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A 9-year-old female patient presented with right upper abdominal pain which lasted for few hours since 3-4 months. She was given analgesics to relieve pain. The pain was persisting, and USG done confirmed the Biomedical diagnosis as cholelithiasis. When the pain reoccurred, the patient opted for Ayurveda and consulted Dr Rajnikanth. The ayurvedic diagnosis was Pittashaya ashmari. The line of treatment followed was pitta hara and shotha hara. The target of the medicines was lekhana karma, to help eliminate the ashmari in the pittashaya. Three days after starting the Ayurvedic treatment, the pain reduced, and the tenderness was absent in the epigastric region. After 1 month of treatment, the patient had complete relief from the symptoms. Repeat USG done after treatment shows no significant abnormality.