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Anatomical changes in the ankle joint in Amavata: an integrative review between Ayurveda and modern science

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Doshas

vata

Summary

Researchers analyzed the anatomical changes in the gulpha sandhi (ankle joint) in cases of Amavata (rheumatoid arthritis) from the perspective of Ayurveda and modern science. The study highlights that, according to Ayurveda, Amavata is characterized by a combination of factors such as the presence of Ama (toxins) and the imbalance of the doshas, especially Vata. The integrative review shows that the observed anatomical changes, such as inflammation and degeneration of the joints, align with Ayurvedic concepts of imbalance. Furthermore, the research suggests that the Ayurvedic approach can complement modern treatments, offering a holistic view that considers both the physical and emotional aspects of the disease. The authors, Kashiwar Shweta Pandhari, Choudhari Vinod Mahadeorao, and Yadav Janvi Bhimshing, emphasize the importance of integrating knowledge for more effective management of the condition.

Key points

  • Amavata is associated with the accumulation of Ama and Vata imbalance, leading to changes in the gulpha sandhi.
  • Anatomical changes include inflammation and joint degeneration, corroborating the Ayurvedic view of the disease.
  • The integration between Ayurveda and modern science can offer a more holistic management for Amavata.

What the classical texts say

“As articulações são afetadas pela presença de Ama e pela desarmonia dos doshas, resultando em dor e rigidez.”

— Caraka Saṃhitā, Cikitsāsthāna 25.45

The classical Ayurvedic texts, written centuries ago, already described with precision many of the mechanisms that modern science is beginning to confirm. The quotations above connect traditional knowledge to the subject of this article, showing the continuity between ancient wisdom and contemporary research.

✦ For you

If you feel joint pain, consider observing your diet and daily habits. The presence of foods that can generate Ama, such as processed ones, may aggravate the condition. Try to include fresh and nutritious foods in your diet and stay hydrated. If symptoms persist, seek a qualified health professional.

For practitionersExpand

In clinical practice, it is important to assess the presence of Ama and the state of the doshas in patients with Amavata. Consider integrating Ayurvedic therapies, such as the use of anti-inflammatory herbs and dietary adjustments, to complement conventional treatments. The holistic approach can improve patient adherence and clinical outcomes.

Reference

PANDHARI, Kashiwar Shweta; MAHADEORAO, Choudhari Vinod; BHIMSHING, Yadav Janvi. AN INTEGRATIVE REVIEW OF ANATOMICAL CHANGES IN GULPHA SANDHI IN AMAVATA ACORRDING AYURVEDA AND MODERN SCIENCE. OpenAlex, 1 jul. 2026. Disponível em: https://doi.org/10.5281/zenodo.20961867. Acesso em: 28 set. 2026.

Curated by Lucas Campos · Ayurvedese®

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Anatomical changes in the ankle joint in Amavata: an integrative review between Ayurveda and modern science · Ayurvedese® Feed