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A 31-year-old male patient presented with acute onset of pain in the right iliac fossa associated with uneasiness in the stomach. The associated symptoms were aversion to food, indigestion, and mild constipation. He consulted an allopathic physician and was advised to take USG Abdomen. USG reveals an 8 mm inflamed appendix with inflammation of the meso appendix and caecum. The clinical condition was diagnosed as Acute appendicitis (Non obstructive) and prescribed analgesics. The patient was unwilling to take the prescribed medicines and approached Dr Akhilesh Varier. The ayurvedic diagnosis was Gulma- vata pittaja [1]. The line of treatment followed was vata pitta hara and gulma hara. Pain reduced after 3 days of treatment. The patient attained complete symptomatic relief within 7 days of treatment. The bowel movement was satisfactory, and the patient’s hunger was restored. He stopped all the ayurvedic medicines after 10 days of treatment. A repeat USG done confirmed no mass or lump in the right iliac fossa.