A clinical trial to study the efficacy of Rasa chendhuram internal drug for symmetrical multiple joints(Rheumatoid arthritis)

INTERVENTION: Intervention1: 1.Rasa chendhuram(Int) 2.Roga sanjeevi thylam(Ext): 1.20Patients treated with rasa chendhuram (int)‐65mg twice daily with honey and Roga Sanjeevi thylam (ext) application for48days Intervention2: 1.Rasa chendhuram(Int). 2.Roga sanjeevi thylam (Ext). 3.Ottradam: 20Patients treated with Rasa chendhuram (int)‐65mg twice daily with honey and Roga Sanjeevi thylam(ext) application and ottradam for 48days Control Intervention1: Nil: Nil CONDITION: Patients having arthritis of three or more joints pain and swelling in the distal interphalangeal joints morning stiffness patients having RAfactor positive Anti ccp positive and aneamia PRIMARY OUTCOME: Reducing the pain and morning stiffness‐‐‐‐‐‐Timepoint: 12 Months SECONDARY OUTCOME: To study the safety profile of the drug before and after treatment.‐‐‐‐‐‐Timepoint: 12 Months INCLUSION CRITERIA: Age 18‐60 Years Both male and female Morning stiffness Pain and swelling in the distal interphalangeal Joints. RA Factor positive ANTI CCP POSITIVE ARTHRITIS OF MORE THAN THREE JOINTS