Rheumatoid Arthritis In Ayurveda

Rheumatoid Arthritis (known as Amavata in Ayurveda) is an autoimmune disease that causes chronic inflammation of the joints.

Autoimmune diseases are illnesses that occur when the body’s tissues are mistakenly attacked by their own immune system. Patients with autoimmune diseases have antibodies in their blood that target their own body tissues, where they can be associated with inflammation.

The joints affected by RA are usually hot, swollen and painful. Pain and stiffness often worsen after a period of rest.

Rheumatoid Arthritis Causes

  • Increased intake of indigestible
  • heavy and incompatible foods
  • having food at improper times
  • indigestion
  • intake of milk and milk products, especially yogurt
  • intake of meat of aquatic animals
  • lack of physical activity or doing exercise after having fatty foods

Pathology of RA

This ailment stems from the formation of endotoxins called “Aam’. “Aam’ is basically undigested and unassimilated food in our body. “Aam’ is formed due to the malfunctioning of the digestive system mainly due to

  • the intake of incompatible foods.

A classic example of incompatible foods (i.e. foods opposite in nature) would be

eating tomato ketchup with milk or radish with milk etc.

  • “Aam’ also results from leading an unhealthy lifestyle that promotes constipation.
  • Exercising soon after a meal
  • Mental tension and stress 

“Aam’ often gets deposited around joints and causes intense pain and hence Rheumatoid Arthritis. It is against this “aam’ that our immune system creates antibodies.

Rheumatoid Arthritis - Signs and Symptoms

The signs-

If you have 4 or more of these, then a case of Rheumatoid Arthritis is confirmed

  1. Morning Stiffness around joints for more than 1 hour.
  2. Swelling or Stiffness around three or more joints at the same time.
  3. Atleast one area, around the hand, wrist or finger is swollen
  4. Symmetric Arthritis – That is, same part affected by Arthritis on both sides of the body
  5. Rheumatoid factor — Positive.
  6. Erythrocytic sedimentation rate (ESR) is on the higher side in acute cases.
  7. Total leukocyte count (TLC) and differential leukocyte count (DLC) are also high.
  8. X-Rays of Hands and Wrists show Signs of Damage.

The symptoms-

  • Occurrence of unbearable pain with stiffness due to inflammation in joints.
  • The ailment often originates as pain and swelling of the middle finger in the hand. Soon it spreads to other fingers.
  • Very often similar joints of both hands and feet stiffen, ache and swell simultaneously.
  • The pain in the joints is acute in the morning and gradually subsides in a couple of hours after some physical movements.
  • Joint pains remain moderate during the day time and increase sharply at night once again.
  • The patient often feels heaviness, lethargy, mild fever and fatigue without effort.
  • Sleepiness during the daytime, insomnia at night,
  • Constant regurgitation in the stomach, flatulence and constipation

Rheumatoid Arthritis Treatment

Modern(Allopathic) Perspective--

The treatment of rheumatoid arthritis includes analgesics and non‐steroidal anti-inflammatory drugs (NSAIDs) for symptomatic relief.

The non‐biological disease‐modifying anti‐rheumatic drugs (DMARDs) (hydroxychloroquine, leflunomide, methotrexate, minocycline, sulphasalazine) are used to slow disease progress, induce remission, and improve quality of life.

Steroids are used for symptomatic relief, anti‐inflammatory actions, and to reduce joint damage.

Biological agents inhibit specific steps in inflammatory processes and include those that do not target tumor necrosis factor (TNF) such as abatacept, rituximab, and tocilizumab, and those that are anti‐TNF such as adalimumab, etanercept, infliximab, certolizumab pegol, and golimumab.

Indications for their use as monotherapy and in combination are detailed in the 2012 update of the 2008 American College of Rheumatology (ACR) recommendations, and in the guidance provided by the National Institute for Health and Clinical Excellence and the National Collaborating Centre for Chronic Conditions in the UK.

As per allopathic practitioners, there is no cure for RA. Medications can reduce inflammation in joints in order to relieve pain and prevent or slow joint damage. Occupational and physical therapy can help in protecting joints. If joints are severely damaged by RA, surgery may be necessary. Many drugs used to treat RA have potentially serious side effects.

However, till date no satisfactory modern medical management has been developed for this problem. Hence the management of this disease is merely insufficient in other systems of medicine and patients are continuously looking with a hope towards Ayurveda to overcome this challenge.

