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 A 39-year-old female patient presented with burning sensation, heaviness in the chest associated with occasional headache, constipation and hyper pigmentation of skin since 2 years. Even with antacids, for 2 years, she could not get relief from her symptoms. The associated symptoms were a sense of chocking while swallowing something, a constant dryness in the throat, a repeated urge to drink water to soothe the irritated food tract. Patient opted for Ayurvedic treatment and approached Dr Partap Chauhan. Based on the clinical evaluation, he made the biomedical diagnosis as Hyperacidity and the Ayurvedic diagnosis as Amlapitta- Vatapitta vriddhi. The line of treatment followed was Vatapitta shamana and Pitta shamana, sroto shodhana and rakta shodhana. Dravyas chosen were balya, rasayana, dipana and pacana in nature. In 1 year and 8 months, the patient got complete relief from all the symptoms. This case report demonstrates the successful standalone ayurvedic management of chronic hyperacidity in a patient who did not get relief with antacids.