IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House DOI: 10.7897/2277-4343.100244 THE COMBINED EFFECTIVENESS OF SATAVARICHINNARUHADI KASHAYA AND SIGRUVARUNASYA LEPAM IN THE MANAGEMENT OF RHEUMATOID ARTHRITIS: A CASE STUDY Arya.S * L. Mahadevan Miharjan.K Arun Pratap Arjun Chand C.P 11 -0001 94 97 Introduction__ampersandsignndash; Rheumatoid arthritis (RA) is an autoimmune disorder which affects the joints and manifest primarily as pain and later by limiting the joint functions along with swelling, redness and stiffness. Aim__ampersandsignndash; To study the combined effectiveness of Satavarichinnaruhadi Kashaya and Sigruvarunasya Lepa in managing RA. Methods__ampersandsignndash;__ampersandsignnbsp;A 62 yr. old female patient already diagnosed as RA for 2 years reported in the study setting with complaints of pain in all joints for 15 days. The patient was advised to take 48 ml of__ampersandsignnbsp;Satavarichinnaruhadi Kashaya and Sigruvarunasya Lepa twice daily for 30 days. Periodic evaluation with DAS28 formula and joint measurements was done on 0thand 30thday. Results__ampersandsignndash; DAS28 Score, before treatment = 8.08, after treatment = 3.67 (P __ampersandsignlt; 0.001) Discussion__ampersandsignndash; Satavarichinnaruhadi Kashaya and Sigruvarunasya Lepa found to be very effective in RA.__ampersandsignnbsp;In Ayurveda__ampersandsignnbsp;RA can be related and understood as Vatasonita, which occurs due toSookshma Sara and Drava Sara properties of Vata and Rakta respectively.__ampersandsignnbsp;Most of the drugs in Satavarichinnaruhadi Kashaya are Vata-Pitta Samana, Seeta Veerya and Madhura Vipaka which in turn helps in managing the deranged Vata and Rakta, whereas in Sigruvarunasya Lepa__ampersandsignnbsp;both drugs are Kapha-Vata Samana, Ushna Veerya and Katu Vipaka, which in combination with Dhanyamla is Vata-Kapha Samana, Sparsa Seeta in turn reduces the pain due to Vata. At the end of the study there was significant reduction in ESR along with symptoms. Conclusion__ampersandsignndash;__ampersandsignnbsp;Hence the combination of Satavarichinnaruhadi Kashaya and Sigruvarunasya Lepa is having significant role in the management of RA. Rheumatoid Arthritis Satavarichinnaruhyadi Kashaya Sigruvarunasya Lepa