Abstract

JUVENILE IDIOPATHIC ARTHRITIS (JIA): DISEASE REVIEW AND AYURVEDIC MANAGEMENT

Dr. Kiran L. Kudmate* and Dr. Deokumar W. Raut

ABSTRACT

Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in children and one of the more common chronic illnesses of childhood. JIA represents a heterogeneous group of disorders sharing the clinical manifestation of arthritis. During the course of a disease the number of involvement of joints, type of joints involved will decide the type of JIA according to ILAR classification. The symptoms present in JIA are more comparable with features of Amavata Vyadhi mentioned in Ayurvedic classics. Amavata is a chronic disease of joints pain and bodyache accompanied by a swelling of some or all of the synovial joints which involves Ama and Vata. It is a disease of Madhyam marga roga as it affects Sandhi and Hridaya Marma. JIA can be treated byShodhana and Shamana therapy of Ayurveda. Ayurvedic management can improve quality of life of a patient. Shodhana therapy with Snehan with medicated oil, Nadi Swedan, Valuka Pottali Swedan and Mridu Virechan shows great improvement in the symptoms. It will also decrease the progression of disease. Immunomodulator drugs has great role in the treatment of JIA. Rasayana is indicated in Samhitas that helps in preventing deformities and support physical and mental strength of a child.

Keywords: Juvenile idiopathic arthritis, Amavata, Immunomodulatory drugs, Rasayana.