Rheumatoid Arthritis (RA) is a chronic, inflammatory disease, frequently associated with joint destruction. The aim is this clinical observation was to contribute to warm needle acupuncture treatment of rheumatoid arthritis. We studied the before and after warm needle acupuncture and herbal medicine treatment of rheumatoid arthritis patient's Rheumatoid Factor (RF), Erythrocyte Sedimentation Rate (ESR), and C-reactive Protein (CRP), the plasma samples were investigated at Pathlab Laboratory (M) Sdn. Bhd (37363-K) in Taman Perling branch, Johor, Malaysia. Our result showed that, after warm needle acupuncture and herbal medicine treatment, rheumatoid arthritis patient's RF, ESR, and CRP are reduced, but warm needle acupuncture seen to have decreased in significantly comparison with the before. Authors suggested that warm needle acupuncture could help rheumatoid arthritis patients, but basic mechanisms and long-term observations will be needed.