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Rheumatoid ArthritisVatha Suronitham — classical name in Siddha

Rheumatoid Arthritis

On this page

  1. 1.Overview
  2. 2.Causes
  3. 3.Signs & Symptoms
  4. 4.Herbs & Natural Substances
  5. 5.Therapeutic Approaches
  6. 6.Dietary Guidance
  7. 7.Lifestyle & Daily Routine
  8. 8.Traditional Preparations
  9. 9.Frequently Asked Questions

Overview

Rheumatoid Arthritis (RA) is a chronic, progressive, and disabling multi-system disease characterized by pain, swelling, and stiffness in the synovial joints. This stiffness is often worse in the morning or after periods of inactivity. RA typically presents as symmetrical, destructive, and deforming polyarthritis affecting both small and large synovial joints. It can also lead to extra-articular manifestations such as fatigue, subcutaneous nodules, lung involvement, pericarditis, peripheral neuropathy, vasculitis, and hematologic abnormalities.

In the Siddha system, this condition is known as Uthira Vatha Suronitham or Vali azhal Keel vayu. It is understood as a chronic and systemic inflammatory arthritis primarily affecting tissues and organs due to an escalation of the Pitham (bile) humor along with Vatham (wind). The disease is marked by pain and swelling in joints like the ankles, knees, and fingers, often accompanied by dizziness and loss of appetite.

Siddha medicine attributes the pain and redness associated with Uthira Vatha Suronitham to factors such as the excessive consumption of Vatha-aggravating foods like potatoes, mutton, fish, and eggs, as well as undigested food products. Other contributing factors include exposure to cold air and rain, frequent alcohol consumption, and a lack of physical activity. These factors can lead to undigested food, causing symptoms like belching, flatulence, constipation, and obesity.

Causes According to Siddha

  • ❌ Excessive intake of sea foods, especially fish.
  • ❌ Excessive consumption of egg.
  • ❌ Excessive consumption of mutton.
  • ❌ Excessive consumption of tubers.
  • ❌ Excessive consumption of arrack and toddy.
  • ❌ Insufficient exercise.
  • 💨 Exposure to cold air and rain.
  • 💨 Consumption of undigested food products.
  • 💨 Frequent consumption of alcohol.
  • 💨 Lack of physical activity.
  • 💨 Vitiation of Vali (Vatha) & Azhal (Pitha) humors.
  • 💨 Vitiation of vatha and pitha humours.

Signs & Symptoms Recognised in Siddha

  • 🌡️ Pain and swelling in the ankle joint, knee joint, heel of the foot, and joints of fingers.
  • 🌡️ Dizziness.
  • 🌡️ Anorexia (loss of appetite).
  • 🌡️ Swelling in both knee joints, wrist joints, ankle joints, and dorsum of feet.
  • 🌡️ Severe pain in minor joints.
  • 🌡️ Patient endures distress.
  • 🌡️ Patient loses interest in oral intake.
  • 🧠 Stiffness and swelling in minor and major joints (Sparisam finding).
  • 💧 Straw or hay coloured urine (Neerkuri finding).
  • 💧 Oil may spread in the form of pearl/ring/snake pattern indicating Kabam/Pitham/Vatham humours (Neikuri finding).

Herbs & Natural Substances

AmanakkuAnti-inflammatory properties
View herb ›
AmukkaraAdaptogenic and anti-inflammatory properties
View herb ›
ErukkuAnti-inflammatory and analgesic properties
View herb ›
Ezhumicha pulAnti-inflammatory properties
View herb ›
InjiAnti-inflammatory and digestive properties
View herb ›
OomathaiAnalgesic and anti-inflammatory properties
View herb ›
PerarathaiAnti-inflammatory and carminative properties
View herb ›
SeemaiyaravandiAnti-inflammatory properties
View herb ›
ShaaraniAnti-inflammatory properties
View herb ›

Therapeutic Approaches in Siddha

Siddha treatment for Rheumatoid Arthritis involves a multi-pronged approach including internal medicines, external applications, and procedural practices. Internal treatments focus on balancing the vitiated humors, particularly Vatham and Pitham, through various formulations like Kudineer, Churanam, Chenduram, Mathirai, Ilagam, and Mezhugu. These preparations utilize a range of herbs and mineral compounds aimed at reducing inflammation and pain.

