Online Consultation for Rheumatoid Arthritis – My Wife’s Condition (Age 57) - #23525

Very nice illustration provided by you. Avoid sour , fermented and processed food. Use boiled water for drinking. Regular exercise and meditation. Increase intake of raw vegetables and fruits. Cap.Stresscom 1-0-1 Cap.Brahmi 1-0-1 Tab.Shallaki max 1-0-1 Shallaki liniment for local application. Review every 2 week. If condition improve slowly withdraw allopathic medicine.

Namaste Anil ji Thank you for reaching out and trusting this platform with your wife’s long-standing health journey I truly understand how exhausting it can be when chronic pain becomes a daily part of life, especially when medication bring only partial relief and their own set of side effects You have mentioned that your wife is having rheumatoid arthritis with the finger deformities Baker cyst with knee swelling unable to bend me sometimes Headache, difficulty in sleeping and long term of steroid use It’s clear her system needs, not just pain relief, but deep, calming, detoxification, and nourishment of the joints, mind and immune response Ayurveda works gently, but deeply on all these levels, and I’ll guide you with the protocol that can safely go alongside her current alopathi medication She can start on - Simhanada guggulu- Kanchanar guggulu - Medha vati - One tablet each twice daily after food with warm water Ashwagandha churna- 1/2 teaspoon with warm milk at night Saraswathi aristha- Dashamoola aristha-2 teaspoon each with equal quantity of water twice daily after food Mahanarayana taila-gentle massage over the joints As you know, we should not suddenly stop or reduce steroids, but along with Ayurvedic medicine letter, take alopathi medicines too, after 3 to 4 weeks. Once we see the reduction in pain, we can taper th the steroid dose, and then gradually we can stop it Ayurveda always look at the mind and body together along with the above medicines, let her practice, Pranayam meditation Yoga daily Diet restrictions Avoid curd, cold food, leftover food, and heavy to digest food, especially at night Warm water throughout the day Dinner before 8 PM Let us start this medication within 3 to 4 weeks. She may start seeing reduced stiffness, improve sleep, and little bit of easy movement And usually with rheumatoid arthritis, there will be digestion related issues. Please let me know if he has any digestion related issues so that I can add medicines. I didn’t dump too many medicines at a time. According to the symptoms we can modify or add on the medicine if required. It takes time, but surely will be having a good result

Thank you for sharing your wife’s detailed health history. It’s clear that she has been managing a long-standing and complex condition, and your care and thoughtfulness in seeking an integrative Ayurvedic approach is admirable. Rheumatoid arthritis especially with long-term steroid and methotrexate use, requires a very gentle, sustained, and multi-pronged Ayurvedic approach that supports immunity, reduces inflammation, eases joint damage, and improves overall quality of life. Medication - #Punarnavadi guggul- 2-0-2 with luke warm water #Rasnasaptak kwath - 15ml Bd with luke warm water #Sinhanad guggul-2-0-2 #Triphala churna - 1spoon with luke warm water at night. To reduce steroid side-effects: #Guduchi (Giloy) Satva 1 tsp with warm water on empty stomach For Baker’s Cyst: Mix Punarnava powder + turmeric + water to make a paste. Apply warm to the back of knee 2–3 times a week. Panchakarma has magical effects in RA.as it detoxes the toxins out of the body. Pls consult nearby panchakarma therapist for best results --- 🧘‍♀️ 3. Diet & Lifestyle Guidance 🔹 Anti-Ama & Anti-inflammatory Diet (for Aamavata) Warm, light, easily digestible meals Avoid: curd, cold foods, wheat, heavy dals (urad, rajma), nightshades (tomato, potato, brinjal), fried or fermented foods Include: moong dal, bottle gourd, ridge gourd, garlic, ginger, turmeric, coriander, fennel Warm water only (boiled with ginger, ajwain, jeera) Use Castor oil (1 tsp) once a week for gentle detox (under supervision) 🔹 Sleep Routine Warm foot bath with Epsom salt + few drops of lavender oil