The Ayurveda perspective

RA cannot be correlated with one single disease entity in Ayurveda. The treatment protocol described here combines the treatments for Amavata and Vatarakta mentioned in the classical texts.

Conditions equivalent to rheumatoid and musculoskeletal diseases are described in detail in Charaka Samhita .

There are two schools of thought in Ayurveda regarding the diagnosis of rheumatoid arthritis

Madhava Nidana  and 

Ashtanga Hridaya.

 

Madhava Nidana (a treatise of diagnostic guidelines from the 9th century) describes a clinical condition known as ‘Amavata’ that is considered to be similar to rheumatoid arthritis .

The majority of Ayurveda practitioners consider Amavata to be equivalent to rheumatoid arthritis. 

Amavata is linked to the gut and is considered to be the result of the production of ‘ama’ (a toxic and pro‐inflammatory waste‐product of disturbed metabolism) and vitiated Vata dosha. 

According to this model, joints and soft tissues are affected by ‘ama’, produced in the gut due to weakened agni, food indiscretions, or disturbed ‘dosha’ equilibrium, resulting in inflammatory and obstructive processes.

This model of etiopathogenesis is depicted in Figure below-

According to Ayurveda–In general people with Vata prakriti are more prone to develop joint diseases with severe pain.

    In Ashtanga Hridaya, another ancient compendium of the Ayurvedic system, the clinical condition considered similar to rheumatoid arthritis is called Vatarakta . 

A smaller proportion of Ayurveda practitioners, particularly those from states in southern India, consider Vatarakta to be equivalent to rheumatoid arthritis, while those who consider Amavata to represent rheumatoid arthritis equate Vatarakta with gouty. 

Vatarakta is considered to be the result of faulty lifestyle and dietary habits that lead to vitiated Rakta and aggravation of Vata that further aggravates the vitiated Rakta, leading to Vidhana in the blood (similar to inflammation). 

Vatarakta manifests as the insidious onset of stiffness, inflammation of the joints of the fingers and toes that is often symmetrical, sometimes associated with cutaneous manifestations in the prodromal stages, and is characterized by flare ups and remissions.

Treatment of Amavata (Rheumatoid Arthritis)

Agnimandhya / Mandagni (Sluggish metabolism or weak digestion) process is the chief cause in the causation of Amavata. As described above, the initial pathological changes take place at the level of gut, i.e. in the stomach or upper part of digestive apparatus.

Principles of treatment can be categorized under following headings—

Amavastha:

                     Langhana, Rukshana procedures, medicines.

Niramavastha:

                      Shamana drugs and Panchakarma procedures

First do Agni Deepana   and  Ama Pachana .

Amavastha-

Langhana is line of treatment.

It can be done by fasting or giving light food like green gram soup or gruel.

With this rukshana can be achieved by some procedures like

application of sudation by sand pottali (Valuka sweda) or salt pottali.

If pitta is involved in the disease, this rukshana can be done with

dhanyamla dhara or dashmoola kashaya dhara to get better effect.

Externally lepas (paste) can be applied to reduce pain and inflammation.

Ayurveda Medicines for Rheumatoid Arthritis

  1. Decoctions-
  • Rasna-panchak
  • Gulgulu thikthakam
  • Decoction of Shunti (Zingiber officinale) and Gokshura (Tribulus terrestris)
  • Decoction of Shunti (Zingiber officinale) and Guduchi (Tinospora cordifolia)
  • Pippalyadi Kwatha – Decoction of Pippali (Piper longum), Pippalimula (Root of Piper longum), Chavya (Piper retrofractum), Chitraka (Plumbago zeylanica) and Shunti (Zingiber officinale) can be used.

2. Gutika or Vati-

  • Rason Vati
  • Agnitundi Vati
  • Ama pachana vati,
  • Kaishore Guggulu,
  • Sanjivani vati.
  • Amvatari Guggulu
  • Sihnad Guggulu
  • Tryodashang Guggulu

3. Powders-  

  • Shunthi (Ginger),
  • Vaishwanar
  • guduchi
  • Panchasama churnam
  • Phalatrikadi Churnam
  • Panchakola churnam  
  • Ajmodadi Churan

 etc. will be more beneficial.

