SomaVeda® Thai Yoga Offers Relief From Arthritis

By Anthony B. James DNM(P), ND(T), MD(AM), DPHC(h.c.), DOM, RAC, SMOKH Academic Dean SomaVeda College of Natural Medicine and Thai Yoga Center (SCNM).

Lets address the Extra-articular features of Connective Tissue Disease,  Spondyloarthopathy, Arthropathy, Arthritus, Fibromyalgia and corresponding Edemas/ ischemia and Inflammation with Indigenous Traditional Therapeutic approaches. Specifically how SomaVeda® Thai Yoga Offers Relief From Arthritis.

“Foolish is the doctor who despises the knowledge of the ancients”

  Hippocrates

Where do we find this knowledge of the ancients?

Much wisdom of the ancients has been passed down through countless generations in the religious, wisdom and medicine teachings of indigenous and traditional native cultures.

Many different words are used to describe and define the diagnosis of what we generally refer to as “Rheumatic Disorders“. Wikipedia defines  as “Rheumatism or rheumatic disorder is a non-specific term for medical problems affecting the joints and/or connective tissue. The study of, and therapeutic interventions in, such disorders is called rheumatology.”

Types of Rheumatic and or Arthritis “Like” disorders and syndromes.

1. Spondyloarthropathy(1) is any joint disease of the vertebral column.
2. Arthropathy is a disease of a joint(2).
3. Arthritus

We are going to focus on Arthritis(3) as a general syndrome which encompasses in one aspect or another of all these usually considered separate diagnosis.

Arthritis(4) is a form of arthropathy(5) that involves inflammation of one or more joints, while the term arthropathy may be used regardless of whether there is inflammation(6) or not.  (from Greek arthro-, joint + -itis, inflammation; plural: arthritides) is a form of joint disorder that involves inflammation of one or more joints. There are over 100 different forms of arthritis(7). The most common form, osteoarthritis(8) (degenerative joint disease), is a result of trauma to the joint, infection of the joint, or age. Other arthritis forms are rheumatoid arthritis(9), psoriatic arthritis(10), and related autoimmune diseases(11). Septic arthritis(12) is caused by joint infection(13). There are more than 100 identifiable types of Arthritus(14).

The major complaint by individuals who have arthritis is joint pain(15). Pain is often a constant and may be localized to the joint affected. The pain from arthritis is due to inflammation that occurs around the joint, damage to the joint from disease, daily wear and tear of joint, muscle strains(16) caused by forceful movements against stiff painful joints and fatigue(17).

In conventional western Allopathy, these able referenced conditions are seen to all be distinctive and in many way unrelated pathological conditions with often entirely unique and different treatment protocols. Good examples would be “Spondyloarthopathy” and “Edema “ or “Eschemia”.

What is SomaVeda® Thai Yoga? (Thai Traditional Medicine/ Thai Traditional Massage)

In Thai language it’s called “Ryksaa Thang Nuad Phaen Boran Thai”
The ancient Thai spiritual way of healing by “laying on hands” to manifest the spiritual energy of the heart in a practical way. It is also called ” The Practical Expression of Loving Kindness”.

What are the primary therapeutic outcomes of indigenous based SomaVeda® Thai Yoga therapy?

1. To repair, restore and strengthen connection, communication & awareness between the individual and spirit or oneness with themselves and with innate intelligence.
2. To share and realize “Promiiwihan Sii“:  Four boundless, unlimited or divine states of mind.
3. To bring energy, attention, consciousness, breath & pressure to bear on the entire person (spiritual, emotional, mental, physical)
4. To promote homeostatic and homeo-dynamic equilibriums between mind, body and spirit.
5. To support spiritual growth, health and well-being.
6. To promote wellness and to alleviate pain and suffering.

SomaVeda® Thai Yoga Offers Relief From Arthritis

However the approach is quite different.

