JUVENILE IDIOPATHIC ARTHRITIS (JIA) IN ADOLESCENTS: A REVOLUTION IN TREATMENT BY AYURVEDA

Introduction: Juvenile idiopathic arthritis (JIA) is chronic inflammatory arthritis in children and adolescents. The symptoms present in JIA are more comparable with features of Aamavata Vyadhi mentioned in Ayurvedic classics. JIA can be treated by Shodhana and Shaman therapy of Ayurveda which is free from any side effects. The main aim of this article is to elaborate on JIA and its treatment by different modalities of Ayurveda. Methodology: This review work was carried out by using a widespread and planned data mining approach. To achieve significant literature author uses the keywords “Juvenile idiopathic arthritis” “Shodhana therapy in JIA” “JIA treatment by Ayurveda” and “herbal medicine for JIA” searched in Google Scholar, web of science, Science direct, Scopus, Medline, and PubMed Central journal literature. Observation: Nine publications were included in the final selection after systematic analysis. Conclusion: In Ayurveda, Shodhna therapy such as Sarvaanga Abhangya (Full body massage with medicated oil), Nadi swedana (Steam bath), Valuka Swedana (fomentation by sand pack) and Vaitarana Basti (type of medicated enema) is very effective in management of JIA. In Shaman therapy mainly Kaishora Guggulu, Chitrakadi Vati, and Rasnasaptak Kwatha is effective in relieving pain and swelling of joints. Some herbal drugs also have very potent consideration as anti-arthritic activity such as Shallaki (Boswellia serrate), Nirgundi (Vitex negundo), Turmeric (Curcuma longa Linn), Harataki (Terminalia chebula Retz.), Methi (Trigonella foenum-graecum Linn.) and Pippali (Piper longum Linn.), etc.