Tibetan medicine believes that rheumatoid arthritis is caused by diet, environment and other factors caused by "three causes" disorder, yellow water accumulation in the joints of a chronic disease, its treatment methods include internal treatment, external treatment and internal and external combination of treatment methods, the pathogenesis is not clear, clinical efficacy is significant, clinical studies are also more, but has not established standardized diagnosis and treatment. This article briefly discusses the mechanism of action of Tibetan medicine in the treatment of rheumatoid arthritis, and systematically summarizes the current clinical literature of Tibetan medicine in the treatment of rheumatoid arthritis, so as to facilitate the clinical research and application of Tibetan medicine in the treatment of rheumatoid arthritis, and further promote the development of ethnic medicine