Knowledge Base


by Dr Vaid Ji on Sep 27, 2023


Ankylosing spondylitis is a chronic inflammatory disease of axial spine also known as axial spondyloarthritis which causes some of the bones of vertebrae to fuse. In this disease there is a characteristic involvement of spine, sacroiliac joints, peripheral joints, digits and entheses.

One of the first signs of AS is inflammation of sacroiliac joints located between the base of spine and pelvis. This inflammation then further spreads in the spine. This over the time can result in fusing of bones and thus making the spine less flexible , resulting in hunched posture. If ribs are involved it can cause difficulty in breathing deeply.

It's symptoms typically begin in early adulthood and can range from severe to milder symptoms that come and go.  Sometimes extraarticular manifestations of AS result in IBS, acute anterior uveitis and psoriasis. It is also associated with increased risk of cardiovascular disease probably due to systemic inflammation.


About 95% people with AS have a variation of HLA-B gene which produces HLAB-27 protein that increases the disease risk. Although all people with mutated HLA-B gene don't get AS.

Most commonly affected areas are sacroiliac joint, lower back vertebra, hip and shoulder joints or sometimes hip and shoulder joints.

 Symptoms may typically appear between the ages of 17 and 45 but may develop in younger children and older adults. The symptoms may flare up or go into remission and you may experience:

  • Lower back pain and stiffness
  • Hip, joint and neck pain
  • Difficulty in breathing
  • Tiredness
  • Loss of appetite and weight loss without any other cause
  • Pain in abdomen
  • Diarrhea
  • Vision problems


In Ayurveda its corelated with amavata which can be prishtagata, katigata or greevagata amavata. Amavata is usually associated with RA but can be related to a number of other painful conditions like AS also.

In ama vata vitiated doshas get lodged in triksandhi following which they create stiffness.

Ayurveda pacifies the aggrevated doshas via panchakarma therapies. Virechan and vasti chikitsa are of particular importance. Baluka sweda, dhanyamla dhara, churna pinda sweda, patra pinda sweda are also vey useful accessory procedures.





1. Pain – O – Kill tablet

These are the herbal tablets made up of Jyotishmati (Celastrus paniculatus), Devdaru (Cedrus deodara), Rasna (Pluchea lanceolata), etc. The tablet is very beneficial in reducing stiffness, pain, tenderness, etc. CAC Pain o kill tablet is ayurvedic and purely herbal formulation. It help to relax your muscles and muscles cramps thus relieving pain. It balances all the three doshas of your body thus maintaining proper blood circulation. It provides soothing effect to the affected area of pain. It contains various herbs like Jivanti, Musta, Usher, Bilwa, Shatavri  and Kantakari. All these herbs are natural pain relievers.

Recommended Dosage – Take 1 tablet twice daily with normal water.


2. Trikatu Syrup

Trikatu syrup is considered as the best Ayurvedic remedy in pacifying the Vata Doshas and has amazing results in curing this condition. TRIKATU SYRUP is purely Ayurvedic formulation made up of three herbs. CAC Trikatu Syrup helps to eliminate excess Kapha or mucous from the body, supports respiratory system, manages weight, helps to take out impurities or ama from the body, supports healthy detoxification, reduces swelling. It shows anti-inflammatory, analgesic, expectorant, antioxidant properties.  This syrup is made up of equal parts of three herbs such as Pippali (Piper longum), Shunthi (Zingiber officinale), & Marich (Piper nigrum) that maintains the metabolism in the body. It is an Appetizer and it improves digestion, supports normal gastric function, and normal circulation.

Recommended Dosage – Take 2 teaspoonful twice daily.


3. Pain – O – Kill Syrup –

In ankylosing spondylitis, a patient has to suffer from tenderness, severe pain, etc. The syrup plays the best role in reducing such types of symptoms because it contains various vata pacifying herbs such as Shudh guggulu, Ashwagandha, Nirgundi, Hadjod, etc. that acts as an anti-inflammatory, anti-oxidant, & analgesic in nature.

Recommended Dosage – Take 2 teaspoonful twice daily.


4. Rasayan Vati –

Rasayan vati is herbo-mineral Ayurvedic formulation which contains various herbs such as Aswagandha, Shilajeet, Amla, Kesar, Musali, Shatavar, Brahmi , Swarn Makshik Bhasam, Yashad Bhasam, Mukta pisti, Praval pisti, Jaiphal, Vang Bhasam, Aswagandha, Dalchini, Javitri, Gokhru, Kaunch Beej, Shilajeet, Saunth, Mirch, Pipli, Amla, Kesar, Manjith, Anant Mool, Brahmi, Musali, Shatavar, Swarn Vang, etc. These ingredients show antioxidant, anti-inflammatory, antipyretic, analgesic, immune- modulator properties. These tablets provides good results in General debility, Psychological disorders, and improves immunity.

Recommended Dosage – Take 1 tablet twice daily.


5. Vata Tablet

Vata balance tablet is a rejuvenating blend of herbs is specially formulated to balance Vata doshas without aggravating Pitta or Kapha doshas. It may be used to support overall health and well-being by Vata constitutions with or without food. For those with a dual constitution that includes Vata or a tridoshic constitution, it is an excellent formula for the Vata season, which in most parts of the world is autumn and early winter.

Recommended Dosage – Take 1 tablet twice a day with normal water.


6. Nerve up tablet –

Nerve up tablets help in balancing the vata dosha and reduces kapha dosha, and acts as nervine stimulant. It shows effective results in improving the central nervous system. It contains natural ingredients like shudha kuchala, shudha shilajeet,  praval pishti, shankh bhasma etc. This tablet helps in the symptoms related to Allergy, ankylosis spondylitis.

Recommended Dosage – Take 1 tablet twice daily.


7. Pain – O – Kill Oil –

This is for external application that shows instant relief in pacifying severe pain, tenderness, redness, swelling, etc. The oil is made up of Rasna (Pluchea lanceolata), Kushtha (Saussurea lappa), Vatsnabh (Aconitum ferox), etc. Pain o kill oil is ayurvedic and purely herbal formulation. It helps to relax your muscles and muscles cramps thus relieving pain. It balances all the three doshas of your body thus maintaining proper blood circulation. It provides soothing effect to the affected area of pain.

Method of application – Apply over the affected area twice daily.