A Novel Aspect of Panchakarma in the Management of Juvenile Rheumatoid Arthritis - A Case Study

Juvenile Rheumatoid Arthritis is one of the chronic diseases of the childhood period that has articular as well as non-articular effects.It is an Auto-immune disorder that usually has a lifelong clinical course, with intermittent exacerbations and remissions and highly variable severity.JRA is correlated with the Amavata in Ayurved.Here, Ama represents the nondigested material that forms the first dhatu; rasa.Ama annarasa travels in the body due to vitiated Vata that obstructs Srotas-the minute channels that mainly contribute to nourishment.This whole process causes the Stiffness and Heaviness of Sandhi defined as Amavata.The patient in this case study has had a known case of Juvenile Rheumatoid Arthritis since the age of 10 years and she was on constant allopathic medicines like Analgesics, NSAIDs and DMARDs.The patient had mainly involvement of bilateral knee joints along with bilateral wrists and ankle joints and thus it was categorized in the oligoarthritis category of the JRA.Oligoarthritis predominantly affects the joints of the lower extremities, with the knee being most frequently involved (30-50% of the cases).Although there is no direct mention of the JRA in Ayurved classics the treatment can be customized based on the Paradi Guna that facilitates the physician to modify the line of the treatment as per the need.Here, the general