as you have amazingly explained your wife condition here i am providing you treatment for this condition- in ayurveda RA is called amavata at first ama accumulates in the body by sedentry lifestyle and food after it cause various disease as RA So to treat this disease from route level we have to reduce ama by amapachan medicines,therepies ,intermittent fasting ,yoga and meditation. for it you should visit a ayurvedic hospital like AIIA Delhi or ITRA Jamnagar where you can learn what to eat or not properly according to bodytype . for shortterm relief you can simply start with 1. Chitrkadi vati 1-0-1 2.castor oil 1 tsf with warm water or milk at bed time 3.Mahayograj guggulu 1-0-1 4.Ruksh swedan therepy(dry sudation) take a clean sand /rock salt->heat it at low flame ->fill in a cotton cloth ->tie tightly apply on swolen or stiff joints Diet - take light and fiber rich diet avoid spicy and oily food lifestyle avoid daysleeping pranayama-if it possible to practice bhramari pranyama regularly Note-for long panchkarma theripes are the best option

NAMASTE ANIL JI, Your wife is experiencing Rheumatoid Arthritis, which is a long-term joint disease. In Ayurveda, this condition is called AMAVATA- It is a combination od two waords -AMA= undigested, sticky toxins produced due to poor digestion -VATA= one of the three doshas, responsible for movement, pain, dryness, and nerve function. HOW IT DEVELOPS ACCORDING TO AYURVEDA- 1)WEAK DIGESTION= her digestive fire becomes weak due to lifestyle, stress, or wrong diet 2)AMA FORMATION(toxin buildup)= undigested food turns into a sticky substance and stays in the gut 3)AMA ENTERS THE BLOOD= Ama (sticky substance) through the body, especially to weak areas like joints 4)VATA GETS DISTURBED= the body airs principle(vata) becomes imbalanced due to cold, dryness 5)AMA+VATA SETTLE IN JOINTS= the sticky ama + dry vata block channels-causing pain and swelling 6)CHRONIC JOINT DAMAGE AND DEFORMITY= overtime, this causes bone, muscle and joint destruction This is exactly what's happening with your wife: -stiffness, pain, deformity in fingers-Swan neck -Knee swelling due to baker's cyst -Tired digestion, nausea, reliance on steroids -Mental irritation, poor sleep, emotional fatigue when improperly digested food produces AMA, combines with vitiated Vata, it leads to severe joint pain, stiffness SYMPTOMS- body ache, loss of appetite, thirst, mild fever or heat sensation, joint pain, stiffness this matches your wife's condition closely- -chronic inflammation(from toxin(ama)) -autoimmune like pain and swelling(vata-ama together) -sleep and mood issues(vata imbalance+long-term steroid impact) TREATMENT IS FOCUSED ON 1)REMOVING AMA(TOXINS)= by improving digestion and metabolism 2)BALANCING VATA= through oiling, calming, nourishing treatment 3)STRENGTHENING AGNI= the digestive fire, to stop new toxins from forming 4)SUPPORTING TISSUES= rasayana treatment to nourish joints 5)SOOTHING THE NERVOUS SYSTEM= for sleep, mood, and mental calmness DAILY ROUTINE TO FOLLOW WITH MEDICATIONS PRESCRIBED ACCORDING TO TIME 6:30 AM- drink 1 glass warm water with a pinch of