4. Rasa –

  • Hinguleshwar rasa
  • Vatagajaankush Rasa
  • Samirpanga Rasa
  • Mahavatvidvansan Rasa

5. Taila—

  • Mahavishgarabh tail
  • Panchgun Tail
  • Parsarni Tail
  • Mahnarayan Tail

6. Aasava-arishta—

  • Punarnava asana
  • Amritarist
  • Maharasanadi Kawath
  • Mahamanjishthadi Kawath
  • Ashawgandarist

Basti like vaitarana, kshar basti is more effective in this condition.

Niramavastha-

Internal Medicines:

  • Decoctions like Rasnasaptakam, Manjishthadi, Kokilakshadi can be used.
  • Gulika like Yogaraja, Kaishore Guggulu, Simhanad guggulu.
  • Powders like Rasayana, guduchi etc will be more beneficial.

.

Panchakarma management For RA

Virechana –
Virechana means therapeutic purgation. Virechana is generally given after the administration of Snehana and Swedana.

Nitya Virechana is the best form of Virechana which can be given in the early manifestation of Rheumatoid Arthritis.

Nitya Virechana should be administered only after the initial stages have been dealt with after effective administration of Deepana and Pachana medicines. If not done, Virechana might just give an adverse reaction.

Best medicines used for Virechana (depending on the morbid dosha and morbidity):

  • Trivrit Leha
  • Sukumara Leha
  • Kalyana Gulam
  • Gandharvahastadi Kashayam
  • Gandharvahastadi
  • Eranda Tailam
  • Nimbamritadi Eranda Tailam
  • Higutriguna Tailam
  • Hingutriguna leham
  • Shaddharana Churnam
  • Narayana churnam etc

Vasti –
Vasti means medicated enemas. Vasti or Basti is said to be the best treatment for vitiated Vayu . When Vayu is controlled by the action of Vasti all the other disturbed body elements fall into rhythm and equilibrium. Vasti strengthens the tissues of the joints, rejuvenates health, aids fast healing and prevents recurrence.

Virechana and Vasti acts as a effective purgatives and relieve the mentioned conditions.

Vasti is given in the below mentioned forms:
Asthapana Vasti (Kashaya Vasti) – Herbal decoctions or milk (ksheera vasti) processed with decoctions is given as enemas.
Below mentioned are some of the best Asthapana Vasti’s in low back pain –

  • Erandamuladi Kashaya Vasti
  • Dashamula Kashaya Vasti
  • Dashamula Ksheera Vasti
  • Vaitarana Vasti
  • Mustadi Yapana Vasti etc.

Vasti is generally preferred in chronic Rheumatoid arthritis conditions or at later stages. But in acute manifestations or early stages of RA when the disease has not yet set its foot in the joints and soft tissues short course Enema’s should be administered. Enema is preferred after most of the morbidity in the form of vitiated Vata, Kapha and ama has been expelled by the administration of Deepana, Pachana and Virechana.

Virechana and Vasti given in gut-manifestation of RA are more of supportive treatments rather than curative. They help in prevention and recurrence of RA. They also halt the progression of the disease towards joint affliction.

Anuvasana Vasti – Medicated oils or ghee is used for enemas. It is given in combination with Asthapana Vasti (alternatively). Anuvasana Vasti is generally not preferred in early conditions. It is again brought into picture as a preventive measure and to avoid progression of the disease once the ama has been dealt with by administration of Deepana, Pachana and Virechana. Matra Vasti – It is also a variant of Anuvasana Vasti but given in small doses.

Best medicines used for Anuvasana and Matra Vasti are –

  • Guggulutiktakam Ghritam
  • Tiktakam Ghritam
  • Ksheerabala Tailam
  • Mahamasha Tailam
  • Sahacharadi Tailam
  • Brihat Saindhavadya Tailam
  • Bala Tailam etc.

In this condition Acharyas have also mentioned that at first the patient should undergo Virechana. Virechana is explained in the management of Vatarakta as a prime treatment modality. It cleans the Dhatu by doing purification of body.

 Virechana drug due to its Ushna, Tikshna, Sukshma Guna reaches to heart by the virtue of their potency and thereby circulates all over the body. They liquefy the morbid Dosha and bring them up to the Amashaya from here the morbid factors through anal canal route are expelled out leading to Virechana.

 It has direct effect on Agnisthana and thus also helpful in increasing Agni. In disease RA, Srotorodha is present which is clear due to the property of Srotovishyandana of Virechana drugs. Virechana also help in normalizing the Pratiloma Gati of Vata thus release the general symptoms. Thus, Virechana help in breaking the Samprapti of disease.