Indigenous, Traditional approaches such as in Traditional Thai Medicine/ Thai Yoga Approach

From the traditional native perspective all of the above Rheumatic and or Arthritic conditions and or diseases and individual related syndromes are actually considered all part of the same syndrome. An imbalance of the Tri-Dosha and or Elements which make them up. Therefore, the energetic and elemental imbalances are addressed first as primary concerns and the emotional/ psychological and finally physical symptoms are addressed last.  Regardless of starting point for the purposes of treatment logistics the end result is a restoration of a more balanced state, functional capacity and reduction in inflammation and pain(30), (31), (32) .

Indigenous and Traditional Thai Yoga is based on Classical Indian Ayurveda and Indigenous traditional Hill Tribe medicine principles.

This classic Ayurvedic Dosha syndrome would first be seen as an imbalance  of the primal elements: Air Fire, Water , Earth (Thaat Thang Sii Thai Lang.), then as an overall either deficiency in energy (Prana and Digestive fire: Agni) and or build up and excessive toxins (Ama Mala) in the whole person or both.

There is not one single form of these various Dosha syndromes, there are three!

In many ways either directly or indirectly indigenous and traditional treatment protocols may address all of the different types of Arthritus, Spondylarthropathy as well as concomitant and or correlative symptomologies  of edema, ischemia, inflammation, infection, autoimmune compromise via the adjunct inclusion of herbal based remedies and medicines. The actual regimens are passed down through the generations both through formal institutional practices and standardized education as well as through less rigid oral and familial customs often for many generations.

In Ayurveda, imbalance of the Dosha, are caused by excesses in a persons lifestyle, diet and or emotional pattern (Unresolved Old Negative Emotions… We call NEMO’s), then the primary affected Dosha slows down the “Agni” (Digestive Fire), resulting in the toxic by-product of inadequate digestion known as “Ama”.

Three Types of Dosha “Arthritis”(18)

Vata: If arthritis is due to Vata, your joints will crack and pop. They become dry and are not swollen as they may be if excess Vata is not the cause. We will consider this as “non-inflamatory” a variant of Osteoarthritus.

Pitta: The arthritis is characterized by inflammation. The joint becomes swollen and is painful even without movement. It often looks red and feels hot to the touch.

Kapha: In Kapha-type arthritis, the joint also becomes stiff and swollen, but it feels cold and clammy rather than hot. A little movement, rather than aggravating the pain, tends to relieve it.

There are two kinds of Dosha states that we look at.
A) Prakruti or Original/ fundamental Body type. (Genetic predisposition)
B) Vikruti: Pathological Dosha or Dosha (What’s out of balance)

In treatment we first determine Prakruti and then balance the Vikruti. Prakruti never changes, Vikruti or the difference indicating the current harmony or balancing between all the Dosha constantly changes.

How do we determine the Vikruti or the Dosha to bring correction to?  Through a variety of means. Traditionally by direct observation, taking of the Pulse (Nadi Vignyan), plus several other assessment methods.

Depending on the Vikruti Dosha indicator, the treatment / session emphasis will change.

General Treatment of Arthritis Addressing any or all Dosha.

Depending on a person’s lifestyle, diet, and emotional pattern, either Vata(19), Pitta(20), or Kapha(21) goes out of balance. Then that particular dosha(22) slows down Agni(23) (digestive fire), resulting in the toxic, sticky by-product of inadequate digestion known as Ama(24).

Vata, the main active or naturally active Dosha, brings the Ama into the colon, and from there it travels through the system and lodges in the bone tissue and in the joints, giving rise to the stiffness and pain characteristic of arthritis.

