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A 55-year-old male patient presented with pain on the right side of the face with difficulty in talking. He also complained of intermittent fever and swelling on the lower jaw. The patient had an onset of right salivary duct calculus in 2006 associated with symptoms like feeling of hardness on the right side of the base of the tongue. At the onset of symptoms, he took antibiotics and analgesics for 10 days and got relief from his symptoms. But the patient had repeated episodes every 2-3 years, which happens mostly during March / October. USG neck done revealed 9 mm calculi in the right submandibular terminal duct with dilation of the main duct with infection. The patient was advised surgical management. He was not willing, so he approached Dr Anshu Mulay for ayurvedic management. The diagnosis was lalashmari. The line of treatment followed was lekhana, vasti to initiate mardatva, vatanulomana and pitta shamana. Agnikarma, viddha karma and raktamokshana were done to address the rakta dushti. Upanaha was done for vedana shamana and as shotha harana. The patient noticed a reduction in symptoms after 2 days of treatment. After 1 month of treatment, the stone came out of the salivary duct. Repeat USG Neck, done after 2 months revealed no calculi.