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    Efficacy of a prepared traditional lepa for the management of Amavata sandi shotha
    (Young Ayurveda Researchers' and Innovators' Symposium (YARIS – 2019), Institutional Research Committee, Gampaha Wickramarachchi Ayurveda Institute, University of Kelaniya, Yakkala, Sri Lanka, 2019) Prabash, K.G.D.; Wickramarachchi, W.J.
    Amavata is a disease caused by vitiation of Vata by Ama, which is the product of incomplete digestion and metabolism. Agni in Ayurveda includes the digestive processes of gastrointestinal tract as well as the metabolic processes in tissues. Ama could therefore be produced by flawed digestion in gastrointestinal tract or in the tissues by defective metabolic process. Ama thus produced is said to circulate and block the vessel of the joints and get deposited there causing inflammation by producing symptoms such as pain, moving discomfort, swelling and morning stiffness in small and big joints, making a person lame. Various drug trails were already carried out on Amavata, yet there is a lacuna in the management of Ama vata. Therefore this study was undertaken to examine the efficacy of a prepared traditional lepa in the management of Amavata sandi shotha. Hence, in the present clinical study, 30 patients were selected and divided into 2 groups, Group A and B. Group A was given Sarshapa oil and group B the test group was given, traditional lepa. The collected data was recorded according to the age, sex and a paired sample t – test was applied for the clinical assessment of the subjective parameters. During treatment no side effects were noted. According to the analysis all P- values of the test group in the comparison of before and after treatment in full duration were less than 0.05 (P - values before and after treatment on pain (0.000), moving discomfort (0. 000), edema (0. 000), redness (0.012), burning sensation (0.000), ESR (0.010) and Rheumatoid Factor 0.025). The results obtained were significant statistically in traditional lepa. Therefore, the study confirms that the traditional lepa is effective in the management of Amavata sandishotha
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    Eye complications of Amavata and its management.
    (Department of Shalya Shalakya,Gampaha Wickramarachchi Ayurveda Institute,University of Kelaniya,Sri Lanka, 2017) Maragalawaththa, M.G.K.; Goyal, M.; Chudasama, K.; Jadav, R.K.
    Amavata is a disease caused by undigested food particles (Ama) due to improper function of Agni at different levels. This Ama, associating itself with Vata, moves quickly towards different seats of Kapha in the body lling in them and leading to pain all over the body, joints, loss of taste, thirst, lack of enthusiasm, heaviness, fever, indigestion and swelling of the body parts (joint). Amavata can be co-related with Rheumatoid Arthritis which is a chronic inammatory connective tissue disorder mainly affecting musculoskeletal system producing a wide variety of extra articular manifestation. RA that affects joints can also cause complictions for eyes, lungs, skin, heart, blood vessels and other organs. Dry eye or Keratitis Sicca (Shushka Akshipakatya) is a main complication of RA which causes lack of sufcient lubrication and moisture on the surface of the eye. Due to vitiation of Vata Dosha in Amavata, it causes lack of production of tears (moisture contents in eye) which results in dry eye. Inammation from RA causes abnormalities in the tear glands (lacrimal), signicantly reducing uid secretion. Scleritis (Shirajala) is an inammation of the sclera (the white outer wall of the eye) which is the second main complication of RA. It is one of the Shleshmasthana in the body due to association of Kapha. Vitiated Vata and Kapha Dosha in Amavata patient further leads to vitiation of Pitta Dosha in Sclera producing Shirajala. Thus it can be concluded that RA is a systemic connective tissue disorder and it affects any collagen connective tissue like eye at its chronic stage. On the basis of these facts, an Ayurvedic approach of management can be planned for its prevention and treatment.