Ayurveda attempts to remove the Ama from the joint and bring it back to the colon, and then to eliminate it. To do this, we need to keep the colon clean. It is best to determine the type of arthritis and manage it for the remedies recommended for the specific type. If you do not know whether the arthritis is Vata, Pitta, or Kapha arthritis, take 1 teaspoon Triphala at night with 1/2 to 1 cup warm water. (Herbs: Harada, Amla and Bihara: General purgative and tonic at the same time. Considered a remedy)

If you know positively which type it is, you can use the following for the specific Dosha: (Dosage: 1/2 to 1 teaspoon with warm water)

Vata – Haritaki for vata-type arthritis:  (Harada: having a bitter flavor, is associated with the vata humour and with elemenst of well air and space. It treats imbalances and diseases of the vata humour. Harada possesses laxative, astringent, lubricant, antiparasitical, alterative, antispasmodic and nervine properties. It is therefore used to treat acute and chronic constipation, nervousness, anxiety and feelings of physical heaviness.

Among Tibetans, Harada is so highly revered for its purifying attributes that it is the small fruit that is depicted in the hands of the “medicine Buddha” in their sacred paintings or tankas. Of the three fruits, Harada is the most laxative and contains anthroquinones similar to those found in rhubarb and cascara(27)

Pitta –  Amalaki for pitta-type: ( Amla: has a sour flavor and corresponds to the pitta humour and the fire element in Ayurvedic medicine. It is a cooling tonic, astringent, mildly laxative, alterative, antipyretic. It is used to treat fire imbalances that include ulcers, inflammation of the stomach nd intestines, constipation, diarrhea, liver congestion, eruptions, infections and burning feelings throughout the body. In various studies, Amla has been shown to have mild anti-bacterial properties, as well as pronounced expectorant, anti-viral and cardiotonic activity.

Amla is the highest natural known source of vitamin C, having 20 times the vitamin C content of an orange. The vitamin C in Amla is also uniquely heat stable. Even when subjected to prolonged high heat, as in the making of the Ayurvedic tonic formula called Chyavanprash (Amla, as the primary herb comprises 50% of the formula), it loses hardly any of the vitamin C that was present when it was freshly harvested off the tree. The same is true of Amla that has been dried and kept for up to a year. This age and heat stable form of vitamin C that Amla possesses is due to the presence of certain tannins that bind and inhibit its dissipation. (Michael Tierra: http://www.planetherbs.com/specific-herbs/the-wonders-of-triphala.html )

Kapha – Bibbitaki for kapha-type arthritis: ( Bihara is astringent, tonic, digestive and anti-spasmodic. Its primary flavor is astringent and the secondary is sweet, bitter and pungent. It targets imbalances associated with the kapha or mucus humour, corresponding to the earth and water elements in Ayurvedic medicine. Specifically Bihara purifies and balances excess mucus, treats asthma, bronchiole conditions, allergies and hiccoughs.) (Michael Tierra: http://www.planetherbs.com/specific-herbs/the-wonders-of-triphala.html )

Ayurveda recommends general techniques for increasing the intensity of the digestive fire (agni) in order to burn up the toxins that are harming the body.

