amavatha
DESCRIPTION
Amavata is the disease first explained in Ayurveda book in 7th Century by Madhavakara in his book Madhava Nidana which is very famous for explanation regarding etiology, pathophysiology, clinical features, diet etc. Modern science people say that Fibromyaliga presently known as Central sensitivity syndrome is first observed in 17th century and documented in Biblical book of Job. If we keenly go through the Amavatha of Madhavakara in Madhava Nidana it seems that Fibromyalgia was first observed in 7th century by Madhavakara. This PPT is for all Ayurveda doctors and Ayurveda lovers. The people from other field may not be able to understand this. I request the scholars from Ayurveda field to comment on this view. This is my sincere effort to explore the understanding of Amavata with the explanation in contemporary science.TRANSCRIPT
![Page 1: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/1.jpg)
“AMAVATA” IS FIBROMYALGIA AND POORLY BE CORELATED
WITH RHEUMATISMBY
Dr Jayagovinda UkkinadkaUKKINADKAS AYURVEDA
![Page 2: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/2.jpg)
Introduction
• Amavata is a conditon explained in Laghu thrayees, but not in Brihat Thrayees.
• First explained in Madhava Nidana, by Madhavakara who lived between 600-700AD, that is one century after Vagbhata
• Later books like Yoga Ratnakara, Bhaishajya Ratnavali etc quoted the slokas of Madhava Nidana to explain the disease Amavata without much change.
![Page 3: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/3.jpg)
Introduction
• There is lot of difference of opinion among the Ayurvedic scholars while co-relating the diseases like Amavata, Vatashonita with the contemporary diseases explained in modern science.
• Most of the scholars co-relate Vatashonita with Gout and Amavata with Rheumatism
![Page 4: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/4.jpg)
Introduction
• But if we go through the symptoms it seems that Amavata can poorly be co-related with Rheumatoid Arthritis and other rheumatisms.
• It is very important to identify or co-relate the Ancient diseases with the diseases explained in modern science to have correct idea of treatment principles.
![Page 5: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/5.jpg)
What is Amavata then?
• Considering symptoms etc Amavata has many resemblence with Fibromyalgia explained in modern science or in other words we can co-related Amavata with Fibromyalgia better than that of Rheumatism.
![Page 6: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/6.jpg)
Nidana & Samprapthi
![Page 7: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/7.jpg)
ETIOLOGY & PATHOPHYSIOLOGY
– Viruddahara means unwholesome foods or combination of foods which effects adversely.
– Poor digestion power, defective metabolism– Sedentary life style and also too much exercise– So affected defective metabolism with the
influence of nervous system also affects the normal functioning, and the products of this reaches Dhamanis (blood vessels) and circulates all over the body and produces symptoms.
![Page 8: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/8.jpg)
ETIOLOGY & PATHOPHYSIOLOGY
![Page 9: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/9.jpg)
signs
![Page 10: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/10.jpg)
signs
• These defective metabolic products with the influence of Nervous system produces symtoms in neck, lower back and all over the body and produces stiffness.
![Page 11: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/11.jpg)
Samanya Lakshana
![Page 12: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/12.jpg)
Main features
• Bodyache• Poor appetite, feeling thirsty, lethargic• Heavyness in the body• Feverish feeling• Non inflammatory and no suppurative nature
![Page 13: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/13.jpg)
Ati pravridda Lakshana
![Page 14: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/14.jpg)
Vrischika Visha Lakshana-Charaka
![Page 15: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/15.jpg)
Severe AMAVATA features
• Very difficult to tolerate when becomes severe. Can also be considered as difficult to treat when aggravates
• Severe pain in hand, foot, head, ankle, neck, low back, knee and hip joints
• Pain and swelling is seen in different parts of body
• Pain will be severe as if bit by scorpion. (burning sensation and pain as if hit by stick)
![Page 16: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/16.jpg)
Upadravas
![Page 17: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/17.jpg)
Yogaratnakara Adds Grahani as Upadrava
![Page 18: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/18.jpg)
Complications
• Poor appetite, Poor digestion, excessive salivation, lethargy
• Burning urination and increased frequency of urination
• Disturbed sleep • Giddyness and syncope• Grahani- Abdominal pain, constipation, poor
apetite etc.