Basti: 

 There is no treatment of Vatarakta equal to Basti Because of its vast field of therapeutic action, it has also been recognized as a complete therapy. Basti is not merely the enema, rather it is a highly complex, sophisticated and systemic therapy having wider range of therapeutic actions and indications. It is considered as a prime treatment modality for Vata Dosha. Since Vitiated Vata is involved in the pathology of Vatarakta, Basti karma has been explained as the main treatment modality in the management of Vatarakta.

Different types of basti can be used in RA and it is found to be very effective like Ksheera Basti, Yapana Basti, Yoga Basti etc.

Besides, Classical texts also reveal the treatment according to the type of Vatarakta i.e the external type (Uttana Vatarakta ) should be treated with Lepa, Abhyanga, Parisheka, Upnaha, while the deep one (Gambhira vatarakta) should be treated with Virechana, Asthapana, Shamana Snehapana.

Lepa: A type of therapy wherein paste of drug is applied to the affected part. Drug enters through Romakupa and further gets absorbed through channels leading to desired effects.

Abhyanga (Oil massage): Abhyanga can increase the fresh oxygenated blood supply to the muscles and organs, and aid the drainage of venous blood, promoting the removal of waste products from the body.

Parisheka: Pouring of warm drava (liquid) over the body from a specific height for a specific time. It has Vatahara action and relieves tiredness and confers stability of tissues.

Upnaha: Upnaha is the application of warm paste of roots of Vata mitigating drugs macerated with a sour liquid and added with more salts and fats, made unctuous and tied on the affected part.

Rasayana: Pippalivardhamana Rasayana: They start with 3 gm increase till 18 gm with QS cow milk and Chyavanaprasha: 5-15 gm with hot water/ milk in morning for 1-3 months.

Common herbs used in RA in medicines and purification procedures

Erand (Castor oil): Eranda taila has Vata-kapha-shamaka property which is more specifically required in the disease RA. Along with this it is also have Ushna Virya and Ama Pachana properties. Ricine present in the Eranda Taila on action of lipase enzyme gets hydrolyzed to Recionelic acid which is responsible for purgation.

  • Shunthi (Ginger)
  • Guggulu (Commiphora wightii )
  • Guduchi (Tinospora cordifolia )
  • Yashtimadhu (Glycyrrhiza glabra )
  • Milk
  • Shallaki (Boswellia serrata )
  • Pippali (Piper longum )

What to eat in RA

Dietetic inclusions (Pathya) useful in preventing the progression of the disease –

  • Yava – barley
  • Kulattha – horse gram
  • Shyamaka – Panicum frumentaceum
  • Kodrava – Paspalum scrobiculatum
  • Rakta shali – Red rice
  • Shigru – drumstick
  • Punarnava – Boerhavia diffusa
  • Karavellakam – bitter gourd
  • Patola – pointed gourd
  • Ardraka – ginger
  • Taptaneeram – hot water
  • Takra samskrutam Lashunam – garlic processed in buttermilk
  • Jangala mamsa – meat of animals living in desert and dry lands
  • Water processed with Panchakola churna

Food to avoid in RA

Avoidable diet in RA 

  • Dadhi – curds
  • Matsya – fish
  • Guda – jaggery
  • Dugdha – milk
  • Masha pishti – flour of black gram
  • Dushta neeram – contaminated water
  • Purva vatam – wind blowing from east
  • Viruddha bhojana – mutually incompatible foods
  • Asatmya bhojana – food that do not suit us
  • Vegavarodham – forcibly controlling the natural body urges or reflexes
  • Jagaran – habit of awakening throughout the night
  • Guru ahara – food heavy to digest
  • Abhishyandi ahara – food which causes blockage in cells and channels of the body

Home Remedies For Rheumatoid Arthritis

  1. Castor oil.  10-15ml of castor oil with warm water or milk at night before going to bed 
  2. Take 3 g Rason Pind (Garlic) with warm water after meals.
  3. At night, take 3 g of Giloya Churan and 1g of Saunth Churan with warm water .
  4. Oil massage, only  after the “aam’ has been completely eradicated from the body.
  5. Go for absolute fasting or rely on a liquid or semi-solid diet for an entire day, depending on your strength.