• Use of selected foods and herbs: Hot, spicy foods and herbs, including galangal and cayenne are frequently used.
• Detoxification diet: A three- to five-day detoxification diet is often prescribed. Vegetables, juices, spices and herbs are taken during the fast, which lasts until the body shows signs that the digestive fire is burning strong. These signs include a return of the appetite, a feeling of lightness and a clear coating to the tongue.
• Use of Enemas/ Cleaning Colon:  Enemas, Bowel Cleansing and other means of cleaning the colon are often used to help detoxify the body and specifically protect and support liver function.
• Gemstone Therapy: Ruby, garnet or other “hot” gems set in gold are used for all three types of arthritis.
• Use of herbal, medicinal or essential oils: Various oils may be applied to the skin in order to help the body clear toxins, relieve pain and restore mobility.
  Mahanarayan oil (See Appendix) improves flexibility, stiffness, muscle fatigue, and removes pain. It is mixed with sesame oil (1:1) and applied to the painful areas. This oil also breaks up blockages and begins to heal locally. After oil application, warm heat, yoga, bath, or mild exercise further improves this situation.
  Narayan oil (See Appendix) is good for muscle and joint pain, lower body circulation, and reversing imbalances caused by aging.
  Avipattikar churna (See Appendix) is good to ingest for rheumatism.
• Heat Therapy (Lightening Therapy): The patient may be asked to sit in a sauna, or may have steam applied directly to the afflicted areas. Modern Ayurveda may use adjuncts for heat therapy such as Far-Infrared Light (Photo-biomodulation) and or Nuad Prakhop Samun Praii  (Thai Lang.) (Steamed Herbal Compress Poultice or Balls) (See Appendix)
• Use of herbs, spices and bitters:  A variety of herbs, spices and bitters are used in Ayurveda. These are often applied externally or ingested. These are believed to cleanse the body and to relieve pain and stiffness. Mint, ephedra, golden seal, gentian, nirgundi (Vitex negundo) , eucalyptus leaves, prasarini (Arrow-leaf Morning Glory, African Morningvine), quassia ( Amargo, Bitter-ash, Bitter-wood), coptis (Goldthread or Canker Root), scute ( Chinese Skullcap/ Huang Qin), phellodendrom, aloe, guggul ( Indian myrrh tree), du huo (Angelica Root), ligusticum (Plum Flower: Chuan Xiong Cha Tiao), Siberian ginseng, myrrh, and yucca are some of the herbs used.

General Treatment for Specific and Targeted Dosha Imbalance
Treating Vata-type arthritis

• Diet: In addition to the general treatment, Vata-type arthritis responds well to a three- to five-day detoxification diet and an anti- Vata balancing diet(26). This diet includes warm, heavy and moist foods that give one strength.
• Herbs, Essential Oils: Take yogaraj guggulu (See Appendix), 1 tablet 3 times per day. it cleanses bone tissue, strengthens bones, and improves flexibility.
• Take 1/2 to 1 teaspoon Haritaki(27) with warm water
• Apply Mahanarayan oil on the affected joint, followed by application of local moist heat. For example, apply the Mahanarayan oil into the affected joint, rub it into the skin, and then soak your foot in warm to bearably hot water. Add a “teabag’ of brown mustard seeds to the water. (Wrap 2 tablespoons of mustard seeds in a handkerchief or cheesecloth to make the tea bag.)
• Castor oil or Triphala (See Appendix)  help keep the colon cleansed.
• Hatha Yoga: Helpful yoga postures: Forward Bend, Chest-Knee pose, Maha Mudra, Half Bridge pose

Treating Pitta-type Arthritis
Pitta arthritis often has more pain and inflammation associated with it than other types. In addition to the general treatment, Pitta-type arthritis responds well to a five- to seven-day detoxification diet and an Pitta Balancing(28) diet. Specific herbs for Pitta arthritis include guggul, sandalwood, aloe, saffron and chaparral. Apply ice packs on the inflammed part to quell the “fire.”

• Diet: The anti-Pitta/ balancing diet (28) consists of cool, slightly dry, and heavy foods.
• Useful Ayurvedic Herbal Formulas
• Take 1 tablet of kaishore guggulu (350 mg.) 3 times a day
• 1/2 teaspoon Maha sudarshan (Appendix) twice a day, washed down with warm water.
• Brahmi and sandalwood oils (mixed together) are very beneficial
• Other useful herbs:
• Musta and nirgundi relieve pain.
• Miscellaneous: Externally, apply cool castor oil or coconut oil to the painful area.
• Apply a cooling substance, such as sandalwood powder paste to the affected part. Make the paste by taking 1 teaspoon of sandalwood powder and adding sufficient water to make a paste. Rub it gently onto the joint.
• If the joint is hot and inflamed, put an ice-bag on it. This will help to ease the pain and inflammation.
• Hatha Yoga: Helpful yoga postures: Boat, Rams Bow, Camel, Cow, Locust, Moon Salutation
• Perform Shitali Pranayama, as follows: 
Make a tube of your tongue. Breathe deeply through your mouth down into your belly. Hold the breath for a few seconds, then exhale through your nose. Do about 12 repetitions.

