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A 38-year-old male patient complained of bilateral pedal oedema, moderate breathlessness, and blurred vision along with severe generalized weakness and wet cough. The Biomedical diagnosis was made based on the USG as bilateral medical-renal disease[1] along with bilateral moderate to gross pleural effusion. His serum creatinine level was recorded as 21.5mg/dl. Patient was then referred to higher centre for haemodialysis by the Nephrologist The patient underwent haemodialysis on daily basis from 26th March 2021 to 1st April 2021 supported with medications for symptomatic management. The schedule of haemodialysis was now changed to thrice a week for one month. Further he was suggested for renal transplant. The patient now consulted Dr Pankaj Chayyani and the Ayurvedic diagnosis made was Vrikka dosa [2]. As the tridosa are involved in the pathogenesis, the treatment was planned to address this along with Rasayana cikitsa, and Vasti karma. Specific allopathic medications were continued during Ayurvedic treatment. Haemodialysis was done when the clinical features of uraemia appeared, or the serum creatinine level increased to 12. With Ayurvedic treatments, haemodialysis could be stopped completely, and serum creatinine was normal and stable. His symptoms of bilateral pedal oedema, breathlessness, blurred vision, generalised weakness, and wet cough were completely relieved.