The background of the research described and discussed the empowerment of the aesthetics of sounds and words of mantra in the treatment of Malay Riau society which is collected in The Book of Mantra. The formulation of this research is how is the aesthetic utilization of mantra of medical treatment of Malay Riau society. The purpose of this article is to describe the aesthetics of sounds and words in the Malay community treatment spell. This type of research is qualitative. The method of this research is Ethnography method. The Data collection techniques used in this research are observation, interview and document study. The Data analysis technique is a technique revealed by Miles is data reduction, data presentation, and withdrawal of the final conclusion. The result of this study is the aesthetics of the initial sound of sixty three, the central sound is one hundred and one, and the final sound is seventy five and the initial word is forty eight, the middle word is fifty one, and the final word is twenty seven. The repetition of sounds and words in the mantra sounds similar or rhythmic, beautiful tones that are part of a literary aesthetic. This beauty is a form of affirmation and giving of emotion from speakers through aesthetic mantras conveyed through the aesthetic sounds and words that exist in each mantra.