Treating Kapha-type Arthritis

Arthritis is classified as Kapha when the joint is painful, swollen, stiff, and feels cold and clammy to the touch.

• Diet(29): In addition to the general treatment, Kapha-type Arthritis responds well to a one- to two-week detoxification diet. The Kapha(29) balancing diet is light, dry and warm. Avoid cold, oily, and heavy foods.
• Herbs: Pure Guggul is best for this condition.
  Punarnava guggulu (Appendix) tablets (250 mg.). Take 1 tablet 3 times a day.
• Apply a paste of Vacha (calamus root) powder externally to the joint. To make the paste, add sufficient warm water to 1 teaspoon of powder to make a paste.
• If the joint fills with fluid, make an paste of equal amounts of Punarnava powder and ginger powder. Mix 1 teaspoon of each with enough warm water to form a paste, and apply on the joint.
  Hot herbs are also helpful, such as cinnamon, dry ginger, turmeric, trikatu (Zingiber officinale)**, Black Pepper (Piper nigrum)**, Pippali (Piper longum).
• Musta (Cyperus rotundus) and Nirgundi (Vitex negundo Linn) to relieve pain.

Yoga Therapy  (Facilitated Yoga with all therapeutic adjuncts: SomaVeda® Thai Yoga(25))

Benefits of Indigenous, Traditional Thai Yoga:

The diversity of movements provided in the extremities and the overall relaxed state the patient achieved before the adjustment, all of which amplified the adjustment and lengthened its effect.

The amplifying effects of Thai Yoga on manual adjustments or corrections have been noted, but in addition to its effect on the patient, it is also beneficial to the physician. Thai Yoga helps a physician with:

1. Complete ROM (Range of Motion) analysis. The movements of Thai Yoga activate each joint into a full, passive range-of-motion and orthopedic analysis.
2. Flexibility differentiation. The imbalances in the axial skeleton including spine and extremities, as well as the paraspinal muscle tensions are easily and specifically differentiated.
3. Unpredicted pain elicitation. As is often the case, symptomatic pain in one area of the body is paired with remote imbalances; a patient can come in with subjective neck pain and realize upon orthopedic testing of the lower extremity that pain is likewise elicited in the low back—often a surprise to the patient.
4. Pain Relief
5. Relaxation of joints and periphery in general. Pre-correction preparation. As already mentioned, DeJarnette insisted on this before spinal manipulation. Traditional session may be perfect adjunct or corollary therapy pre and post corrective adjustment in the Chiropractic, Osteopathic or other systems of osseous sublimation corrective manipulation.
6. “Issues” in the tissues. Each region of the patient’s body has its own history, and Thai Yoga Therapeutic Asana/ Yoga stretches often remind the patient or bring out new insights as to his/her somatic history—insights not recalled during the initial interview.
7. More effective and longer lasting pain relief than OTC medications with no side effects.
8. Finally, and most important for me, it is good for the practitioner. Thai Yoga requires the therapist to kneel, squat, stand and lunge. It adds more variety to our body mechanics than the usual habits of chiropractic practice: standing and bending at the waist. One strengthens oneself while one treats another. The energy exchange is mutually relaxing and centering.

Helpful Personal Yoga Postures (Hatha Yoga emphasis): Tree, Triangle, Forward Bend, Spinal Twist

Thai Reishi Hand Yoga:  Aachan Anthony B. James has taught these hand yoga poses and movements since 1978. Thai Reishi Hand Yoga Vinyassa. Reishi Hand Yoga is a derivative ancient work consisting of 108 Yoga Asana or postures which are primarily done with the hands and arms. The postures focus on the Microcosmic orbit of the bodies energy and Chakras 4 and 5. All of the arms and hand meridians and Prana Nadi are energized and balanced. This work may correct and balance the harmful effects of injury, trauma and repetitive stress causing deterioration of the hands, arms and joints including wrist, elbow and shoulder.