Special food for Joints pain

  • Coriander
  • Turmeric 
  • Ginger
  • Pineapple
  • Blackstrap molasses
  • Green tea
  • Sour cherries and pomegranates
  • Fish oil

Diet & Lifestyle For Rheumatoid Arthritis

  • Increase intake of barley flour, horse gram (a type of bean), split green gram, honey, celery seeds, cumin seeds, dried ginger root powder, garlic, bitter gourd and castor oil.
  • Avoid eating fish and milk together or milk and jaggery together.
  • Avoid incompatible, heavy, and oily foods.
  • Avoid an improper diet and lifestyle, such as waking up late in the night, suppressing natural urges of the body, and getting direct exposure to cold winds.

To What Extent Ayurveda Is Effective In Rheumatoid Arthritis?

 Ayurvedic treatment of Rheumatoid Arthritis starts with pacification of Vata and elimination of toxins from the body.

With above discussion it should be clear that RA can be cured and Ayurveda has lots of options to tackle RA as seen above. It is only up to us to make the best utilization of them.

There are many researches done on this topic which are the evidence to support this fact. There are no chances of recurrence if person follow the Ayurveda concept of healthy, life style and regular cleansing of body through Panchakarma.

    We don’t recommend self-medication of the above said Ayurveda medicines for Rheumatoid Arthritis. These are just for your knowledge that Ayurveda cures the disease effectively. These medicines are very effective when taken under proper guidance of an Ayurveda expert.

114 thoughts on “Rheumatoid Arthritis In Ayurveda”

  1. Can I just say what a relief to find someone who actually knows what theyre talking about on the internet. You definitely know how to bring an issue to light and make it important. More people need to read this and understand this side of the story. I cant believe youre not more popular because you definitely have the gift.

    Reply
  2. Hey there! I know this is somewhat off topic but I was wondering if you knew where I could get a captcha plugin for my
    comment form? I’m using the same blog platform as yours
    and I’m having trouble finding one? Thanks a lot!

    Reply
  3. I have to be grateful for the efforts you’ve place in penning this website.

    I’m hoping to consider the identical high-grade articles or content by you later on also.
    In truth, your creative writing abilities has
    motivated me to get my very own blog now 😉

    Reply
  4. Thanks for ones marvelous posting! I seriously enjoyed reading
    it, you are generally a great author.I am going to make sure
    to bookmark your website and can often keep coming back down the road.
    I wish to encourage you continue your great posts, use a nice holiday weekend!

    Reply
  5. excellent put up, very informative. I ponder why the opposite specialists of this sector don’t notice this. You must proceed your writing. I’m confident, you’ve a great readers’ base already!

    Reply
  6. I’m not that much of a online reader to be honest but your blogs really nice, keep it
    up! I’ll go ahead and bookmark your site to come back in the future.
    Many thanks

    Reply
  7. You really ensure it seems very easy together with your presentation

    Reply
  8. Good day very nice web site!! Man .. Excellent .. Superb ..
    I will bookmark your web site and take the feeds additionally?
    I’m glad to seek out numerous useful info right here in the publish, we want develop extra strategies in this regard, thank you for sharing.

    Reply
  9. Oh my goodness! Amazing article dude! Thank you, However I am experiencing issues with your RSS. I donít know why I am unable to subscribe to it. Is there anyone else getting identical RSS problems? Anyone who knows the solution will you kindly respond? Thanx!!

    Reply
  10. I’ve recently started a website, the info you provide on this web site has helped me greatly. Thank you for all of your time & work. “Cultivation to the mind is as necessary as food to the body.” by Marcus Tullius Cicero.

    Reply
  11. This is a very good tips especially to those new to blogosphere, brief and accurate information… Thanks for sharing this one. A must read article.

    Reply
  12. My spouse and i have been really joyous that Jordan managed to do his reports through your precious recommendations he had through the web pages. It is now and again perplexing to just find yourself handing out secrets and techniques which people today may have been selling. So we keep in mind we need the writer to give thanks to for that. The most important illustrations you have made, the simple web site navigation, the relationships you will help to instill – it’s got most overwhelming, and it’s really leading our son in addition to the family reason why the situation is exciting, which is rather mandatory. Thank you for the whole lot!

    Reply
  13. I precisely had to appreciate you all over again. I am happier for this help and even hope you find out what a great job you are doing instructing other individuals through the use of your site. I know that you have never encountered all of us.

