Adult Onset Still Disease Treatment with Herbal Remedies

Abstract

This world is filled with many conditions and many of them don’t even have a solution. The diseases knock on your door in the form of your lifestyle or diet. That’s the beauty of them. Diseases especially related to bones are becoming very common and can cause a lot of problems just then pain and stiffness. The most common conditions that are associated with bones or joints are gout, rheumatoid arthritis, osteoarthritis, spondylitis and many others. But the rarest condition that is included in this inflammatory pattern of conditions is Adult’s still disease. This article is all about this condition and how it can be managed using Ayurvedic herbs and formulations.

Introduction

Adult onset of still’s disease is the adult form of juvenile still’s disease. It is also called systemic juvenile idiopathic arthritis. This disorder is named after Sir George Frederic Still who was a British physician and had described a childhood form of arthritis. This condition is often associated with fever. This condition was first reported in medical literature in 1971. The cases fit in this description around the late 1800s. Adult onset of still’s disease symptoms is diagnosed rarely as its symptoms may overlap with a set of conditions. But these symptoms have the potential to affect the quality of life especially when they become chronic. The Adult onset of still’s disease is not life threatening.    

Key points Adult onset of still’s disease

• A rare type of arthritis
• Symptoms includes fevers, rash and joint pain
• Some people have just one episode of this condition
• In other cases the problem persists
• The wrists are generally affected but other joints are also involved and destroyed due to inflammation
• Slightly more than 1 person per one lakh (100,000) people are affected each year.
• Males and females aged between 16-35 years acn get thi condition
• Ayurveda suggests this condition is due to aggravated dosha in the body
• The exact correlation can be established between samasannipataj jawara

Now let’s have a closer look on the topic

Causes of Adult onset of Still’s disease

The causes for this condition are not clear according to modern science. There is a rough theory that viral or bacterial infections might have triggered the situation.

If understood from the point of view of Ayurveda then the condition appears after the accumulation of ama dosha in the body. Ama dosha accumulation is the result of intake of vidahi, virudh anna along with a sedentary lifestyle. This ama dosha then travels to various srotas of the body under the influence of vata dosha. This hence results in blockage of srotas and then this sama sannipataja jawra occurs. 

Sign/Symptoms of Adult onset of Still’s disease

The symptoms along with progression and severity of Adult onset still’s disease can highly vary from one person to another. But the main pattern is as following:

• Monophasic Pattern
• Polyphasic Pattern
• Chronic Pattern

Phasic Description

Monophasic Pattern

Patients with monophasic generally have a single episode of symptoms. This typically lasts weeks to months. But it lasts less than a year.

Polyphasic Pattern

In this phasic pattern the patient generally has more than one episode of symptoms. Affected individuals lead a healthy life in between the episodes. This can be for weeks to years. Generally, the episodes tend to be less severe and shorter in duration compared to the initial one. 

Chronic Pattern

These patients have persisting symptoms over time.

The combination of symptoms are generally associated with systemic inflammatory disease. This includes:

• Spiking fever of greater than 102 degree fahrenheit. This can occur twice daily. 
• A skin rash
• Pain in muscles (myalgia)
• Pain in joints (arthralgia)
• Inflammation 

 These are symptoms which are generally observed when the disease onsets. These five symptoms are seen in various patterns of the condition.

Diagnosis of Adult onset of Still’s disease

The Adult onset still’s disease has following diagnostic criteria:

This criteria is called the Yamaguchi criteria. This is subdivided into minor and major criteria. The major criteria includes fever of at least 39 degree celsius for one week along with arthralgia or arthritis for at least two weeks. The non pruritic salmon cooled rash on the trunk/extremities. The last one is the granulocytic leukocytes which should be 10,000/mL or more.

The minor criteria includes sore throat, splenomegaly, lymphadenomegaly, increased serum aminotransferase or lactate dehydrogenase levels and negative IgM rheumatoid factor and antinuclear antibodies.  

