Effect of Guduchiarka in Rheumatoid arthritis

The aim of the study is to determine the effect of Guduchi arka in Rheumatoid arthritis. This will be an interventional study with pre, intermediate and post assessment conducted in the OPD of Poomulli Neelakantan Namboodiripad Memorial Ayurveda Medical College and Hospital, Cheruthuruthy. Twenty four participants will be selected on the basis of inclusion criteria will be evaluated clinically in detail using a pre-designed case proforma. 24 ml of Guduchi arkawith 750 mg of Sunti churnaand24 ml of boiled and cooled water is given twice daily after food for a period of 30 days. Evaluation will be done on 0th, 16th and 31st day and changes in parameters will be recorded. The primary outcome measures will be tenderness, swelling, morning stiffness and Visual Analogue Scale which will be assessed on 0th,16th and 31st day and secondary outcomes like Rheumatoid Factor, Erythrocyte Sedimentation Rate , Disease Activity Score  and Quality of Life will be assessed on 0th and 31st day. The results obtained will be statistically analysed .