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0.001 percent probability 30 patients Amavata anaemia Ankle ankylosis antigenic articular surface assess atrophy Ayurveda body bone capsule cartilage changes Charaka chronic clinical Commiphora Mukul criteria deformity diagnosis digestion disease Rheumatoid arthritis disorder Doshas drug effect elbows etiology evident Fatigue females fever fibrous functional grade Greeshma Guggulu preparation improvement incidence increase inflammation interphalangeal joint involved joints Jamnagar joint diseases joint involvement joint movement joint pain Kapha knee joint ligaments lubrication matoid arthritis Mean Diff metacarpophalangeal joints modern morning stiffness Mukul muscles normal onset osteoporosis pathogenesis pathological patients of Rheumatoid patients showed percent probability level phalangeal radiological relief Rheu Rheumatic diseases rheumatoid activity Rheumatoid arthritis Rheumatoid factor Rheumatoid Nodules sandhis Sharir Shleshma sthana Shotha Shuddha Guggulu Significant at 0.001 signs of rheumatoid soft tissue stage Statistical Analysis Sushruta swelling synovial fluid synovial joints synovial membrane Table tenderness therapy treatment Vagbhatta Vata Vayu vessels vitiated Doshas wrist X-Ray