On close observation it is noted that in aamvata there is involvement of large joins of extremities and sacroiliac joints which is consistent with rheumatoid variant or ankylosing spondylitis. Ayurvedic management depends upon correction of imbalance of dosha, dushya and prakriti of the individual and can be viewed as working through epigenetic pathway. On the other hand, modern medicine system works by antagonizing the pro-inflammatory proteins or acting through “genetic pathway”. It becomes clear that both systems achieve the objective using different ways. It can be compared to digging the tunnel from both sides. However, the direction of diagnosis and treatment needs to be clearly based upon clinical assessment of dosha dominance. The serological parameters can only be utilized for assessment of therapy.
Those patients with involvement of small joints of extremities resemble rheumatoid arthritis, on the other hand patients with mono-articular or oligo-articular arthritis and associated elevated uric acid resemble gout. There is a difference of opinion among Ayurvedic physicians, some call ''vatarakta'' as gout and others call rheumatoid arthritis. Some Ayurvedic physicians consider ''amavata'' as rheumatoid arthritis. However, it can be observed that the patients diagnosed as rheumatoid arthritis show clinical features of vitiation of ''vata'' associated with ''kapha dosha''. Whereas, the patients diagnosed as gouty arthritis show clinical features of vitiation of ''vata'' associated with ''pitta dosha''. Therefore, the former case can be treated on the lines of ''vatarakta'' associated with ''kapha'', while the latter can be treated on principles of ''vatarakta'' associated with ''pitta''. On close observation it is noted that in ''amavata'' there is involvement of large joins of extremities and sacroiliac joints which is consistent with rheumatoid variant or ankylosing spondylitis. Ayurvedic management depends upon correction of imbalance of ''dosha, dushya'' and ''prakriti'' of the individual and can be viewed as working through epigenetic pathway. On the other hand, modern medicine system works by antagonizing the pro-inflammatory proteins or acting through “genetic pathway”. It becomes clear that both systems achieve the objective using different ways. It can be compared to digging the tunnel from both sides. However, the direction of diagnosis and treatment needs to be clearly based upon clinical assessment of ''dosha'' dominance. The serological parameters can only be utilized for assessment of therapy.
The condition in which blood vessels, connective tissues and tendons are involved such as vasculitis along with thrombosis and embolism, Thrombo angiitis obliterans (Burger’s disease), Raynaud’s disease are also considered under the disease vatarakta. The treatment focus on correction of rakta-dhatvagni, through which mechanisms in sira(vessels) and kandara(tendons) are corrected.
The condition in which blood vessels, connective tissues and tendons are involved such as vasculitis along with thrombosis and embolism, thrombo-angiitis obliterans (Burger’s disease), Raynaud’s disease are also considered under the disease ''vatarakta''.
Complications:
The treatment focus on correction of ''rakta-dhatvagni'', through which mechanisms in ''sira''(vessels) and ''kandara''(tendons) are corrected.
Insomnia, permanent joint deformity, gangrene, necrosis, tumour can occur as complication of vatarakta.
==== Investigations ====
#Serological investigations like Erythrocyte sedimentation rate, C-reactive protein, uric acid, quantitative and qualitative assessment of rheumatoid factor may be investigated as biomarkers.
#Radiological investigations including X-rays of affected part
#Ultrasound, histopathological study and angiography.
==== Complications ====
Insomnia, permanent joint deformity, gangrene, necrosis, tumor can occur as complication of ''vatarakta''.
==== Prognosis considering present developments in medicine ====
The disease with involvement of single dosha and new (diagnosed within one year) is curable. The disease with involvement of more than one dosha and chronic (more than one year) is palliable with medicines and appropriate therapies.
The disease with involvement of single dosha and new (diagnosed within one year) is curable. The disease with involvement of more than one dosha and chronic (more than one year) is palliable with medicines and appropriate therapies.
Management of diseases (Treatment protocols)
Management of diseases (Treatment protocols)