Background:
Amavata
is a chronic immuneâinflammatory systemic disorder caused by the formation of
Ama
and its association with
Vata
at
Kaphasthana
(joints) and can be simulated with rheumatoid arthritis (RA). Published evidences show that treatment indicated in
Amavata
is effective in RA. Increased inflammatory status in RA is suggestive of gut dysbiosis involving gut microbiota (GM).
Aim:
The aim of the present study was to analyze the influence of diet on GM of RA patients based on
Pathya
(dietary advice) mentioned for
Amavata
.
Materials and Methods:
Laghutrayis such as Bhavaprakasha Samhita, Madhava Nidana and Sharangadhara Samhita, Bhaishajya Ratnavali and Nighantus (Sanskrit glossary) such as Raja Nighantu, Bhavaprakasha Nighantu and Yogaratnakara, Ashtanga Hridaya also different databases were reviewed for
Pathya
of
Amavata
. Different databases such as PubMed, Scopus, DHARA, Google Scholar, Science Direct were searched with research papers establishing the role of nonnutritive bioactive components in horse gram, barley, garlic, ginger, drumstick leaves, cow urine and buttermilk in the management of RA were also reviewed. It was found that
Pathya
influences on the GM by lowering or inhibiting inflammatory markers such as interleukinâ6 (ILâ6), 17 and leukotrines through BowmanâBirk inhibitors and polyphenolic compounds. Among them,
Takra
is already a proven probiotic.
Gomutra
augments B and T lymphocytes, ILâ1 and ILâ2, strengthening the immune system.
Conclusion:
It was concluded that
Pathya
Ahara
mentioned for
Amavata
have a direct link with GM of RA patients. Even though the pharmacological actions have been clinically proven/practised, this review creates evidence for its scientific basis.