Influence of Deha-Prakriti (Body Constitution) in the manifestation of disease in context to Amavata (Rheumatoid Arthritis) - An appraisal

Abstract

Deha-Prakriti (DP) is Ayurveda’s one-of-a-kind contribution, established at conception and cannot be changed throughout one’s life. There are seven varieties of DP. Vataja, Pittaja, Kaphaja (Shleshmala), Samsargaja [combination of two Dosha] i.e. Vata-Pittaja, Pitta-Kaphaja, Kapha-Vataja, Sannipataja [combination of three Dosha] i.e. Vata-Pitta-Kapha. The first and most important aspect of Dashavidha-parikshyabhavas (ten important examination factors to be known by the physician) is the DP assessment since it plays a crucial part in Rogi-Pariksha (evaluation of the patient) and Roga-Pariksha (assessment of the disease). DP allows a physician to assess the condition of Koshtha (digestion system), Agni (digestive capacity), Bala (strength), and Ayu (life-span) in both healthy and diseased people. It may also help a physician forecast illness susceptibility, severity of signs and symptoms, disease activity scores, and bio-markers such as hematological, pathological, and biochemical indicators. Based on the severity, a physician may prepare the appropriate diet-chart, medication, dose, Anupana (co-drink to the primary medicine), and treatment technique (either Shodhana karma- purificatory measure or Shamana karma- Palliative measure). In light of the above facts, the current study aims to explore the DP-based susceptibility to Amavata, its severity, and the research strategy for future studies. An overview of evidence-based study on developing Deha-Prakriti with diverse illness conditions may be provided in this work, allowing for the revalidation of ayurvedic literature-based assertions.

A case-control study for exploring the association of Prakriti with Rheumatoid Arthritis

“…Analysing the connection between food and gut microbiota in geographically diverse groups and DP can help healthcare providers design tailored meal plans for patients taking Amavata, perhaps improving their quality of life. This approach may be useful for treating other chronic conditions as well [ 34 ]. Comparability of case–control research for exposure analysis is not evident as for an RCT (randomised controlled Trial), matching was done in terms of age and sex achievable using inclusion or exclusion criteria solely.…”

Variations in the severity of symptoms, DAS28, and Disability Index among different Vata predominant Deha-Prakriti individuals of Amavata (~Rheumatoid Arthritis) - An Analytical Observational Study

“…Joint illness is more common among Vatapredominant DP persons, according to Ayurvedic literature (43). Vata-predominant DP persons have previously been shown to be more prone to contracting the illness Amavata than Pitta-and Kapha-predominant individuals are susceptible or vulnerable (41,42). Despite this, there is a lack of reliable information to determine the severity of the condition in the various DP people.…”

A Confirmatory Study of Relationships in Ayurveda: Deha Prakritis, Agnis, Koshtas, and their Association to Cardiovascular Risk Factors

“…Bhalerao, Deshpande and Thatte have observed those with a Vata-dominant Deha Prakriti have lower body mass index (BMI), those with Pitta-dominant Deha Prakriti have a moderate BMI, and those with a Kapha-dominant constitution have higher BMI (5). According to Chintala and Bhagavathi, accurate diagnosis of a patient's Deha Prakriti "allows a physician to assess the condition of Koshtha (digestion system) (and) Agni (digestive capacity)" (6).…”