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A 56 year old female patient, presented with stiffness and pain in the joints of the elbow, wrist and bilateral knees since 1 and half months associated with continuous low grade fever. There was no prior consultation or treatment. She opted for Ayurvedic treatment and approached Dr Partap Chauhan. Based on the clinical evaluation and the blood reports, the condition was diagnosed as Hyperuricemia and the Ayurvedic diagnosis as Vatarakta. The line of treatment followed was Tridosa shamana, specifically vata shamana. Sroto and rakta shodhana, vedana shamana and dipana- pacana were also included in the cikitsa. After 5 months of treatment, the patient had significant relief in the stiffness and pain in multiple joints and recovered from the constant low-grade fever. Serum uric acid level documented as 9.65 at baseline reduced to 4.72 at endpoint. With Ayurvedic treatments over a year, the patient was completely relieved from all the symptoms. This case report demonstrates the successful standalone ayurvedic management of Hyperuricemia in a patient who opted for Ayurvedic management as the first line of consultation.