Abstract

Abstract

?mav?ta, a chronic inflammatory joint disorder described in classical Ayurvedic texts, bears significant clinical resemblance to Rheumatoid Arthritis (RA), an autoimmune condition recognized in modern medicine. This paper aims to critically analyze the Ayurvedic understanding of ?mav?ta—its causative factors (nid?na), pathogenesis (sampr?pti), clinical features (lak?a?a), and therapeutic strategies—and correlate it with the clinical, immunological, and pathological aspects of RA. ?mav?ta arises due to the accumulation of Ama (undigested metabolic waste) and Vata dosha within the joints, often triggered by incompatible diet, sedentary habits, and impaired digestion. Its presentation includes joint stiffness, swelling, pain, fatigue, and systemic symptoms akin to RA, which is characterized by symmetrical joint inflammation, morning stiffness, and extra-articular manifestations. The paper discusses Ayurvedic management through a holistic approach involving Nid?na Parivarjana (elimination of causative factors), Shodhana (detoxification via Basti, Swedana, Virechana), Shamana (palliative herbal treatments), and Rasayana (rejuvenation). A detailed comparison of clinical features, progression, and therapeutic options shows strong alignment between the two frameworks. Ayurveda offers individualized care focusing on gut health, systemic detox, and restoration of metabolic balance, potentially improving outcomes in RA when integrated with conventional therapies. This review advocates for interdisciplinary research and clinical trials to validate Ayurvedic protocols and promote evidence-based management of RA.