dry ginger or ajwain= it removes toxins and improves digestion 7:00 AM- take 1 tablet SIMHANADA GUGGULU + 1 TABLET YOGARAJ GUGGULU= reduces joint swelling, removes toxins 7:30 AM= eat light breakfast (fruit or moong dal boiled made soup etc)= easy to digest and anti-inflammatory 10:30AM- take ASHWAGANDHA CAPSULE AND GUDUCHI CAPSULE(1 EACH)= builds strength and reduces inflammation 1:00PM- lunch: rice, moong dal, cooked soft veggies,ghee= light and nourishing , helps reduce joint pain 4:00PM- herbal tea: coriander+fennel+cumin tea= improves digestion and reduces gas 6:00PM- take same 1 SIMHANADA GUGGULU + 1 YOGARAJ GUGGULU= continues anti-inflammatory action 6:30PM- light dinner-soup, rice porridge, soft veggies= light food for easy digestion 8:30PM- warm milk+1 capsule of Brahmi or jatamansi= helps with better sleep and mental calmness 9:00PM- gentle oil massage on feet with sesame oil= improves sleep and calms the nerves 9:30PM- breathe slowly(deep breathing/anulom vilom for 10 min)= reduces anxiety, improves oxygen, helps sleep in short 1)SIMHANADA GUGGULU- 1 tab twice daily morning or evening= removes toxins and reduce swelling in joints 2)YOGARAJ GUGGULU- 1 tab twice daily morning or evening= improves circulation in joints, reduces pain 3)ASHWAGANDHA CAPSULE- 1 cap daily mid-morning= strengthen body, calms mind, supports hormones 4)GUDUCHI CAPSULE- 1 cap daily mid-morning= immune support, lowers inflammation 5)BRAHMI OR JATAMANSI- 1 cap at night with warm milk= better sleep, less anxiety and emotional tiredness EXTERNAL APPLICATION -Use MAHANARAYAN TAILA- to gently massage her knees fingers and lower back how- warm 1-2 tsp, gentle massage, keep for 30 mins then take a warm water bath or wipe with warm towel At least 3-4 times a week, preferably in the morning this helps reduce stiffness and improves joint flexibility DIET PLAN- WHAT TO EAT AND AVOID EAT GRAINS- warm rice, red rice, oats, barley PULSES- moong dal, thin khichdi VEGETABLES- bottle gourd, ridge gourd, spinach(cooked), pumpkin SPICES- turmeric, cumin, ginger, ajwain FATS- homemade ghee, sesame oil DRINKS- warm water, ginger tea, fennel tea AVOID THESE(increase pain and swelling) SOUR/FERMENTED- curd, buttermilk, pickles, vinegar NIGHTSHADES- tomatoes, potatoes, brinjal HEAVY FOOD- fried food, junk food, maida, cold food COLD. THINGS- ice creams, cold water, fridge food EXCESS PULSES- rajma, chana, urad dal(gas forming) YOGA AND PRANAYAM -do gentle stretches daily- even sitting on a chair -TADASANA=standing straight with arms up -MARJARYASANA= cat-cow pose -BHUJANGASANA=cobra pose- very gently -VRIKSHASANA= supports balance, joint engagement -SUPTA MATSYENDRASANA= spinal twist for detox and circulation -LEG STRETCH=lying down, raising legs gently BREATHING(DO DAILY BEFORE SLEEP) -ANULOM-VILOM= 5-10 min(alternate nostril) -BHRAMARI(humming sound)- 5 min -CHANDRA BHEDANA-5 min(left nostril) these calm the nervous system, reduce inflammation, and support better sleep FOR SLEEP ISSUES -drink warm milk with brahmi or jatamansi capsule at night -massage sesame oil on soles before bed -keep lights dim after 8 pm, avoid screen -can also can't "OM" or playing soft calming music -Expose joints to early morning sun-improves mood and vitamin D -Avoid daytime naps- increase kapha and ama -no screen time after sunset- helps sleep melatonin rise -Do not stop methotrexate or prednisone suddenly; introduce Ayurveda slowly -work with allopathic doctor to monitor inflammatory markers(CRP,ESR) and adjust medication as her condition improves -Avoid heavy detox(panchakarma) unless under supervision DO FOLLOW CONSISTENTLY FOR 3-4 MONTHS HOPE THIS MIGHT BE HELPFUL THANK YOU DR. MAITRI ACHARYA

