Tibetan medicine believes that rheumatoid arthritis is a kind of chronic disease caused by diet, environment and other factors causing "three causes" disorder, yellow water accumulation in the joints, its treatment methods include internal treatment, external treatment and internal and external combination of treatment methods, clinical efficacy is significant, and clinical studies are also abundant, 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, facilitating further exploration of clinical research and application of Tibetan medicine in treating rheumatoid arthritis and promoting the development of ethnic medicine.