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Indian Journal of Nutrition

Research Article

Management of Amavata/Rheumatoid Arthritis with Langhan (Fasting), Sunthi (dried ginger) and Trikatu - an Ayurvedic Polyherbal Formulation

Deo K1, Pendse N2 and Udipi SA3*

1Former Student, Department of Food Science and Nutrition, SNDT Women’s University
2Seth Tarachand Hospital, Pune
3Integrative Nutrition and Ayurceuticals, Kasturba Health Society- Medical Research Centre and Former Professor and Head, Department of Food Science and Nutrition, SNDT Women’s University
*Corresponding author: Udipi SA, Integrative Nutrition and Ayurceuticals, Kasturba Health Society- Medical Research Centre, Jain Sthanakwasi Aradhanadham 17, Khandubhai Desai Road, Santacruz (West), Mumbai - 400 056 Cell: +91 9189324083; E-mail: drshobhaudipi@gmail.com
Article Information: Submission: 15/01/2022; Accepted: 18/02/2022; Published: 21/02/2022
Copyright: © 2022 Deo K, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Amavata, a progressively debilitating, disabling condition, is similar to rheumatoid arthritis that occurs in nearly 1% of the population. Rheumatoid arthritis is generally treated with anti-inflammatory drugs to slow down its progression and save joints and tissues from permanent damage. However, these drugs have side effects. In Ayurveda, Langhan / modified fasting and use of ginger or Trikatu, a three herbal formulation is recommended. In the present study, a combination of Langhan plus a decoction prepared from either Ginger powder/Sunthi or Trikatu was studied. Patients were randomly assigned to the Sunthi group (n=32) or Trikatu (n=36). Functionality was assessed using the HAQ disability index, Ritchie’s articular index and grip strength. Symptoms like pain, fever, and gastrointestinal problems were assessed on Days 0, 7 and 14. The HAQ-DI assessed the amount/level of difficulty experienced in performing common daily activities. Ritchie’s Articular Index assessed six joints of fingers, wrist, elbow, shoulder, knee and ankle on the left and the right side as a single unit for pain, swelling, warmth, and limitation of motion. Both treatments were effective but benefits were better and side effects were less with Sunthi. Also, benefits with Sunthi were seen in the first week of treatment. The duration of this study was only 14 days, as patients found it difficult to adhere to the diet particularly because wheat was restricted completely, resulting in a high number of dropouts. Further study on modification of diets for patients with RA/ Amavata to obtain maximum benefits would be worthwhile.