Circulation of breath, Prana and Chi is enhance as well as all other forms of ManoVaha nadi such as blood, lymph and interstitial fluids. Reduces and or eliminates harmful swelling and edema in the extremities. Reishi yoga is a complete system of energy balancing and wellness enabling techniques opening the hands to be the perfect expressions for compassion and loving kindness. Those individuals suffering from hand, arm and shoulder conditions such as Carpal Tunnel Syndrome, Tennis Elbow, Arthritis and Frozen Shoulder will be especially benefited.

Appendix
Avipattikar Choorna: ingredients – 10 grams of each of Trikatu – pepper, long pepper and ginger, Triphala , Haritaki – Chebulic Myrobalan fruit rind – Terminalia chebula,  Vibhitaki – Belliric Myrobalan fruit rind – Terminalia bellirica,  Amalaki – Indian gooseberry fruit – Emblica officinalis Gaertn,  Musta – Nut grass (root) – Cyperus rotundus,  Vida Lavana – Vida salt,  Vidanga – False black pepper – Embelia ribes,  Ela – Cardamom – Elettaria cardamomum,  Patra – Cinnamomum tamala

Kaishore Guggulu: Ingredients: Guggol (Commiphora Mukul), Haritaki (Terminallia Chebula), Bibhitaki (erminallia Bellerica), Amla (Emblica Officinalis), Guduchi (Tinospora Cordifolia), Ginger (Zingiber Officinalis), Black Pepper (Piper Nigrum), Vidanga (Embelia Ribes), Nisoth (perculina Turpethum), Dantimool (Baliospermum Montanum), Pippali (Piper Longum).

Maha Sudarshan Compound: Ingredients: (Chireta herb (Swertia chirata), Cinchana (Cinchona officinalis ), Amalaki fruit (Emblica officinalis), Haritaki (Terminalia chebula ), Kutki root (Picrorhiza kurroa), Guduchi herb (Tinospora cordifolia), Musta root (Cyperus rotundus), Deodara (Cedrus deodara ), Chitrak root (Plumbago zeylanica), Turmeric root (Curcuma longa), Neem leaf (Azadirachta indica), Kutaja bark (Holarrhena antidysenterica), Pushkarmula root (Inula racemosa), Tree turmeric (Berberis aristata), Ushira root (Vetiveria zizanoides), Kantakari (Solanum xanthocarpum), Atis root (Acotinum heterophyllum), Pippali fruit (Piper longum), Ginger root (Zingiber officinale), Black Pepper fruit (Piper nigrum), Sandalwood (Santalum album), Tvak (Cinnamonum zeylanicum), Shalaparni root (Desmodium gangeticum), Calamus root (Acorus calamus), Licorice root (Glycyrrhiza glabra), Kaliyaka (Cosinium fenestration), Dhanvysa (Alhagica melorum),Karkatakaswingi (Pistacia intergerring), Parpata(Fumaria parviflora), Trayamana (Gentiana kurroa), Balake (Colcus orttiverioides), Shati (Hedyclium spicatum), Murva (Marsdenia tenacissima), Shigru (Moringa obifers), Shatavari (Asparagus racemosus), Padmaka (Prunus cerasoides), Sarala (Pinus roxburghi), Yavami (Trachyspermum ammi), Bilva (Aegle marmelos), Latola (Trichosanthes diocia).) (Properties and Uses: Bitter, pungent, anti-pyretic, alterative, and anti-periodic. Traditionally used in Ayurveda to treat excessive “Pitta,” such as chronic febrile diseases, weak digestion, enlargement of the liver and spleen, liver problems in general, constipation, and back pain. It is also applied externally to help treat impetigo contagiosa. Supports detoxification.)