    Reply
  14. A lot of thanks for all your efforts on this site. Almost all know all concerning the dynamic means you deliver great information on the web blog and as well encourage contribution from other people on that concept You’re the one conducting a glorious job.

    Reply
  15. A lot of thanks for all your valuable hard work on this web page. You are conducting a pretty cool job.

    Reply
  16. It’s not at all simplistic just to choose to be giving for free information that most people have been making money from. And we all do understand we have the website owner to be grateful to because of that. Many thanks for all the pieces!

    Reply
  17. I simply wanted to thank you so much once more. I do not know what I would’ve taken care of without these suggestions revealed by you

    Reply
  18. Hi! I could have sworn I’ve been to your blog before but after dealing with a
    number of the articles I realized it’s new
    to me. Regardless, I’m definitely delighted I stumbled upon it and
    I’ll be bookmarking it and checking back frequently!

    Reply
  19. Usually I don’t learn post on blogs, but I want to say that this
    write-up very forced me to try out and do so! Your writing style is
    amazed me. Thanks, very great article.

    Reply
  20. I love everything you guys are often up too. Such clever work and reporting!
    Keep up to date the excellent works guys I’ve added you guys to our blogroll.

    Reply
  21. An impressive share! I’ve just forwarded this to a colleague who has been conducting a little research on this. And he actually bought me lunch due to the fact that I stumbled upon it for him… lol. So let me reword this…. Thanks for the meal!!

    But yeah, thanks for spending time to talk about this topic here on your web site.

    Reply
  22. needless to say just like your web-site however you have to check the spelling on several of your own posts.
    Several turn out to be rife with spelling issues and that I find it very bothersome to tell
    the facts then again I will certainly come back again.

    Reply
  23. I am just curious to determine what blog system you
    might be working with? I’m experiencing some minor
    security issues with my latest site and I’d like to find
    some thing safeguarded. Are you experiencing any recommendations?

    Reply
  24. Hello, I enjoy reading all of your articles. I wanted to write a little bit comment to support you.

    Reply
  25. Hello! I simply wish to provide you with a big thumbs
    up for your great info you have got below on this post. I
    am returning to your website for additional soon.

    Reply
  26. Hello! This is kind of off topic but I need some advice from an established blog.
    Is it very difficult to set up your own blog? I’m not very techincal but I can figure things out pretty quick.
    I’m thinking about setting up my own but I’m not sure where to
    start. Do you have any ideas or suggestions?
    With thanks

    Reply
  27. It really is perfect time and energy to make several plans for the
    long run and it is time and energy to be at liberty. I have learn this submit and in case I may I want to counsel
    you few interesting issues or suggestions. Perhaps you could write
    next articles regarding this short article. I need to learn a lot more issues approximately it!

    Reply
  28. Cool blog! Will be your theme tailor made or would you download it
    from somewhere? A theme like yours with just a few simple
    adjustments would really make my blog jump out.
    Please inform me the place you got your theme. Bless you

    Reply
  29. Wonderful work! Which is the kind of info that are supposed
    to be shared across the web. Shame on the search engines for not positioning this post higher!
    Come on over and talk to my website . Thanks =)

    Reply
  30. I read through this article fully regarding the resemblance of latest and earlier technologies, it’s awesome article.

    Reply
  31. We’re a team of volunteers and opening a whole new scheme inside our community.
    Your site provided us with valuable information to work on. You’ve done a formidable job and our whole community is going to be thankful for you.

    Reply
  32. Fantastic goods from you, man. I have be aware your stuff previous to and you are simply too wonderful.
    I really like what you’ve got right here, certainly like what you’re
    saying and the way by which you say it. You are making it entertaining and you still care for to keep it smart.
    I can not wait to read much more from you. That is really a great website.

    Reply
  33. Good day! Do you use Twitter? I’d like to follow you
    if that would be okay. I’m undoubtedly enjoying your blog and look forward
    to new posts.

    Reply
  34. When someone writes an article he/she keeps
    the idea of a user in his/her brain that how a user can know it.
    Therefore that’s why this post is great. Thanks!

    Reply
  35. Howdy! I understand this is kind of off-topic but I needed to ask.

    Does operating a well-established blog such as yours require
    a lot of work? I’m completely new to writing a blog however I do write in my diary on a daily basis.

    I’d like to start a blog so I can easily share my personal experience and views online.
    Please let me know if you have any ideas or tips for
    new aspiring bloggers. Appreciate it!