External applications are crucial for localized relief and detoxification. These include medicated oil baths (Ennai muzhukku) using oils like Chukku Thailam or Seeraga Thailam, and poultices (Kattu) made from ingredients such as Pirandai. Medicated oils are also applied externally for massage and as part of specific treatments like Poochu.

Procedural practices are integral to the Siddha management of Rheumatoid Arthritis. These include oleation (Ennai muzhukku) to strengthen the body and senses, and purgation (Kazhichal Maruthuvam) using specific oils to eliminate toxins. Rest (Day 3) is also a key component of the treatment regimen, allowing the body to recover and integrate the therapies.

Dietary Guidance

✓ Favour

  • Lablab beans
  • Tender drumstick
  • Turkey berry
  • Green gram
  • Black pepper
  • Nutmeg
  • Ridged gourd
  • Snake gourd
  • Tender mango
  • Tender brinjal
  • Meat of rabbit
  • Lake fish
  • Small fish
  • Cow's ghee
  • Betel leaf and areca nut
  • Night shade
  • Brede embellage
  • Pigeon pea
  • Indian gooseberry
  • Kathiri pinju (Solanum melongena)
  • Avarai pinju (Lablab purpureus)
  • Pudalai (Trichosanthes cucumerina)
  • Vellari (Cucumis sativus)
  • Kovai (Coccinia grandis)
  • Murungai (Moringa oleifera)
  • Aththi (Ficus racemosa)
  • Surai (Lagenaria siceraria)
  • Sundai (Solanum torvum)
  • Pirandai (Cissus quadrangularis)
  • Ladies finger
  • White pumpkin
  • Lemon
  • Greens (Except Sesbania leaves)
  • Plantain flower
  • Ginger
  • Cucumber
  • Mullangi (Rhaphanus sativus)
  • Karunai (Amorphophallus paeoniifolius)
  • Koogai (Maranta arundinacea)
  • Seppan kizhangu (Colacassia esculenta)
  • Goat (Velladu)
  • Quail (Kaadai)
  • White breasted waterhen (Kaanan kozhi)
  • Figs (Ficus racemosa)
  • Jackfruit (Artocarpus heterophyllus)
  • Pomegranate (Punica granatum)
  • Oranges (Citrus sinensis)
  • Sunberry (Solanum retroflexum)
  • Indhuppu (Himalayan rock salt)
  • Kodam puli (Garcinia cambogia)
  • Nallennai (Gingelly oil)
  • Cow & Goat dairy products (Milk & Curd)
  • Barley (parli)
  • Rice (arisi)
  • Drumsticks (murungai)
  • Bitter gourd (pakarkai)
  • Ginger (inji)
  • Hot water
  • Cumin seeds (seeragam)
  • Tapioca pearls kanji (Manihot esculenta crantz)
  • Red gram (Cajanus cajan)
  • Sprouted green gram (Vigna radiata)
  • Cashew nuts (Anacardium occidentale)
  • Turmeric (Curcuma longa)
  • Asafoetida (Perungayam)
  • Coriander seeds (Malli)
  • Cloves
  • Ajwain seeds

