How to reduce rheumatoid arthritis flare in knee joint ? - #30823

1.) Svarna Mahayogaraja guggulu 1 tab. Before food 2 times with rasna erandadi kashaya 30 ml with hot water

2.) Ashwagandha Churna-2gm Sameerapannaga Rasa-60mg Mahavata vidhwamsini Rasa-125mg Chopachini churna-2gm Pippalimula churna-1/2 gm Guduchi Churna-1gm - before food 3 times with hot water

3.) Prasarini taila Kayaseka-for 8 days

4.) Maha Rasnadi kashaya-20ml after food 3 times with warm water

Start with Ajmoodadi churan 1tsp twice daily after food with water Maharasnadi kadha 15 ml twice daily after food with Divya Pidantak vati 1-0-1 after food with water Avipattikar tablet 1-0-1 after food with water Aarogyavardhini 1-0-1 after food with water apply mahanarayan oil+ kshirbala oil on affected area. Avoid sour fermented foods. 1tsp. of castor oil every night in a cup of warm milk. Follow up after 21 days

Hello Nirupa ji, I understand how painful rheumatoid arthritis (RA) flares can be, especially when they affect weight-bearing joints like the knee.but dont worry we are here to help you out😊

Since you are already on immunosuppressants and painkillers, Ayurveda can help support pain reduction, reduce stiffness, and prevent further flare-ups.

✅INTERNAL MEDICATION 1 Maharasnadi Kashaya 15ml-0-15ml +45 ml water after food 2 Arthojith 2-0-2 after food 3 GT 2 cap at bed time

✅SUPPORTIVE HOME. REMEDIES

1. Warm fomentation (Nadi Swedana / Hot water compress) Apply a hot water bag or mild steam to the knee joint for 10–15 min. Helps reduce stiffness and improve mobility.

2. Eranda (Castor oil) with warm water – 1 tsp at night once or twice a week (if digestion permits) Acts as a mild laxative + anti-inflammatory for joints.

3. Ajwain + methi seeds Roast and powder in equal parts, take 1 tsp with lukewarm water twice daily. Reduces Ama and stiffness.

4. External oil massage Gentle massage with Maha Narayan Taila / Dhanwantaram Taila followed by mild hot fomentation. Avoid if joint is very hot or acutely swollen.

✅DIET AND LIFESTYLE

👉Take light, warm, easily digestible food – khichdi, moong dal soup, vegetable soups.

👉Avoid curd, cold drinks, packaged/fermented foods, heavy oily meals.

👉Use ginger, garlic, turmeric, ajwain regularly in cooking.

👉Keep bowels clear – constipation worsens joint pain.

👉Gentle knee-strengthening yoga (Pawanmuktasana series, setubandhasana) once pain subsides.

Since you are already on immunosuppressants, do not stop or reduce them without consulting your rheumatologist.

Ayurvedic support can reduce frequency and severity of flares, but it should be integrated gradually

Wish you a good health😊

Warm Regards Dr Snehal Vidhate

Don’t worry take amavatari ras 1tab bd, arogya vardini vati 1tab bd, Yogendra ras 1tab bd,simhanda Guggulu 1tab bd, swadista virechana churnam 1tsp with lukewarm water enough

Namaste Nirupa ji, I understand rheumatoid arthritis is a painful condition.Don’t worry, the following treatment plan will work. TREATMENT - 1.Ajmodadi churna ,- Half tsf before lunch and dinner 2. Aamvatari ras -2-0-2 after meal 3. Singhnad guggulu- 1-1-1 with lukewarm water.Crush tablet into 3-4 pieces. 4. Mahavatvindgvansan ras 1-1-1 after meals 5. Sahcharadi tail - Local application over affected joints.

Diet- . Avoid yoghurt,urad dal ,excess salt, alcohol , newly harvested rice, refined carbohydrates like maida, processed fish. .Avoid cold,oily and heavy to digest food. . Include red rice,moong dal, lukewarm water,horsegram, buttermilk, drumstick, garlic, ginger , bottle guard, bitter gourd in your food.

Yoga- Tadasana, Pavanmuktasan,Baddhakonasana, flexion-extension of joints. Follow these and you will get relief. Take care Nirupa ji Regards, Dr.Anupriya

1.Simhanada guggulu 2 tab twice daily after meals 2.Rheumartho tablets 1 tab twice daily after meals 3.Shallaki 1 cap twice daily after meals 4.Dashmoolarishta 20 ml with 20 ml water twice daily after meals

Swedana ( hot fomentation)-with rock salt / brick powder pouch for 15 min

Diet & Lifestyle Tips Favor - Warm, cooked meals with ghee - Moong dal, red rice, barley, pumpkin, bottle gourd - Herbal teas: ginger, turmeric, ajwain - Early dinners, regular sleep cycle

Avoid - Cold, raw, or fermented foods - Dairy (especially curd), sugar, fried items - Nightshades: tomato, brinjal, potato (can worsen joint pain) - Stress and overexertion

To manage rheumatoid arthritis (RA) flare-ups with Ayurvedic principles, you can complement your existing medical treatments. Given that you are already taking immunosuppressants and painkillers, the aim here would be to incorporate natural methods to help reduce inflammation and stiffness in your left knee.