Mahanarayan Oil: Ingredients: Sesame oil**, Dashamula**, Shatavari (Asparagus racemosus )**, Camphor Oil, Manjista (Rubia cordifolia )**, Arjuna (Terminalia arjuna )**, Ashwagandha (Withania somnifera)**, Bala (Sida cordifolia )**, Punarnava (Boerhaavia diffusa)**, Fennel (Foeniculum vulgare )**, Musta (Cyperus rotundus)**, Neem (Azadirachta indica)**, Valerian (Valeriana officinalis )**, Turmeric (Curcuma longa )**, Vidanga (Embelia ribes)**, Anantamul (Hemidesmus indicus)**, Bhumyamalaki (Phyllanthus amarus)**, Brahmi (Centella asiatica)**, Calamus (Acorus calamus)**, Cardamom (Elettaria cardamomum)**, Clove (Caryophyllus aromaticus)**, Ginger (Zingiber officinale)**, Guduchi (Tinospora cordifolia)**, Licorice (Glycyrrhiza glabra)**, Mineral Salt, Tulsi (Ocimum sanctum)**.

Narayan Oil:  Ingredients: Clove Bud Essential Oil (Eugenia caryophyllus), Eucalyptus Essential Oil (Eucalyptus globulus), Peppermint Essential Oil (Mentha piperata), in a Sesame Oil Base

Punarnava guggulu: Ingredients: (Boerhaavia diffusa), Eranda root** (Ricinus communis), Guggulu resin (Commiphora mukul), Ginger root** (Zingiber officinale), Nishoth root** (Operculina turpethum), Guduchi stem** (Tinospora cordifolia), Haritaki fruit** (Terminalia chebula), Bibhitaki fruit** (Terminalia belerica), >), Amalaki fruit** (Emblica officinalis), Black Pepper fruit** (Piper nigrum), Pippali fruit** (Piper longum ), Chitrak root** (Plumbago zeylanica), Bhallataka herb** (Semecarpus anacardium), Danti root** (Baliospermum montanum).

Triphala: Ingredients: (fruits of Emblica officinalis, Terminalia chebula and Terminalia bellerica)

Yogaraj Guggulu: Ingredients: Guggulu resin (Commiphora mukul), Musta root (Cyperus rotundus), Chitrak root (Plumbago zeylanica), Amalaki fruit (Emblica officinalis), Bibhitaki fruit (Terminalia belerica), Haritaki fruit (Terminalia chebula), Pippali fruit and root (Piper longum), Ajowan seed (Carum copticum), Vidanga fruit (Embelia ribes), Gokshura fruit (Tribulus terrestris), Black Cumin seed (Nigella sativa), Ajamoda seed (Trachysspermum roxb.), Cumin seed (Cuminum cyminum), Deodara herb (Cedrus deodara), Chavya herb (Piper cubeba), Cardamom seed (Elettaria cardamomum), Rasna herb (Pluchea lanceolata), rock salt, Coriander seed (Coriandrum sativum), Ginger root (Zingiber officinale), Black Pepper fruit (Piper nigrum), Cinnamon bark (Cinnamomum zeylanica), Ushira herb (Vetiveria zizanoides), Yavakshar (Hordeum Vulgare), Talisa leaf (Abies webbiana), Tejpatra herb (Cinnamomum tamala).