✗ Avoid

  • Crab
  • Cisco fish
  • Chicken
  • Mutton
  • Bitter gourd
  • Brinjal
  • Black gram
  • Onion
  • Pig
  • Wild cow
  • Mustard
  • Coconut
  • Tamarind
  • Milk
  • Curd
  • Butter milk
  • Tobacco
  • Jaggery
  • Cold water
  • Fruits (generally, but specific fruits are listed as favour)
  • Cluster bean
  • Horse gram
  • Sesamum
  • Bengal gram
  • Vatham-inducing foods like root tubers except karunai kizhangu
  • Carbohydrates-rich diet (Maa porutkal)
  • Tender fruit of Musa paradisiaca (Vaazhai)
  • Potato (Urulai Kizhangu)
  • Senai Kizhangu (Amorphophallus paeoniifolius)
  • Peanuts (Vaer kadalai)
  • Peas (Pattani)
  • Broad beans (Mochai)
  • Sour and astringent foods
  • Sea foods except small prawns
  • Smoking, tobacco chewing and alcohol
  • Prolonged standing and sitting
  • Curd
  • Fish
  • Jaggery
  • Milk
  • Flour of Mash (black gram)
  • Contaminated water (durnaatra neer)
  • Incompatible food (ova unavugal)
  • Control of natural urges (vegavrodh)
  • Heavy, slimy foods (kadina unavugal)

Lifestyle & Daily Routine

  • 🧘 Prolonged standing and sitting should be avoided.
  • 🧘 Engage in recommended yoga practices such as Tadasanam, Halasanam, Puyangasanam, Dhanurasanam, Patchimothasanam, Egapaadhasanam, and Savasanam.
  • 🌧️ Exposure to cold air and rain should be limited.

Traditional Preparations

Preparation

Ayaveera Chenduram

Ayaveera Chenduram

Mixed with honey.

Rheumatoid arthritis

Preparation

Linga Chenduram

Linga Chenduram

Mixed with honey.

Rheumatoid arthritis

Tablet

Vasantha Kusumagaram

Vasantha Kusumagaram

Mixed with honey.

Rheumatoid arthritis

Tablet

Soolai Kudoram

Soolai Kudoram

Mixed with honey.

Rheumatoid arthritis

Tablet

Vishnu chakram

Vishnu chakram

Mixed with honey.

Rheumatoid arthritis

Tablet

Linga boopathi

Linga boopathi

Mixed with honey.

Rheumatoid arthritis

Preparation

Panchadeepaki Ilagam

Panchadeepaki Ilagam

Mixed with warm milk.

Rheumatoid arthritis

Preparation

Thetrankottai Ilagam

Thetrankottai Ilagam

Mixed with warm milk.

Rheumatoid arthritis

Preparation

Amukkara Ilagam

Amukkara Ilagam

Mixed with warm milk.

Rheumatoid arthritis

Preparation

Vallathagi Ilagam

Vallathagi Ilagam

Mixed with warm milk.

Rheumatoid arthritis

Preparation

Shanmuga Ilagam

Shanmuga Ilagam

Mixed with warm milk.

Rheumatoid arthritis

Preparation

Rasagandhi Mezhugu

Rasagandhi Mezhugu

Mixed with palm jaggery.

Rheumatoid arthritis

Preparation

Idivallathy Mezhugu

Idivallathy Mezhugu

Mixed with palm jaggery.

Rheumatoid arthritis

Oil

Arakku Thailam

Arakku Thailam

For external use only.

Rheumatoid arthritis

Oil

Chukku Thailam

Chukku Thailam

For external use only.

Rheumatoid arthritis

Oil

Vellai Ennai

Vellai Ennai

Mixed with lukewarm water.

Rheumatoid arthritis

Oil

Vathanaasa Thailam

Vathanaasa Thailam

Mixed with lukewarm water.

Rheumatoid arthritis

Decoction

Nilavembu kudineer

Nilavembu kudineer

Decoction.

Rheumatoid arthritis

Decoction

Kurunthotti kudineer

Kurunthotti kudineer

Decoction.

Rheumatoid arthritis

Decoction

Valiangathi Kudineer

Valiangathi Kudineer

Decoction.

Rheumatoid arthritis

Powder

Inji Churanam

Inji Churanam

Mixed with honey.

Rheumatoid arthritis

Powder

Sagalanoi Churanam

Sagalanoi Churanam

Mixed with honey.

Rheumatoid arthritis

Powder

Panchadeepakini Churanam

Panchadeepakini Churanam

Mixed with honey.

Rheumatoid arthritis

Powder

Seenthil Churanam

Seenthil Churanam

Mixed with lukewarm water.

