Amavata is disease of Rasavaha srotasa commonly associated with pain in the multiple joints, stiffness and swelling over the joints. It is considered as a progressive illness that has the possibility of causing joint destruction and functional disability. In contemporary science, this condition can be correlated with Rheumatoid arthritis (RA), an autoimmune disease that causes chronic inflammation and deformity of the joints. And the medical management has got a better result to overcome pain through NSAIDs. Non-steroidal antiinflammatory drugs decrease the inflammation, but tend to create gastrointestinal disturbance and disease-modifying anti-rheumatic drugs cause renal, bone and hepatic side effects. So the management of this disease by other systems of Medicine is not that much satisfactory or cannot control the further progression of disease. Hence to overcome from this problem, different treatment protocols can be adopted based on the different stages of RA. Like treatment of Amavastha and Niramavastha with medicines and shodhana chikitsa. Clinical observation has shown effectiveness of Ayurvedic treatment protocol in the management of Amavata. A case report of 38-year old female who presented with complaints of Hasta sandhi shotha, shoola and Stabdhata (Inflammation, severe pain and stiffness (particularly observed in morning hours) in metacarpo-phalangeal joints & proximal inter phalangeal joints), Paad sandhi shotha and shoola (Inflammation & severe pain in metatarso phalangeal joints), Mandagni (poor appetite), Angagourav (Feeling of heaviness in the body) and Angamarda (myalgia) has been presented here.

Keywords: Amavata; Rheumatoid arthritis; Shodhana; Agni; Shamanoushadi.