Hi,
here are the important rheumatic disorders detailed in classical ayurvedic texts.
Gridhrasi
the pain originates from the lumbosacral region and descends down the thigh, calf muscle to the feet.
If vata alone is deranged, there is pricking pain in the posterior part of the leg, stiffness of the ankle, knee and hip joint.
When vata and kapha are deranged together, then there are other symptoms like parasthesia and stiffness.
This can be compared to sciatica, lumbar disc lesions and radiculopathy.
Viswachi
the disease, which causes constriction of the tendons of the palms and fingers, present in the back arm leading to loss of function of the arm.
This can be compared to carpal tunnel syndrome, tenosynovitis.
Khalli
gridhrasi and viswachi when accompanied with severe cramps are known as khalli.
This can be compared to muscle cramps. There will be twisting cramps in legs, thighs and in distal parts of hands. This can be compared to myoclonus, dystonia etc.
Sandhigata vatam
vayu affects the joint space, which is the seat of kapha and produces arthritis associated with pain, stiffness, rarely effusion etc. This can be compared to osteo arthritis.
Krostuka sirsaka
the aggravated vata along with rakta affects the knee joint and produces synovial effusion, which resembles the head of the fox. This can be compared to acute synovitis with effusion.
Apabahukam
when the motor supply is affected by vata at the base of neck (cervical area) the function of hand is affected. There is pain radiating down and sometimes there is numbness and loss of function. This is due to kapha and vata vitiation.
This can be compared to cervical spondylosis, cervical myelopathy and cervical disc leisions.
Kalaya khanja
the legs tremble at the commencement of walking. The patient has to drag his legs while walking.
This can be compared to clonus or a sign of pyramidal disease.
Vatakandaka
the aggravated vata affects the ankle joint and calceneal bone- cause severe pain and difficulty in walking.
This can be compared to calceneal spur with plantar fascitis or ankle arthritis.
Manya stambha
the vata vitiated (due to sleeping with wrong posture of neck for a long time, constantly extending neck), along with kapha causes stiffness in the muscles at the back of the neck.
Manya denotes carotid blood vessels. This can be compared to spasmodic torticollis, dystonias, cervical spondylosis etc.
Urustambha
the aggravated vata along with kapha makes the thigh stiff and inactive. This can be compared to spastic pyramidal disease of lower limbs. Other diseases like peripheral vascular disease, disc disease, transverse myelitis etc comes under this spectrum.
Pada harsha
the aggravated vata and kapha produce tingling sensation in the feet. This can be compared to the peripheral neuropathy.
Pada daha
the aggravated vata along with pitta and rakta produces burning sensation in the feet.
This can be compared to burning feet syndrome.
Akshepaka
the aggravated vata affecting the nerves, tendons, and vital points produce contractions of the body again and again.
This can be compared to seizures, convulsions.
Jhihwa stambha.
Tongue is concerned with the articulation of speech. It is not directly related to the language. When the hypoglossal nerve is affected there is difficulty in the movement of tongue. It affects speech and swallowing.
This can be compared to bulbar palsy, progressive bulbar palsy, and pseudo bulbar palsy.
Ardita
the ardita means accident. It is the disease where the face is affected. It resembles lmn type of facial palsy of bell’s palsy. Caraka ‘s description of ardita includes all cranial nerve palsies and cerebro vascular accident
pakshagata
the vitiated vata moves upwards and afflicts blood supply to the brain and produces paralysis of one side of the body. It produces difficult in using one half of the body (spasticity and shoulder – hand syndrome). Speech and language may be affected (dysarthria/ aphasia)
it can be compared to cerebro vascular accidents due to infarction or
hemorrhage.
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