Rheumatoid arthritis

Powder

Drakshathi Churanam

Drakshathi Churanam

Mixed with honey.

Rheumatoid arthritis

Powder

Elathy Churanam

Elathy Churanam

Mixed with lukewarm water.

Rheumatoid arthritis

Powder

Parangipattai Churanam

Parangipattai Churanam

Mixed with honey.

Rheumatoid arthritis

Preparation

Sangu Parpam

Sangu Parpam

Mixed with ghee.

Rheumatoid arthritis

Preparation

Kungiliya Parpam

Kungiliya Parpam

Mixed with ghee.

Rheumatoid arthritis

Preparation

Arumuga Chenduram

Arumuga Chenduram

Mixed with honey.

Rheumatoid arthritis

Preparation

Aya Chenduram

Aya Chenduram

Mixed with honey.

Rheumatoid arthritis

Tablet

Vishnu chakkaram

Vishnu chakkaram

Mixed with honey/ Ginger juice/ Thirukadugu Churanam.

Rheumatoid arthritis

Tablet

Vatharatchasan

Vatharatchasan

Mixed with honey.

Rheumatoid arthritis

Tablet

SoolaiKudoram

SoolaiKudoram

Mixed with honey.

Rheumatoid arthritis

Oil

Karpoorathi Thailam

Karpoorathi Thailam

For external use only.

Rheumatoid arthritis

Oil

Kunthiriga Thailam

Kunthiriga Thailam

For external use only.

Rheumatoid arthritis

Paste

Pirandai compress

Pirandai (Cissus quandrangularis)Erukku juice (Calotropis gigantia)

Fry the dried stems of Pirandai with the juice of Erukku, crush well.

Compress for small joint swelling in Rheumatoid arthritis.

Powder

Sagalanoi Churanam

Sagalanoi Churanam

Mixed with honey.

Rheumatoid arthritis

Preparation

Muthuchippi Parpam

Muthuchippi Parpam

Mixed with ghee.

Rheumatoid arthritis

Tablet

Soolai Kudoram

Soolai Kudoram

Mixed with honey.

Rheumatoid arthritis

Decoction

Kurunthotti Kudineer

Kurunthotti Kudineer

Decoction.

Rheumatoid arthritis

Preparation

Thetrankottai Ilagam

Thetrankottai Ilagam

Mixed with warm milk.

Rheumatoid arthritis

Oil

Kayathirumeni Thailam

Kayathirumeni Thailam

For external use.

Rheumatoid arthritis

Preparation

Muthu Parpam

Muthu Parpam

Mixed with ghee.

Rheumatoid arthritis

Preparation

Pavala Parpam

Pavala Parpam

Mixed with ghee.

Rheumatoid arthritis

Preparation

Naga Parpam

Naga Parpam

Mixed with ghee.

Rheumatoid arthritis

Preparation

Poorna chandhrothaya Chenduram

Poorna chandhrothaya Chenduram

Mixed with honey.

Rheumatoid arthritis

Preparation

Chanda maarutha Chenduram

Chanda maarutha Chenduram

Mixed with honey.

Rheumatoid arthritis

Preparation

Kaalamega narayana Chenduram

Kaalamega narayana Chenduram

Mixed with honey.

Rheumatoid arthritis

Preparation

Thamira (sembu) Chenduram

Thamira (sembu) Chenduram

Mixed with honey.

Rheumatoid arthritis

Preparation

Thaalaga Chenduram

Thaalaga Chenduram

Mixed with honey.

Rheumatoid arthritis

Tablet

Pachai karpoora Mathirai

Pachai karpoora Mathirai

Mixed with honey/lukewarm water.

Rheumatoid arthritis

Tablet

Bramanantha bairavam

Bramanantha bairavam

Mixed with honey/lukewarm water.

Rheumatoid arthritis

Tablet

Maha Vasantha kusumagaram

Maha Vasantha kusumagaram

Mixed with honey/lukewarm water.

