Management Of Rheumatoid Arthritis with the help of Ayurvedic medicated herbs given as Enema (BASTI KARMA)

INTERVENTION: Intervention1: Herbal Enema Basti: Erandamuladi Basti(ayurvedic medicinal enema)prepared by classical khalwa method Control Intervention1: 1) Deepana and Pachana 2) Koshthashudhi 3) Erandmuladi Niruha Basti Prepared By Mixer Method 4) Rasyana: 1) Deepana and Pachana with 3gm Panchakola Churna taken Twice daily for 3 Days 2)Koshthashudhi with Eranda Taila given on 4th Day 3)Erandmuladi Niruha Basti Prepared By Mixer Method given from 6th to 20th Day 4) Rasayana with Giloy Churna 3gm and Shunthi Churna 3gm given from 21st to 35th day CONDITION: Health Condition 1: M059‐ Rheumatoid arthritis with rheumatoid factor, unspecified PRIMARY OUTCOME: To compare the effect of Erandmuladi Niruha Basti prepared by Khalwa and Mixer Method in the management of pain and stiffness in AmavataTimepoint: At baseline,at 12 days(2weeks),at 20 days, at 50 days SECONDARY OUTCOME: To study the physicochemical properties of the Erandmuladi niruha basti prepared by mixer method and khalwa methodTimepoint: at baseline,at 12 days,at 20 days and at 50 days. INCLUSION CRITERIA: 1) Duration of the disease 1year to 15 years 2) Socio eonomic status: All 3) Subjects having classical features of amavata like angamarda, aruchi , trishna, Hrillasa, Gaurava, Jwara, Shula and Shotha 4)The subjects who fulfill the revised criteria for rheumatoid arthritis fixed by American Rheumatism Association