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A 30-year-old female COVID positive patient was hospitalised on 7th May 2021 presenting with fever, body ache, and breathing difficulty since 1 week. On 10th May, her saturation was dropping to less than 90 even with 15 litres of NRBM. She was shifted to ICU.  On 19th May, saturation dropped to 40 and she started gasping for breath. The patient also developed high grade fever and diarrhea. In spite of treatment with strong antibiotics and steroids, her condition rapidly deteriorated, and she presented with acute respiratory distress syndrome. The  SpO2 dropped to 40, that demanded immediate intubation. Her blood parameters like TC, LFT, CRP, IL-6 were elevated, inspite of treatments. An emergency was declared, and the grave prognosis was explained to the family. The family did not want to intubate and requested to try Ayurvedic management. Dr Aswath Rao, who is a Junior resident, General Surgery- Bengaluru Medical college, under the guidance of his parents, Dr Ramesh and Dr Shobha Rao who are Ayurvedic Doctors, as per request of the family and with permission from the Hospital authorities, gave the Ayurvedic medicines.  SpO2 normalized within 2 hours of starting the Ayurvedic treatment, and then remained stable throughout. The Liver Function Test, Total Count, CRP and IL-6 that were elevated normalized within 5 days. All Ayurvedic medicines were stopped after 20 days. The patient became stable and after the Respiratory distress was managed, she completed her course of modern medicine in the hospital and was discharged.  

Take Away Message- This case report is an exapmle for the successful management of an emergency clinical condition like acute respiratory distress syndrome with Ayurvedic medicines. Here, an integrative approach helped the patient to come back to normal.