Rheumatoid arthritis

Tablet

Karuppu Vishnu chakram

Karuppu Vishnu chakram

Mixed with honey.

Rheumatoid arthritis

Preparation

Serangkottai Nei

Serangkottai Nei

Mixed with warm milk.

Rheumatoid arthritis

Oil

Vatha Ennai

Vatha Ennai

Internal and External use.

Rheumatoid arthritis

Oil

Kaayarajanga Thailam

Kaayarajanga Thailam

Mixed with lukewarm water.

Rheumatoid arthritis

Oil

Mayana Thailam

Mayana Thailam

For external use.

Rheumatoid arthritis

Oil

Kayathirumeni Thailam

Kayathirumeni Thailam

For external use.

Rheumatoid arthritis

Oil

Mahavidamuti Thailam

Mahavidamuti Thailam

For external use.

Rheumatoid arthritis

Oil

Sadamanjil Thailam

Sadamanjil Thailam

For external use.

Rheumatoid arthritis

Oil

Santhanathi Thailam

Santhanathi Thailam

For external use only.

Rheumatoid arthritis

Oil

Siddhathi Ennai

Siddhathi Ennai

Mixed with Sombu kudineer.

Rheumatoid arthritis

Powder

Nilavaagai Churanam

Nilavaagai Churanam

Mixed with honey.

Rheumatoid arthritis

Preparation

Pavala Parpam

Pavala Parpam

Mixed with ghee.

Rheumatoid arthritis

Preparation

Chandamarutha Chenduram

Chandamarutha Chenduram

Mixed with honey.

Rheumatoid arthritis

Preparation

Kanagalinga Mezhugu

Kanagalinga Mezhugu

Mixed with palm jaggery.

Rheumatoid arthritis

Oil

Kayarajangam Ennai

Kayarajangam Ennai

Mixed with lukewarm water.

Rheumatoid arthritis

Frequently Asked Questions

Can Siddha medicine cure Rheumatoid Arthritis?+
Siddha medicine views Rheumatoid Arthritis, known as Uthira Vatha Suronitham, as a condition caused by imbalances in Vatha and Azhal humors. While Siddha treatments involve various internal and external medicines, dietary modifications, and lifestyle changes aimed at managing symptoms and restoring balance, it is important to consult with a qualified Siddha practitioner for personalized guidance.
What are the best Siddha herbs for Rheumatoid Arthritis pain?+
In Siddha medicine, several herbs are traditionally used to manage rheumatoid arthritis pain. Some of these include Inji (ginger), Amukkara (Withania somnifera), and Amanakku (Ricinus communis). These herbs are often incorporated into various formulations like kudineer, churanam, and thailam to help alleviate symptoms.
Is there a specific diet for Rheumatoid Arthritis in Siddha?+
In Siddha, the diet for Rheumatoid Arthritis focuses on avoiding foods that can aggravate Vatha and Pitha humors, such as certain meats, fish, bitter gourd, brinjal, black gram, onion, coconut, tamarind, milk, curd, and jaggery. It is recommended to include foods like lablab beans, tender drumstick, turkey berry, green gram, black pepper, nutmeg, ridged gourd, snake gourd, tender mango, rabbit meat, lake fish, small fish, cow's ghee, and Indian gooseberry.
How long does Siddha treatment take for Rheumatoid Arthritis?+
Siddha treatment for Rheumatoid Arthritis can vary in duration, with courses of internal medicines often lasting between 24 to 48 days. Some treatments, like specific parpam or chenduram, may be repeated as per the physician's discretion, and overall management can extend up to six months depending on the patient's condition and symptom progression.
When should I see a Siddha doctor for Rheumatoid Arthritis?+
You should consult a Siddha doctor for Rheumatoid Arthritis if your condition is not responding to treatment, if there's an increase in severity or complications, or if the disease significantly impacts your daily life and quality of living. It is also advisable to seek Siddha medical advice if you have diagnostic uncertainty or uncontrolled co-morbidities like cardiovascular disease, lung disease, or osteoporosis.

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