Firstly, your diet plays a crucial role. Focus on anti-inflammatory foods. Include a generous amount of fresh fruits and vegetables such as carrots, beets, and leafy greens. Mung bean soup is an excellent choice as it’s easy to digest. Avoid nightshades like tomatoes, potatoes, and eggplants, as they are known to aggravate inflammation.

In Ayurveda, massage with medicated oils is recommended. You can use warm Mahanarayan oil, gently massaging it into your affected knee joint. This improves circulation and reduces stiffness. Perform massage in the morning after warming the oil slightly, spending about 10-15 minutes daily. Post-massage, a warm bath can further assist in alleviating stiffness.

Considering your hypothyroidism, it’s vital to balance your agni (digestive fire). Include digestive aids such as ginger tea or a pinch of hing (asafoetida) in your meals to boost metabolism.

Simple yoga poses can also help maintain flexibility and reduce pain. Gentle practice of Baddha Konasana (Bound Angle Pose) or Trikonasana (Triangle Pose) can be beneficial. Avoid exertion or any strain on the knee during practice.

Avoid exposure to cold, wind, and dampness as these can further aggravate symptoms. Keep your knee warm using cotton or woolen wraps.

For any new symptoms or if your condition worsens, consult your healthcare provider. Ayurveda emphasize harmony and balance, thus taking a holistic approach along with your prescribed medications can foster overall well-being.

HELLO NIRUPA VYAS,

Rheumatoid arthritis is when your body’s defence system, instead of protecting you, starts attacking your own joints. This leads to swelling, heat, pain and stiffness- often worse in morning. In Ayurveda, this is called Ama vata -AMA= undigested toxins that clog channels -VATA= the energy of movement (joints, nerves) which gets aggravated When ama combines with vata, it settles in joints, specially knees, causing pain and stiffness

TREATMENT GOALS -reduce inflammation and pain -remove ama(toxins) and prevent new formation -balance vata dosha for smoother joint movement -improve digestion and metabolism -support mobility, strength, and overall energy

INTERNAL MEDICATIONS

1) SIMHANADA GUGGU;U= 500mg twice daily after meals =helps clear ama and reduce swelling

2) YOGARAJ GUGGULU= 500 mg twice daily afte rmeals =balances vata, releives stiffness, and supports joints

3) MAHARASNADI KASHAYA= 15 ml with warm water twice daily before meals =used for chronic joint pain

4) ASHWAGANDHA CHURNA= 1 tsp with warm milk at night =for strength and inflammation

5) TRIPHALA CHURNA= 1 tsp with warm water at night =gentle detoc and digestion support

EXTERNAL THERAPES

1) OIL MASSAGE = with warm MAHANARAYAN taila gently massaged over knee (15 min), followed by warm compress. avoid if the joint feels very hot/inflammed

2) HOT STEAM= after massage , mild steaming to reduce stiffness

3) HERBAL PASTE= application of turmeric, ginger, or castor root pasta on joints during acute flare

DIET AND REMEDIES -eat light, warm, freshly cooked meals -avoid heavy ,cold, fermented foods -curd, cheese, bakery, fried foods -favour barley, green gram , old rice, cooked vegetables, light soups -use spices= turmeric, dry ginger, garlic, cumin, ajwain,black pepper -sip warm water through the day, avoid chilled drinks

HOME REMEDIES -turmeric + ginger tea with black pepper -1 tsp castor oil in warm milk nigh once or twice a week acts as mild laxative and vata pacifier -fenugreek seeds soaked overnight, chewed in morning

LIFESTYLE, YOGA AND PRANAYAM -Maintain regular sleep; avoid staying up late -GENTLE YOGA ASANAS= tadasana, trikonasana, setu bandhasana and supported pawanmuktasana -PRANAYAM= anulom vilom, bhramari, gentle kapalbhati -avoid sitting. on cold floors or exposing joints to cold wind -daily light. walk, but don’t push through severe pain

Rheumatoid arthritis flares are not just about joints- they touch digestion, immunity, energy, and even mood. Ayurveda’s strength is in looking at all these layers together. The path is usually slow but steady, aiming not only at reducing the present pain but preventing repeated flares by strengthening digestion and clearing ama.

DO FOLLOW CONSISTENTLY

HOPE THIS MIGHT BE HELFPUL

THANK YOU

DR. MAITRI ACHARYA

KINDLY START

-SIMHANADA GUGGULU= 1-0-1 after meals

-RASNA ERANDADI KASHAYA = 20 ml twice daily after meals with warm water

-SHALLAKI MR TABLET= 1 -0-1 after meals

-MAHAYOGARAJ GUGGULU= 1-0-1 after meals

LOCALLY APPLY

-SAHACHARADI TAILA= warm oil massage followed by hot water bag fomentation

- DASHMOOLA CHURNA + CASTOR OIL lepa= paste application