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

Background: Deha-Prakriti (DP) phenotypic categorization of Ayurveda will subgroup afflicted populations by severity to help treat the illness more accurately and selectively. But data creation is scarce. Amavata (similar to Rheumatoid Arthritis) is one of such diseases, is caused by the accumulation of Ama and exacerbated Vata in the joints.Aim: To assess symptom severity, duration of morning stiffness, DAS28, and DI among different Vata-dominant DP patients of Amavata.Material & Methodology: The CCRAS-PAS scale was used to screen 155 clinically diagnosed Amavata patients for DP. Those with Vata predominant DP were divided into Single Vataja (V), Vata-Pittaja (VP), and Vata- Kaphaja (VK) DP based on dosha proportion in scale output. demographic profile, symptom intensity, duration of morning stiffness, DAS28, and DI were analysed using SPSS software version 20.0.Results: Kruskal-Wallis test showed that Single Vata dominating DP patients had more severe Sandhi-shula (joint pain) (p<0.0001), Shunatanga (joint numbness) (p=0.0069), and Nidra-Viparyaya (irregular sleep patterns) (p=0.0012) than VP and VK DP persons. Sandhi-Shotha (joint swelling) (p=0.0299), Angamarda (generalised body pains) (0.0130), Alasya (laziness) (p<0.0001), Gaurava (heaviness) (p<0.0001), and Apaka (delayed digestion) (p=0.0254) were severe in VK DP, while Trishna (thirsty) and Nidraviparyaya (p=0.0012) were more severe in VP DP individuals. ANOVA analysis showed that morning stiffness (2.03 +/- 0.2 hours, p value 0.446), DAS28 (6.85 +/- 0.175, p value 0.0035), and DI (1.87 +/- 0.54, p value 0.0003) were substantially higher in solitary Vataja compared to VP and VK DP.Conclusion: Single Vataja DP had more severe morning stiffness, DAS28, and DI. Sign and symptom intensity differed by DP.