Thank you Anil ji for such a detailed history about your wife's condition. I can understand what pain she must be bearing due to rheumatoid arthritis. But dont worry we are here to help you out. Can you please also provide about her recent blood reports 1. Cbc with esr 2. Crp 3. RA factor As you must be knowing Rheumatoid Arthritis is a auto immune disorder so here strengthining her immune system plays an important role. AUURVEDIC PERSEPECTIVE Rheumatoid arthritis is similar to Aamvata. Her every joint becomes inflammed with swelling and stiffness. She must be facing severe morining stiffness. Here vata and kapha are two main vitiated doshas which further hamper her joints. Minimizing or balancing vitiated doshas and strengthening the joint area is key factor involved in Ayurvedic treatment As her condition is more proggessed towards bone deformity so the treatmemt will take time and also as she is depenedent on steroids so tapering it down is also important. What you can expect from this treatment 1. Her pain will reduce. 2. Stiffness will be relieved 3. Normalizing her bone deformity will take take and regualar panchakarma 4. Her sleep will improve Anil ji i will strongly suggest to go to any panchakarma center get her panchakarma therapy done once in 3 months 1. First 2 days - udwaratana 2. Dhanymla dhara 3. From 3rd day - sarvanga abhynga with mahanarayana thaila follwed by dashmool. Parisheka 4. Vaitarana basti ( enema) course This basti will definately help her to improve her condition. Internal medication 1. Maharasnayograj guggulu kashyam 15ml-0-15ml +45 ml water before breakfast and dinner 2. Simhanada guggulu 2-0-2 after breakfasta and dinner. 3. Trilokya vijaya vati 1-0-1 after food 4. GT cap 2 at bed time External treatment 1. Mahanarayana taila - warm oil massage on both hands and stretch a little daily. For 10-15 mins. Diet modification 1. Avoid reheated food, curd, fried items 2. Urad dal 3. Take more of millets, fruit juices Hope you found this helpful!! Wish you and your wife good health!! Regards Dr snehal vidhate Bams, Md Sch( panchakarma)

Namasthe anil Thank you for sharing clear information about your wife's condition. * Rheumatism is a non specific term embracing a diverse group of diseases and syndrome which have in common disorders or diseases of connective tissue and hence usually present with pain and stiffness or swelling of muscles and joints. * Cause - auto immune diseases Inflammatory arthritis ✅ Check 1. Hb, ESR, RA, CRP 2. ANA, Anti ccp 3. Urine routine examination 🌱 Ayurveda point of view : Ama pachanam Rooksha prayoga in first phase , vataraktha chikitsa, snigdha virechana, rasayanam prayoga, kshira vasthi ❌ Avoid pungent, sour, salty, incompatible foods like chicken mamsa with curd, fish curry with curd, equal quantity of honey and ghee. * Avoid day sleep, exposure to sun, curd, hot, chicken meat , undigested foods, maida ✅ Intake grapes, pomegranate, kulatha, ginger, moringa, drumstick, butter milk, ghrtam, green leafy vegetables, cucumber 💊 Internal medicines for pain, inflammation, swelling , knee pain 1. Rasnasapthakam kashayam 10 ml Kokilakshakam kashayam 10 ml Vyoshadi gulgulu gulika - 1 Chukkumthipplyadi gulika - 1 Above mentioned medicines - kashayam each 10 ml ( total 20 ml) with each gulika , 60 ml boiled hot water morning and evening before food (empty stomach) 2. Simhanada gulgulu gulika - 2 - 0 - 2 twice daily after food 3. Kaishora gulgulu gulika - 1 - 0 -1 after food 4. Dadimadi ghritam - 1/2 tspn with warm water morning and night before food 5. Dashamoola harithaki lehyam - 1 tspn with warm water at bed time 6. Shaddaranam choornam - 5 gm with warm water night after food 💠 Medicines EXTERNALLY: 1. Abhyanga ( massage body) with balaguluchyadi tailam 2. Apply affected area - pain, swelling more Kolakulathadi choornam + kottamchukkadi choornam - make kizhi 🌱 For sleep Shankhupushpa choornam - 1 tspn with milk at bed time For knee - karutha vattu gulika + rice water make paste and apply affected area 🍁 Note : first choornam rooksha kizhi apply for 3 - 5 days , after going inflammation, swelling then apply tailam. 