Treatment of Adult onset of Still’s disease

The Treatment for this condition includes the following:

• As it is an autoimmune condition then mostly steroids are recommended at first. These do help in reduction of inflammation but can enhance the risk of osteoporosis.
• Conventional DMARDs are also recommended in this case along with glucocorticoid spray therapy in case of chronic condition management.
• The non steroidal antiinflammatory drugs are also given in this case to reduce inflammation and pain in this case. But their long term usage can hamper digestion. 
• Biologic response modifiers are also recommended in this case.

Lifestyle changes recommended

• It is advised to supplement your diet with vitamin D supplements and calcium to avoid osteoporosis in case of long term use of steroids
• One must keep moving and keep doing various types of easy to exercise so that the range of the motion can be well managed. Otherwise the body will get stiff and daily routines will be hampered.

Ayurvedic perspective of Adult onset of still’s disease

This condition can be well correlated with samasanipataj jwara. Jawara which is called as the lord of diseases, has a type called a sannipataj jwara and the lakshana of this type typically depicts the symptoms present in this condition. The lakshana in samasannipataj jawara are as following:

• kshane sheeta (hypothermia)
• kshane daaha (fever)
• asthi sandhi ruja (arthralgia, myalgia)
• shiro ruja (headache)
• karna ruja (otalgia)
• tandra (fatigue)
• srotasaam paaka (inflammation of various channels of the body)
• nidra naasha (sleeplessness) and many others.

That’s how the condition is correlated but here also there is one another factor that this samasannipataj jawara in this case is vata dominant along with the involvement of other dosha as well.

 Now coming to the management of this condition according to ayurveda. Then

Ayurveda suggests that firstly elimination of ama dosha is to be then shanti of vata prakopa will be automatically seen.

Ayurvedic formulations like maha sudarshan kada, sanjeevani vati, giloy ghan vati, trailokya chintamani ras for subsiding various types of fevers. In case of amadosha elimination these will help but for vata aggravation along with pains formulation with shallaki, haridra etc are of importance. In addition, guggul preparation is helpful in reducing inflammation. For vata dosha prakopa herb rasana is the best due to its exclusive vata ghana effect.

There are some gruels as well which can be used in jwara. The gruels like lajapeya, amla peya, shalli rice peya etc. Are also very beneficial in various types of peya. 

Herbal Remedies For Adult Onset Still Disease By Planet Ayurveda

Planet Ayurveda is a leading herbal products manufacturing company who is dealing with a wide range of herbal products. These products are totally herbal and do not have any type of additives, fillers, colours, dyes, preservatives or any other inorganic harmful substances. These formulations do not show any type of side effect on the body. Planet Ayurveda has various certifications which makes our products even more in demand and thus they can be easily exported to various other countries as well. The company has its various exclusive outlets in different parts of the world. These formulations can be taken by anyone of any age under the strict guidance of your Ayurvedic physician The products offered by Planet Ayurveda for Adult still disease are as following:

1. Yograj Guggul
2. Boswellia Curcumin
3. Panchtiktaghrit Guggul
4. Amar Sundari Vati
5. Aamvatantak Churna
6. Maha Rasnadi Kwath

Product Description

1. YOGRAJ GUGGUL

Yograj guggul, which is a classical preparation with potent herbs. As the name of the formulation suggests that it has guggul along with other ingredients like pippali (Piper longum), ajwain (Carum copticum), vidang (Embelia ribes) and others. These all herbs are best for the pacification of vata dosha and thus relieves symptoms like pain and stiffness in the body. Due to its composition it has an impact on fever as well. As it has guggul it also helps in the pacification of kapha dosha and opens blocked channels inside the body and also eliminates ama dosha too.  

