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Introduction: Kaphaja shirashoola is one among the 11 types of shirashoolas explained in Ayurveda.As there is kapha prakopa, dull aching pain, heaviness of the head, and lethargy are common symptoms of kaphaja shirashoola. Kaphaja shirashoola can be compared with sinusitis due to similarities in symptoms.Ayurvedic management of kaphaja shirashoola involves internal medicines along with kriyakalpas like nasya,gandusha etc.Acharya sushrutha has mentioned about raktamokshana for shirorogas in siravyadhavidhi adhyaya. Materials and methods: A 49-year-old female visited the department of Shalakya Tantra OPD with complaints of severe headache and heaviness of the head associated with nasal obstruction. She received viddhakarma procedure at specific sites, which helps in samprapti vighatana and immediate symptomatic relief. Internal medicines were also prescribed. Result: Viddhakarma helped in relieving the symptoms and along with internal medicines yielded significant improvement within 7 days. Conclusion: Kaphaja shirashoola symptoms can be managed through viddhakarma. When given in combination with internal medicines helps in treating the disease more faster.