🌱 Do meditation, pranayama, avoid stress IP treatment is better for this condition 2 week follow this treatment and after inform me. Take care Thank you

Hi, thankyou for the brief description it would be better if you take ayurvedic panchakarma treatments for quick relief from pain ,also please mention the recent blood reports. RA is autoimmune,but can be managed with ayurveda Avoid cold exposure ,cold food,over oily spicy foods Add more ginger ,garlic ,pepper on diet For swelling you can apply grihadhoomadi choorna lepam +marmagulika external application For internally Punarnavadi kashayam 15ml twice daily before food dilute with45ml lukewarm water Yogarajaguggulu 1-1-1 before food Vatayog tablet 1-1-1 after food Rheumat linament for external application Rheumat tab 1-1-1 after food Gandharvahasthadi erandam capsule 1 at night Use rocksalt on hot water for bathing Use jackfruit leaf ,calotropis leaf for hot application after applying oils like kottamchukkadi tailam Dhanwantaram tailam application on head An ip treatment would give you wonderful results Thankyou

First of all you have apriciated for providing us a brief description of her condition.. aamvata or rehmatoid arthritis is a auto immune disorder effected mostly small joints in human body such as hand fingers and ankle joints and fingers to Main symptoms is morning stiffness and swelling in morning and evening and persisting pain over there Management of ayurveda and blend of herbal medication is Divya nirgundi kwath=100gm Divya peeantak kwath=100gm Divya maharasnadi kwath=100gm..mix all three in a jar and take 1 tsp boil 200 ml of water till reduces 100 ml strain and take empty stomach twice daily Divya peedanil vati=1-1 Divya IMMUNOGHRIT TAB=1-1 tab empty stomach with above decoction water twice daily Divya singnaad GUGULU Divya punarnawadi mandoor Divya chandrabravha vati=2-2 tab after meal twice daily Saindhvadi oil for massage on effected joints You have strightly follow daitery rules for treating this condition AVOID citrus/junkfood/spicy food/rajma chana chola/kadhi/chaap/nonveg Take salad at breakfast and moong. masoor lauki. parwal.tinda.torai .at lunch and dinner.. Take castor oil... 2 TSP drink with 100 ml of Luke worm water weekly twice at bed time it's relieved pain instantly.. So yoga and Pranayam==vazrasana/ tadasana/ANULOMAVILOM/ bhramri/udgeeth/ pranayama It's take time but curable ...take atleast 90 days then consult.. You should check RA FACTOR (QUANTITAVIE)..CRP(QUANTITAVIE)..ANA.... And see results

Hello Anil Sir " I must Appreciate u for Deeper Clear Explanation and Perticular Help U r willing for ur wife's Chronic Rheumatoid Arthritis & it's Complications " " NO NEED TO WORRY' " I WILL HELP YOU TO UNDERSTAND AND RECOVER WITH CHRONIC RHEUMATOID ARTHRITIS & ITS COMPLICATIONS ISSUES SAFELY EFFECTIVELY" PATIENT ISSUES 57 Yrs Female MAIN SYMPTOMS * Chronic Rheumatoid Arthritis - Over Decade * Arthralgia :- Severe Pain Stiffness Inflammation ASSOCIATED SYMPTOMS * Persistent Headaches * Difficulty in Falling A Sleep ( 4-5 hrs ) Tossing Turning Around COMPLICATIONS SYMPTOMS * RA Deformities like