Dosage: Two tablets twice a day after meals with lukewarm water

2. BOSWELLIA CURCUMIN  

Boswellia curcumin is a poly herbal capsule formulation. This formulation has only two ingredients: shallaki (Boswellia serrata) and haridra (Curcuma longa). These two are having a really great effect on the digestion as well as on the anulomana of vata dosha.  The formulation works on inflammation and as the inflammation subsides the pain sensation reduces. The presence of curcumin makes it a very good antibacterial agent. In addition, it is a very great supplement in all kinds of arthritis including the rare type of adult still disease.

Dosage: One capsule twice a day after meals with lukewarm water

3. PANCHTIKTAGHRIT GUGGUL

Panchtiktaghrit guggul is also a classical medication. The name of the formulation suggests that it is having five bitter herbs along with ghrit and guggul. The ingredients of this formulation are giloy (Tinospora cordifolia), vasa (Adhatoda vasica), Cow’s ghee, guggul (Commiphora mukul), patola patra (Trichosanthes dioica)  along with kantkari (Solanum xanthocarpum). The benefits of this formulation is on overall health and it enhances the working of the immune system in a positive way. This also helps in the elimination of toxins from the body and improves digestion simultaneously. Panchtikta ghrit guggul also helps in the elimination of toxins as it is a blood purifier as well. The formulation is also given in various inflammatory conditions. This formulation successfully subsides vata kapha aggravation.   

Dosage: Two tablets twice a day after meals with lukewarm water

4. AMAR SUNDARI VATI

Amar sundari vati is a classical formulation which has many ingredients like shunthi (Zingiber officinalis), pippali (Piper longum), amalaki (Emblica officnalis), haritaki (Terminalia chebula), Vibhitaki (Terminalia bellirica) and many others. The formulation has very great results in the pacification of vata dosha and improves overall digestion as well. These tablets have a very great impact on the pain and reduce inflammation as well. Amar sundari vati is also known to act on various types of fever and pacifies other dosha as well. All over the formulation is fantastic and has its impact on the nervous system as well and prevents damage to the system successfully.

Dosage: Two tablets twice a day after meals with lukewarm water

5. AAMVATANTAK CHURNA

Aamvatantak churna is a very impressive formulation. Aamvatantak means something that can destroy both the accumulation of ama and aggravation of vata dosha. As in this condition only these two are the main culprits. The formulation has ingredients like Ashwagandha (Withania somnifera), methi (Trigonella foenum graecum), Gorakhmundi (Sphaeranthus indicus), haridra (Curcuma longa) and many others. As the vata dosha subsides inflammation and pain reduces so is the fever. That’s how this formulation works in this case. It also helps in getting rid of many symptoms which are commonly noticed in this case. This is a pure herbal blend of herbs.   

Dosage: Half tsp twice a day after meals with lukewarm water.

6. MAHA RASNADI KWATH

Maha rasnadi kwath is a very great and effective arista formulation which is really very great in treating certain specific conditions. The ingredients of this formulation are Yavasa (Alhagi pseudalhagi), Bala (Sida cordifolia), Erand (Ricinus communis), Devdaru (Cedrus deodara), Vacha (Acorus calamus), Nagarmotha (Cyperus Rotundus), Giloy (Tinospora cordifolia) etc. This formulation is capable for pacification of vata dosha and thus subsides pains including inflammation. Maha rasnadi kwath is the shreshta vata pacifier and thus is very popular. The maha rasanadi kwath also reduces the meda dhatu and hence is known to have an impact on kapha dosha as well.

Dosage: Two tsp twice a day after meals with lukewarm water.

Conclusion

The conditions like Adult onset still’s disease is a condition which is the result of accumulation of endotoxins in the body. The accumulation of endotoxins results in the blockage of channels inside the body and thus it causes vitiation of kinetic energy in the body. This results in various types of symptoms and hence the condition of the patient becomes worse. The formulations mentioned above tend to show excellent results in improving the condition of the patient and subsides the symptoms as well. These medications work by eliminating endotoxins and other harmful agents from the body. This opens up the channels and provides free flow of kinetic energy in the body. In case of  any query kindly visit www.PlanetAyurveda.com