    Reply
  36. It’s a shame you don’t have a donate button!
    I’d definitely donate to this fantastic blog!
    I guess for now i’ll settle for book-marking and adding your RSS feed to my Google account.
    I look forward to new updates and will talk about this blog with my Facebook group.
    Chat soon!

    Reply
  37. Hey just wanted to give you a quick heads up and let you know a
    few of the pictures aren’t loading properly. I’m not sure why but I think its a linking issue.

    I’ve tried it in two different web browsers and both show the same results.

    Reply
  38. I love everything you guys are up too. This type of clever work and exposure!
    Continue the wonderful works guys I’ve included you guys to my blogroll.

    Reply
  39. Greetings from California! I’m bored to death at work so I decided to check out your site on my iphone during lunch break. I love the knowledge you present here and can’t wait to take a look when I get home. I’m surprised at how fast your blog loaded on my phone .. I’m not even using WIFI, just 3G .. Anyways, superb site!

    Reply
  40. Great work! That may be the level of info
    that are meant to be shared throughout the web.
    Disgrace on the seek engines for now not positioning this publish higher!
    Occur over and talk over with my site . Thanks =)

    Reply
  41. Next time I read a blog, I hope that it does not fail me as much as this particular one. I mean, Yes, it was my choice to read, nonetheless I actually thought you’d have something helpful to talk about. All I hear is a bunch of whining about something you could fix if you weren’t too busy seeking attention.

    Reply
  42. Hi just wanted to give you a brief heads up and let you know a few of the pictures aren’t loading correctly. I’m not sure why but I think its a linking issue. I’ve tried it in two different web browsers and both show the same results.

    Reply
  43. Having check this out I think it is really enlightening. I appreciate you seeking the time and energy to place this short article together. One time i again find myself spending lots of time both reading and posting comments. But just what exactly, it was actually still worth it!

    Reply
  44. Good day! I just would like to give you a big thumbs up for your great information you’ve got right here on this post. I will be coming back to your blog for more soon.

    Reply
  45. Oh my goodness! Amazing article dude! Many thanks, However I am experiencing problems with your RSS. I don’t know the reason why I cannot join it. Is there anybody having identical RSS problems? Anyone who knows the solution can you kindly respond? Thanx!!

    Reply
  46. An impressive share! I’ve just forwarded this onto a co-worker who had been conducting a little homework on this. And he actually ordered me breakfast due to the fact that I stumbled upon it for him… lol. So let me reword this…. Thanks for the meal!! But yeah, thanks for spending time to talk about this subject here on your site.

    Reply
  47. Wow, wonderful blog layout! How long have you been blogging for?

    you make blogging glance easy. The whole glance of your site is excellent, as neatly as the
    content material!I just could not
    go away your web site before suggesting that I actually enjoyed the usual information an individual supply to your visitors?
    Is going to be back often to inspect new posts.

    Reply
  48. I believe this is one of the so much vital info for me.

    And i am happy studying your article. However wanna remark on some
    general things, The site style is wonderful, the articles is truly nice : D.
    Just right activity, cheers

    Reply
  49. You’re so awesome! I don’t think I’ve read a single thing like this before.
    So good to find another person with a few unique thoughts on this issue.
    Really.. thanks for starting this up. This site is one
    thing that is needed on the web, someone with a bit of originality!

    Reply
  50. Hi there to all, it’s really a nice for me to pay a visit this web site,
    it consists of helpful Information.

    Reply
  51. Hi there, I enjoy reading all of your article post.
    I wanted to write a little comment to support you.

    Reply
  52. I do accept as true with all of the ideas you have introduced on your post.
    They are very convincing and can definitely work.
    Nonetheless, the posts are too brief for novices.
    Could you please prolong them a bit from next time? Thanks for the post.

    Reply
  53. Very rapidly this site will be famous amid all blogging and site-building people,
    due to it’s nice articles

    Reply
  54. Hello my friend! I wish to say that this post is amazing, nice written and come with approximately all significant infos.

    I’d like to see extra posts like this .

    Reply
  55. It’s nearly impossible to find well-informed people about this subject, however, you seem like you know what you’re talking about!
    Thanks

    Reply
  56. Truly when someone doesn’t be aware of then its up to other users that they will assist, so here it takes place.

