Clinical Efficacy and Safety of Gokshur (Tribulus terrestris) in the Management of Amavata (Rheumatoid arthritis)

Authors

  • Anant Saznam
  • Chakrapani Kumar
  • Sampurna Nand Tiwari
  • Ajay Kr Singh

Keywords:

Amavata, Gokshurakwatha, Rheumatoid arthritis

Abstract

The current research aims to assess the effectiveness of Gokshur (Tribulus terrestris) kwatha in comparison to Amavata. Madhava Nidana was the first to provide a detailed account of Amavata. He dedicated an entire chapter to describe the aetio-pathology, clinical characteristics, and classifications based on Dosa-Pradhanya and Sadhya-Asadhyata of Amavata (M. N. 25). Amavata can be likened to Rheumatoid arthritis, which is a chronic, systemic inflammatory polyarthritis that predominantly impacts the small diarthrodial joints of the hands and feet in a symmetrical manner. For the first time in the literature, Cakradatta elaborates on the principles and treatment protocols for Amavata, utilizing an effective combination of medications. Subsequent authors in their works, including Chikitsa sarasamgraha (Vangasen), Yogaratnakara, Bhavaprakash, and Bhaisajya ratnavali, have discussed the condition along with treatment strategies and the incorporation of additional formulations such as decoctions, tablets, and powders

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References

Sharma AK. Kaya Chikitsa. Varanasi: Chaukhamba Orientalia; 2010. p.148.

Vangasena. Vangasena Samhita. Vol 1. Saxena N, editor and translator. Varanasi: Chowkamba Sanskrit Series Office, Chowkamba Press; 2004. p.478.

Madhavakara. Madhava Nidanam. Tripathy RD, editor. 1st ed. Varanasi: Chaukhamba Surbharti Prakashan; 1993. p.525.

Chauhan K, Jandu JS, Brent LH, et al. Rheumatoid arthritis [Internet]. 2023 May 25 [cited 2025 Jul 14]. Available from: https://www.ncbi.nlm.nih.gov/ books/NBK441999/

Chakrapanidatta. Chakradatta. 3rd ed. Bajpeyee J, editor. Mumbai: Shri Laxmi Venkateshwar Steam Press; p.131.

Madhavakara. Madhava Nidanam. Vol 1. Revised ed. With commentary Madhukosha by Vijayrakshit and Srikantdutta. Varanasi: Chaukhambha Santhan; 2003. p.25–6.

Bhavamisra. Bhavaprakasa. 5th ed. Varanasi: Chaukhambha Sanskrit Sansthan; 1980. p.279.

Taylor PC. Update on the diagnosis and management of early rheumatoid arthritis. Clin Med (Lond). 2020 Nov;20(6):561–4.

Taylor PC, Pope J. Treating to target or treating the patient in rheumatoid arthritis? Lancet Rheumatol. 2019;1:e8–10.

Sharma PV. Dravyaguna Vijnana. Reprint ed. Varanasi: Chaukhambha Bharti Academy; 2015. p.633.

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Published

2025-07-21

How to Cite

1.
Saznam A, Kumar C, Tiwari SN, Singh AK. Clinical Efficacy and Safety of Gokshur (Tribulus terrestris) in the Management of Amavata (Rheumatoid arthritis). J Neonatal Surg [Internet]. 2025Jul.21 [cited 2025Sep.12];14(32S):6104-10. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/8446

Issue

Vol. 14 No. 32S (2025): Journal of Neonatal Surgery

Section

Original Article

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