Swann Neck Deformity gradually becoming more painful when doing harder tasks, such as those requiring a firm grip or sustained hand effort. * Baker's Cyst Baker’s cyst behind the right knee with noticeable swelling in the knee area, which sometimes makes it difficult to bend the knee, though it occasionally improves. PSYCHOLOGICAL EMOTIONAL SYMPTOMS * Irritable Emotionally Drained Disturbed Sleep ONGOING MEDICINAL DETAILS * ON INTERMITTENT DMRD's - Methotrexate (13 Yrs) Causes Nausea so used Intermittently * On INTERMITTENT STEROIDS- Prednisolone Dependent on Withdrawal symptoms worsening PREVIOUS MEDICAL HISTORY Asymptomatic Cholelithiasis ( Gall Stones) ONGOING TREATMENT OUTCOME Temporary Unsatisfactory Relief with Recurrence of Symptoms MY ASSESSMENT • Pravridha Amavat ( Acute on Chronic Rheumatoid Arthritis ) • Steroid Dependent RA • Autoimmune Disorder • Chronic RA Complications TREATMENT NO.1 : EDUCATION ABOUT RA "UNDERSTAND & LIVING WITH RA & COMPLICATIONS " a ) RA FACTS MUST TO KNOW • RA is Autoimmune in Nature Manageable and Not Curable • It's has Psychosomatic (Manosharirika) Symptoms like Both Physical & Psychological symptoms • Treatment Aim to Control Autoimmunity and reduce its Impact Like Pain Inflammation Stiffness under Good Control,To Improve Quantity of Life • For RA Diseases Only Medicine is not enough, Those need Proper Periodic Monitoring and Panchakarma Detoxification External Internal Therapy From time to time assessment • Along with Medicine Diet Yoga Exercise Lifestyle Modifications Stress Management etc must be Followed well to Keep these under well control • RA Tiggers needed to avoid • Her RA is Steroid Dependent so Steroid needed intermittently sometimes when RA in Acute Phase Otherwise not Necessary • Such problems need time to recover Patient needs Patience • Allopathic Medicines ( DMRD NSAID Corticosteroids ) Best to Control Autoimmunity effects immediately on a shorter basis but has lots of side effects.Allopathy Doesn't treat Root cause • Ayurveda Best in Managing Both Treatment on Longer basis and have minor to no side effects.It Treats Root cause to recover completely b) SETTING A PROPER GOALS TREATMENT GOALS * Preparing Her Positive Mind Set Up * Short Term Relief From Pain Stiffness Inflammation mobility flexibility * Long-term relief and slows or halts disease progression * Safe Effective Ayurvedic Medicine can be Given safely with Allopathic Medicines * Gradual Reversal of Possibly Reversible Deformities * Systemic Balance * Psychological Emotional Support * Mental Calmness Sleep Support * Long Term Plan to Support Joint Health c) RA TRIGGERS NEEDED TO AVOID * Cold :- Cold Foods ( Freezed Curd ) Cold Seasons ( Winters) Cold Environment ( Fan Cooler AC) * Inflammatory Foods - Too Acidic Spicy Salty Sour Masala Fried Fast Foods Nonveg Curd Fermented Processed Packed Canned Foods Sweets Stimulants like Tea Coffee * Psychological :- Anxiety Overthinking Panicness etc * Emotional :- Being Sad Always Negative Approach * Lifestyle Habitats :- Afternoon Sleep Prolonged Travels Excessive Fan Cooler AC Exposure d ) MANIFESTATION AS PER AYURVEDA Above Causes ---> Weak Agni ( Digestive Fire) ---> Ama ( Toxins ) + Vata Imablance ---> Amavat Dohsa ( Autoimmunity ) ---> Ama Dosha + Vata Dosha + Pitta + Rakta Dusti ( Blood ) ----> Affects Asthi Sandhi Rakta ---> Amavat & Affects Gala (Thyroid) ---> Amavat ( RA ) ----> Prolonged Pathology Deformities e) PERIODIC MONITORING RA & ASSESSMENT OF SEVERITY" RA Titer CRP ESR HB TC RBS TSH Physical Examination ( Whenever Symptoms Worsen then only) "IN MY CLINICAL PRACTICE I HAVE SEEN THE BEST PROMISING RESULTS BY COMBINING