    Reply
  57. Aw, this was a very good post. Taking the time and actual
    effort to make a superb article? but what can I say?

    I procrastinate a whole lot and never manage to get nearly anything done.

    Reply
  58. Wow, fantastic blog layout! How lengthy have you been blogging for?
    you made blogging look easy. The overall look of your website
    is wonderful, as smartly as the content!I simply could not leave your web site prior to suggesting that I actually loved the standard info an individual supply to your guests?
    Is gonna be back incessantly in order to check out new posts.

    Reply
  59. It’s impressive that you are getting thoughts from this post as well as from
    our discussion made at this place.

    Reply
  60. It’s not my first time to pay a visit this web page, i am visiting
    this web page dailly and obtain pleasant facts from here everyday.

    Reply
  61. Hello there! This post could not be written much better!
    Going through this article reminds me of my previous roommate!
    He always kept talking about this. I am going to forward
    this article to him. Pretty sure he will have a great read.
    Thanks for sharing!

    Reply
  62. I read this paragraph fully regarding the difference of latest
    and previous technologies, it’s amazing article.

    Reply
  63. I do not drop a leave a response, but after browsing a great deal of remarks on this page Rheumatoid Arthritis.
    I do have a couple of questions for you if you tend not to mind.
    Is it just me or does it give the impression like some of the responses look like they are left by brain dead folks?
    And, if you are posting on other places, I would
    like to keep up with you. Could you make a list of all of all
    your social networking pages like your Facebook page, twitter feed,
    or linkedin profile?

    Reply
  64. I’m extremely impressed with your writing abilities and
    also with the format on your weblog. Is that this a paid subject matter
    or did you customize it yourself? Either way keep up the nice high quality writing,
    it is uncommon to see a great weblog like this one nowadays..

    Reply
  65. You need to be a part of a contest for one of the greatest sites online.
    I will highly recommend this blog!

    Reply
  66. Thank you for the sensible critique. Me & my neighbor were just preparing to do
    some research about this. We got a grab a book from our local library but I
    think I learned more clear from this post.
    I’m very glad to see such excellent info being shared freely
    out there.

    Reply
  67. Your style is so unique compared to other folks I’ve
    read stuff from. Thank you for posting when you’ve got
    the opportunity, Guess I’ll just bookmark this web site.

    Reply
  68. Hi there Dear, are you truly visiting this site regularly, if so after that you will absolutely take good knowledge.

    Reply
  69. You really make it seem so easy with your presentation but I find
    this topic to be really something which I think I would never
    understand. It seems too complex and very broad for me.

    I’m looking forward for your next post, I’ll try to get the hang of it!

    Reply
  70. Great post. Keep writing such kind of information on your blog.
    Im really impressed by your site.Hello there, You’ve performed a great job.
    I will certainly dig it and personally suggest to my friends.
    I’m confident they’ll be benefited from this web site.

    Reply
  71. I have been absent for some time, but now I remember why I
    used to love this blog. Thanks, I will try and check back
    more often. How frequently you update your site?

    Reply
  72. Hey there! This is kind of off topic but I need some guidance from an established blog.
    Is it difficult to set up your own blog? I’m not very
    techincal but I can figure things out pretty fast. I’m thinking about creating my own but I’m not sure where to begin. Do you have
    any ideas or suggestions? Thank you

    Reply
  73. What’s up all, here every person is sharing such familiarity,
    therefore it’s good to read this weblog, and I used to visit this blog all
    the time.

    Reply
  74. I was suggested this blog by my cousin. I’m not sure whether this post is written by him as nobody else know
    such detailed about my problem. You are amazing! Thanks!

    Reply
  75. Nice blog here! Also your site loads up fast! What host are
    you using? Can I get your affiliate link to your host?
    I wish my web site loaded up as quickly as yours lol

    Reply
  76. Hi, I would like to subscribe for this webpage to obtain newest updates,
    thus where can i do it please help.

    Reply
  77. I think other website proprietors should take this site as an model, very clean and wonderful
    user genial style and design, let alone the content. You’re an expert
    in this topic!

    Reply
  78. This site certainly has all of the info I wanted about this subject and didn?t know who to ask.

    Reply
  79. I would like to take the chance of thanking you for that professional
    assistance I have always enjoyed browsing your site.
    I will be looking forward to the particular commencement of my college
    research and the whole preparation would never have been complete
    without dropping by your blog.

    Reply

Leave a Comment