CSOM is a clinical condition encountered in ENT practice with discharge from the middle ear cavity. A chronic perforation develops as a result of persistent infection as there is no proper healing. This clinical condition is progressive with deterioration of hearing and infection to surrounding parts of ear. In Ayurveda, this condition can be correlated to Badhirya and if there is conduction defect then we can consider under Vata Kaphaja badhirya. Case Details : A 21-year-old female patient, reported to NIA ENT OPD and presented with chief complaints of purulent discharge from left ear since one year, associated with pain in ear, reduced hearing, ear blockage and itching. On clinical examination subtotal perforation was seen in the anteroinferior quadrant in the left tympanic membrane without any foul smell with slight yellowish mucoid discharge in external acoustic meatus. Rinne test was negative, weber’s test was lateralized to the affected (left) side and Air-Bone Conduction was normal in the left ear. Patient was administered oral medicines like Sitopaladi churna, Godanti Bhasma, sarivadi vati, gokshuradi guggul and Karnapichu with Jatyadi taila. The medicines were continued for 3 months and there was reduction in ear discharge, perforation, and improvement in hearing. Conclusion: With all the above facts it can be concluded that Ayurveda possesses a quality approach to alternative management of CSOM with the use of oral drugs, topical drugs as well as cleaning procedures. Results after treatment are encouraging without any side effects and also boost the immunity of the patients.