Amavata is a condition in which vitiation of Vata Dosha and accumulation of Ama gets lodged in joints, it is said as rheumatoid arthritis (RA) in modern community. In contrast to modern medicine, which relies on side-effect-prone anti-inflammatory, analgesic, steroid, and diseasemodifying antirheumatic medicines for its care, Ayurveda recommends Shamana (conservative) and Shodhana (biological purification of the body) therapy. A female patient was diagnosed with Amavata/RA after experiencing various joints discomfort and oedema, significant morning stiffness, movement restrictions, malaise, and Mandagni (low appetite). In Ayurveda, Nidana Parivarjana (avoidance of the causes of the ailment) is regarded as the earliest and most important form of treatment. 1 Considering that also, Shamana and Basti Chikitsa specifically Vaitarana Basti is also mentioned in ancient texts. Patient found significant relief after getting this line of treatment for 21 days including 8 days of Basti and additional to 15 days of Shamana Chikitsa by giving Simhnada Guggulu and EBH (Erandbhrusta Haritaki) at considerable doses.