![Page 19: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/19.jpg)
Doshik involvement and Sadhyasadhyatha – No asadhya Amavata
![Page 20: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/20.jpg)
Samanya Chikitsa- Bhai.Ra
![Page 21: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/21.jpg)
Yogaratnakara suggests Sneha vivarjana
![Page 22: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/22.jpg)
Saindhavadyam Tailam Brihat and Laghu in Bratnavali for Abhyanga
![Page 23: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/23.jpg)
Brihat saindhyavadyam Tailam
![Page 24: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/24.jpg)
Pathya
![Page 25: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/25.jpg)
Apathya
![Page 26: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/26.jpg)
Fibromyalgia- Cardinal signs• Persistent widespread pain• Stiffness• Fatigue• Disrupted Unrefreshing sleep• Cognitive difficulties• Often accompanied by multiple other unexplained
symptoms• Anxiety and/or depression• Functional impairment of activities of daily living • Typically presents in young or middle-aged women.
![Page 27: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/27.jpg)
Pathophysiology- AMA
• Although the pathogenesis of fibromyalgia is not completely understood, research shows biochemical, metabolic, and immunoregulatory abnormalities. These substantiate the proposal that fibromyalgia can no longer be considered a subjective pain condition.
• Metabolic and Sensitivity related with Pitta and vata, deffective metabolism with AMA.
![Page 28: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/28.jpg)
Body Pain- Angamarda - Apakaha
• Central process- Dopaminergic activity, Excess excitatory neurotransmitter
• Low Serotonin and elevated substance p- neurotransmitters
• Dysfunction of the hypothalamic-pituitary-adrenal axis• Growth hormone• Elevated Nerve growth factor in CSF which produces
Substance P• Pain is non inflammatory - Apakaha
![Page 29: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/29.jpg)
Jvara Aruchi Trishna Alasya Gourava
• In some patients with fibromyalgia, negative emotional, motivational, and cognitive stressors may dominate the clinical picture, potentially leading to a self-sustaining neuroendocrine cascade that contributes to flulike symptoms, depressed mood, fatigue, myalgias, cognitive difficulties, and poor sleep.
![Page 30: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/30.jpg)
Sleep Desruption Nidra viparyaya and Anidratha
• NREM 4th stage deranged which further worsens the metabolic function
• Lack of sleep is one of the main feature of Fibromyalgia
![Page 31: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/31.jpg)
Other features- Bahumuthratha, Murcha, Shwasa etc
• Weight fluctuations• Allergic symptoms (eg, nasal congestion) and
hypersensitivity to environmental stimuli (eg, odors, bright lights, loud noises) and medications
• Syncope or dizziness• Shortness of breath• Urinary frequency and urgency (female
urethral syndrome, interstitial cystitis)These features are frequently seen in Fibromyalgia
![Page 32: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/32.jpg)
Grahani vidvibaddatam jadyantrakujam anaham
• Approximately 40% of patients with fibromyalgia describe having alternating bouts of diarrhea and constipation and also experience bloating, cramping, and an increased urge to defecate
![Page 33: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/33.jpg)
Shotha
• Approximately 50% of patients with fibromyalgia present with complaints of tissues feeling swollen and of numbness and tingling in the extremities. These symptoms generally are more common in the upper extremities than in the lower ones.
![Page 34: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/34.jpg)
Hasta pada shirogulpha trika januru sandhishu teevra vedana
![Page 35: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/35.jpg)
![Page 36: Amavatha](https://reader033.vdocuments.net/reader033/viewer/2022061103/540f68638d7f72927e8b50f6/html5/thumbnails/36.jpg)
THANK YOU