Bibleography and References
(1) Spondyloarthropathy (http://en.wikipedia.org/wiki/Spondyloarthropathy)
(2) Disease of a joint ( http://en.wikipedia.org/wiki/Joint_disease)
(3) Arthritus (http://en.wikipedia.org/wiki/Arthritis)
(4) Arthritus (http://en.wikipedia.org/wiki/Arthritis#cite_note-1)
(5) Arthropathy ( http://en.wikipedia.org/wiki/Joint_disease#cite_note-2, http://en.wikipedia.org/wiki/Joint_disease#cite_note-3)
(6) Inflammation (http://en.wikipedia.org/wiki/Inflammation)
(7) Over One Hundred types of Arthritus (http://en.wikipedia.org/wiki/Arthritis#cite_note-3, http://en.wikipedia.org/wiki/Arthritis#cite_note-4 )
(8) Osteoarthritis (OA) also known as degenerative arthritis or degenerative joint disease or osteoarthrosis (http://en.wikipedia.org/wiki/Osteoarthritis)
(9) Rheumatoid arthritis (RA) (http://en.wikipedia.org/wiki/Rheumatoid_arthritis)
(10) Psoriatic arthritis (also arthritis psoriatica, arthropathic psoriasis or psoriatic arthropathy) (http://en.wikipedia.org/wiki/Psoriatic_arthritis)
(11) Autoimmune Disease ( http://en.wikipedia.org/wiki/Autoimmune_disorder)
(12) Septic Arthritus ( http://en.wikipedia.org/wiki/Septic_arthritis)
(13) Infection ( http://en.wikipedia.org/wiki/Infection)
(14) What is Arthritus? (http://www.healthline.com/health/arthritis#Overview)
(15) Arthralgia: Non Inflammatory Joint Pain (http://en.wikipedia.org/wiki/Joint_pain)
(16) Strain Injury (http://en.wikipedia.org/wiki/Strain_%28injury%29)
(17) Fatigue (http://en.wikipedia.org/wiki/Fatigue_%28medical%29)
(18) There Types of Arthritus in Ayurveda (http://holisticonline.com/remedies/Arthritis/arth_ayurveda.htm)
(19) Vata Dosha (http://holisticonline.com/ayurveda/ayv-vata-characterisitics.htm)
(20) Pita Dosha (http://holisticonline.com/ayurveda/ayv-pitta-characteristics.htm)
(21) Kapha Dosha (http://holisticonline.com/ayurveda/ayv-kapha-characteristics.htm)
(22) Concept of Dosha (http://holisticonline.com/ayurveda/ayv-basis-tri-dosha.htm)
(23) Agni: Digestive Fire (http://holisticonline.com/ayurveda/ayv-key-agni.htm)
(24) Ama (Mals’s, Waste products) ( http://holisticonline.com/ayurveda/ayv-key-ama.htm)
(25) Images of Thai Yoga Ayurveda (http://www.ThaiYogaCenter.Com)
(26) Vata Balancing Diet (http://holisticonline.com/ayurveda/ayv-vata-food-plan.htm)
(27) Haritaki (Michael Tierra: http://www.planetherbs.com/specific-herbs/the-wonders-of-triphala.html)
(28) Pitta Balancing Diet (http://holisticonline.com/ayurveda/ayv-Pitta-food-plan.htm)
(29) Kapha Balancing Diet (http://holisticonline.com/ayurveda/ayv-kapha-food-plan.htm)

(30) Thai Yoga offers better pain relief for Osteoarthritis than OTC Remedies

(31) Thai Massage, and Thai Herbal Compress versus Oral Ibuprofen in Symptomatic Treatment of Osteoarthritis of the Knee: A Randomized Controlled Trial

(32) Addressing Chronic Pain with Thai Yoga supported by Scientific Review

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All Information about Thai Traditional Medicine Sen Lines is provided as an opinion for educational purposes only and not intended to be used for any therapeutic purpose, neither is it intended to diagnose, prevent, treat or cure any disease. It is not intended as a substitute for competent medical advise regarding any medical condition. Please consult a health care professional for diagnosis and treatment of medical conditions. While all attempts have been made to ensure the accuracy of this information. The author and ThaiMassage.Com does not accept any responsibility for any errors or omissions.

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This article about Thai Traditional Medicine Sen Lines is presented solely as an opinion for educational purposes and is not intended as a substitute for competent medical advise regarding any medical condition. Please see your physician or competent medical professional when considering any treatment for any disease.