Randomized controlled clinical trial to study the efficacy of Gomutradi siddha basti in the management of Amavata (Rheumatism due to ama)

Amavata (Rheumatoid Arthritis) is a disease with variety of symptoms whose characteristic symptom is "persistent inflammatory synovitis" usually involving peripheral joints showing pain, swelling and tenderness. Where pain in affected joints gets aggravated by movement. The majority of patients experiences constitutional symptoms such as weakness, easy fatigability, anorexia & weight loss. For all such conditions, Ayurveda has described various Panchakarma procedures, out of which Basti chikitsa is advised mainly for Vatadosha pradhan vyadhis (diseases due to vitiated vatadosha). Overall taken drugs in this study being Deepana will improve Agni (digestive fire) which leads to absorption of Aama and also purifies vitiated vata dosha. Study will be conducted on 92 diagnosed patients of Amavata (Rheumatoid Arthritis). Written consent will be taken. Initial Assessment will be done. Patient will be treated with Interventional Group Gomutradi siddha basti and Control group Ardhamatrik basti. Patient will be assessed at follow up. Observation and result will be noted and statistical analysis, discussion and conclusion will be done.

**Null Hypothesis (H0):**Gomutradi Siddha basti is not effective in management of (Rheumatism due to Ama).

**Alternate Hypothesis (H1):**Gomutradi Siddha Basti is effective in the management of Amavata (Rheumatism due to Ama).