FOLLOWING TREATMENTS " " Proper RA assessment ( Severity Presentation effects) + Pain Stiffness Oedema Assessment + Periodic Ayurvedic Panchakarma Detoxification + Ayurvedic Medicine + Proper Diet + Physical Activities + Physiotherapy+ Lifestyle Modifications+ Stress Management + Yoga + Dhyan + Meditation+ Counselling + Periodic Monitoring + Allopathic Treatment as an Emergency Care " TREATMENT NO 2 :- A ) PANCHAKARMA DETOXIFICATION ***ONLY FOR SEVERE CASES & SYMPTOMS NOT CONTROLLED BY ANY MEDICINE LINE OF TREATMENT***. *** ONLY IF PATIENT IS MARKED" FIT FOR PANCHAKARMA" BY PANCHAKARMA PHYSICIAN *** ( OTHERWISE MEDICINE & OTHER TREATMENT TO CONTINUE) PANCHAKARMA PROCEDURE I Recommend Do Below Panchakarma In Good Ayurvedic Panchakarma Center under guidance of Efficient Panchakarma Physician 1) Langhan Deepan Pachan - Agnisandeepan Vaishwanar Churna 2) Baluka Sweda - Valuka Sweda 3) Sarwang Abhyang - Mahanayayan Taila + Kottamchukkadi Tailam 4) Sarvang Baspa Sweda - Nadi Swedan 5) Vaitaran Kshar Basti 6) Earand Tailam Anuvasan Basti 7) Samsarjan Karma 8 ) Kati Basti Janu Basti - Mahanarayan Tailam Ksheerabala Tailam Sahacharadi Tailam Kottamchukkadi Tailam B ) HIGHLY EFFECTIVE GOAL ORIENTED INTERNAL AYURVEDIC MEDICINES ( AS ALREADY TAKING MORE MEDICINE I WILL SUGGEST MINIMUM AYURVEDA MEDICINE WITH QUICK MAXIMUM EFFECTS) U MUST TRY ( Pain Stiffness Inflammatory Goes away and improves Joint Mobility & Flexibility ) " NOTE :- SHORT TERM THERAPY & LONG TERM THERAPY TO CONSIDER SEPERATELY.THEY CAN'T BE TAKEN TOGETHER " a) FOR SHORT TERM RELIEF - ( For Acute Stage ) (Short Term Acute Pain Stiffness Oedema Quick Instant Relief Good Sleep ) FOR PAIN INFLAMMATION STIFFNESS * Cap.Rumartho Gold Plus ( Baidyanth Pharma) 1 -0- 1 After Food + * Syrup.Dashmula Kadha ( Dabur Pharma) 15 ml -0- 15 ml Night After Food * Rumalaya Liniment ( Himalaya Pharma) For Local Application followed by mild Massage and hot water bag/ Luke Warm Clothed Sand Pack Application FOR SLEEP * Tab.Divya Medha Vati Extra Power ( Patanajali Pharma) 2 Tabs Night After Food Preferably 1 hr Before Sleep b) FOR LONG TERM RELIEF - ( For Relapsing Phase ) ( Long Term Pain Stiffness Oedema Relief Aids Recovery Avoids Complications Improves Sleep & Minimize Steroid Dependency) FOR AGNI DEEPAN AMA PACHAN * Tab.Chitrakadi Vati ( Baidyanth Pharma) 1 -0-1 Before Food with ½ Glass of Luke Warm Water FOR RA PAIN STIFFNESSS SWELLING * Tab.Simhanad Guggulu ( Dhootapapeahwar Pharma) 1 -0- 1 After Food * Dashmula Kadha ( Dabur Pharma) 15 ml -0-15 ml After Food FOR PAIN AS PER NECESSARY * Tab.Zandu Vishatinduk Vati ( Zandu Pharma) 1 Tab Twice a Day Only For Severe Pain FOR VATA IMMUNITY & REJUVENATION & AVOIDING DEFORMITY * Erand Pak ( Baidyanth Pharma) 1 Tsf - 0- 1 Tsf Night After Food Preferably with 1 Glass of Luke Warm Water FOR SLEEP & PSYCHOLOGICAL EMOTIONAL SUPPORT FOR STRESS & MINIMIZE STEROID DEPENDENCY * Tab.Ashwagandha ( Dabur Pharma) 1 -0- 1 After Food) * Chamomile Tea for Good Sleep at Night C) EXTERNAL APPLICATION ( Quick Local Effect Relieves Pain Inflammation Stiffness) * Mahanarayan Tailam ( Baidyanth Pharma) Local Application Followed By Mild Massage * Luke Warm Clothed Sand Pack ( Valuka Swed ) Local Application Over Affected Joints * Dashang Lep For Local Application over Pain swelling joints D ) DIET DO'S Cereals - Wheat, Oats, Brown Old rice, Barley Jwar Bajara Ragi Pluses - All Pulses, Legumes, Soybean. Fruits - Pomegranate, Apples,Papaya, Pear, Avocados, Apricots, guava. Vegetables - Methi, Lentils, Spinach, Kale, Ridge Ground,Bottle Ground,Pumpkin, Green coriander, All gourds Moringa Flaxseed Dairy -Low-fat milk (Occasionally) Oils -Cow ghee, Mustard oil, Olive oil Sunflower Oil Spices - Ginger, Turmeric, Coriander, Fenugreek, Fennel, Cumin, Garlic. Dry Fruits -Almonds and Walnuts (Soaked) Foods - Homemade Healthy Food DON'TS Cereals - Maida Pulses - Black gram Fruits - All Citrus Vegetables - Tomato, Potato, Peas and Brinjal Dairy - Whole milk and Cream, Cottage cheese, Curd, Buttermilk, Yogurt, Butter Oils - Palm oil, Butter Spices - Pepper Excess salt Non veg -fish (Salmon, tuna), Chicken Mutton Pork Dry Fruits - Cashew, Peanuts. Food - Outside Fast Foods Bakary Mayonnaise, Spicy foods, Junk foods, Fried foods Freezed foods Habits - Fan Cooler AC Exposure E ) DIET PLAN EARLY MORNING -Herbal Ginger Ajawain tea BREAKFAST - Broken Rava Ragi Oats porridge (Veg Dalia) / Veg Semolina (Veg upma) / Veg Vermicelli (Sewian) / Veg Ragi Upama / Chapatti with veg or Dal MID MORNING - Home Prepared Vegetable Soups with Light Spices LUNCH - 1 ½ Chapatti + Leafy Vegetable like Methi Palak + Vegitable Drumstick Lauki Turai+ 1 Bowl Boiled rice + Moong Dal EVENING SNACK - Green tea / Home made Soup / Herbal Tea DINNER - 1 Chapatti + 1 Bowl Boiled rice + Vegetable + Moong Dal NIGHT DRINK - Chamomile Tea For Good Sleep Mental Calmness Peace LOCAL APPLICATION - Rumalaya Liniment Local Application over Painful Areas E ) YOGA Anumol Vilom Pranayam Balasan Tadasan Paschimottanasan Vrikshasan Setu bandhasana Shavasan ( Each 5 Rounds) F ) EXERCISE Walking Mild Mobility Flexibility Exercise Physiotherapy Ultrasound Massage Ultrasound Massage Thermal Therapy G ) LIFESTYLE MODIFICATIONS Avoid Afternoon Sleep Be active Avoid late night sleep sleep early get up early Avoid Heavy Travels Overthinking Unnecessary Thoughts Panicness Cold Exposure H ) ANTISTRESS REGIME * Dhyan Meditation * Youngage Mind in Hobby Work Home Activities * Reading Chanting Mantras Deep OM Uccharan * Pleasant Music Listening REGARDS Dr Arun Desai GOD BLESS YOU 😊 🙏 If you have any questions u can ask me.I will answer to the level of your satisfaction.U have text option here

AYURVEDIC UNDERSTANDING Condition = “Amavata” in Ayurveda: • “Ama” = undigested metabolic toxins (inflammatory compounds) • “Vata” = dryness, stiffness, degeneration, and pain • Long-term disease = joint deformities, muscle wasting, mental fatigue Rx, 1. Rasnadi Kashayam 15–20 ml with warm water, twice daily before food Reduces joint pain and swelling 2. Tab. Amavatari Ras 1 tablet twice daily after food Excellent for Ama + joint deformity 3. Kaishore Guggulu -2 tablets twice daily Blood purifier, anti-inflammatory 4. Ashwagandha Capsule (500 mg) 1 capsule at bedtime Strengthens muscles, supports sleep 5. Avipattikar Churna 1 tsp before meal with warm water Reduces acidity and methotrexate nausea 5. Brahmi Vati 1 tab twice daily Supports mental calmness and sleep Adv, dry hot fomentations Diet: Include- Warm, cooked food Mung dal, boiled rice Ghee, turmeric, ginger Garlic, methi (fenugreek), drumstick Herbal teas (coriander, fennel) Avoid- Include Avoid- Cold, raw, stale food Curd, yogurt Refined oils Nightshades: tomato, potato, brinjal (for 1–2 months trial) Coffee, excess tea

Rheumatoid arthritis can only be controlled with medicines, not cured Since she is on prednisone for long years, ayurvedic medicine will take longer time to show results. She can take Sihnad guggul 1-0-1 after food with water Maharasnadi kadha 15 ml twice daily Dasmoolarist 10 ml twice daily after food with water Astiposhak tablet 1daily after food with water Take 10 ml. Of castor oil with pinch of sunth on alternate day.at bedtime with warm water. Avoid sour fermented foods Avoid exposure to cold wind, atmosphere and breeze