Case Studies

Kameshwar Modaka An Aid in the Management of Fibromyalgia

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Fibromyalgia is characterised by widespread muscular pain, stiffness, and tenderness. The patient mostly does not have an idea causing them discomfort. To relieve their pain, they often try a variety of treatments. The ayurvedic treatment for fibromyalgia is quite specialised and scientific. In Ayurveda fibromyalgia is an imbalance of energy inside the body and psyche rather than a sickness.

The symptom of fibromyalgia is pain and the pain is mild to extreme. Women, in general, get more severe symptoms. The symptoms shown by women are feeling fatigue, lethargic than males. Period pain and IBS symptoms are also prevalent complaints. Ayurvedic therapy for fibromyalgia is based on which doshas are most impacted and is evaluated through signs and symptoms.

In nutshell, when the digestive fire or agni don´t work adequately, this impacts the functioning of normal physiological body processes. This results in the resemblance of the idiopathic condition called Fibromyalgia.

Case Description

A female in her late 30’s came with the complaint of chronic type of body pain spread all over her body without any underlying pathology. Other complaints she had were troubled premenstrual symptoms (PMS) such as disturbed sleep patterns, severe mood swings and lack of willpower to do any active cores be it household or at work. Her condition got worsened during the winter months primarily complaining of cold hands and feet. She also had complaints of low libido or no interest in performing any sexual act with her partner during cold months.

Physical Examination

Examination criteria to assess Fibromyalgia: Widespread musculoskeletal pain index (WPI >7) Stiffness and/or tenderness throughout the body Fatigue Mood disturbances (e.g. depression, anxiety and stress) Cognitive difficulties or Fibro-fog (e.g. trouble concentrating, forgetfulness, and disorganized thinking)


Fibromyalgia is a chronic disease that predominantly affects the musculoskeletal system, resulting in widespread pain, sleeplessness, tiredness, memory loss, and despair. It is induced by the brain and spinal cord amplification of pain impulses.

As modern medications have a limited role in the management of fibromyalgia, patients prefer to use alternative medicine as well as non-pharmacologic modalities. This provides long-term disease management, such as the Ayurvedic system of medicine in conjunction with exercise, behavioral, and educational interventions.


The major reasons for people suffering from fibromyalgia are the aggravation of Vata Dosha or the buildup of ama (toxins). Since the patients suffer symptoms such as weak digestion, constipation, as well as prolonged stress, the therapy of fibromyalgia is largely a Vata vyadhi condition, it focuses on both Vata Shamana (re-balancing) and Samshodhana (purification), as well as Ama control.

Kameshwar modaka is a time-tested herbal medication that improves human  performance, stamina, and endurance. It contains bhanga or cannabis, making it a popular remedy for re-energizing sexual life as well as working as an anti-ageing and aphrodisiac. Cannabis acts by enhancing the subjective experience of sexual experiences.


Patient-reported significant pain relief and stiffness in the first 15 days. After 15 days same medicinal treatment was prescribed along with Gokshura and to stop Saptavishati guggul. Then Basti chikitsa was done for 14 days. It showed excellent results in his swelling and recurrence of pain.


The treatment was decided based on the predominance of vata. Vijaya has anti-inflammatory and analgesic properties along with Deepan, pachan. The combination in Trailokya Vijaya Vati is vata-shamak, deepen paachan and potent analgesic so the drug is useful in painful etiologies. Rasnasaptak quath is neuroprotective properties and has an affinity towards muscular- skeleton system so it enhances vata shaman and relieving pain.

Maha Yograj Guggul is excellent vata shamak and Bruhan Kalpa and useful in musculoskeletal and joint pain. Gokshur helps to kledavahan (helps to reduce swelling). Basti is the best line of treatment for vata as it produces shodhana, shamanand brihan effects in the body.

Case Study by:  DR. BHUPESH

Published by: Hempstreet

Hempstreet is India's first and largest research to retail player in the medicinal cannabis space with a network of 60,000 ayurvedic practitioners across the country.

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