Atrophic rhinitis is a chronic nasal pathology characterized by progressive atrophy of nasal mucosa and underlying bone, leading to crust formation, foul odor, and nasal obstruction. It is a condition with limited response to conventional medical management and recurrence after surgical measures. From an Ayurvedic perspective, it can be correlated with Peenasa and Dushta Pratishyaya, which arise due to vitiation of Vata and Kapha dosha. Nasya therapy, being the prime line of treatment for Urdhvajatru rogas, is highly effective in such cases. This case report presents a 39-year-old female with a 5-year history of progressive nasal dryness, crusting, and intermittent nasal obstruction, who had received symptomatic relief with modern medicines but with frequent recurrences. She was treated with Shadbindu Taila Nasya in a dose of 6 drops per nostril daily for 21 days. Clinical improvement was assessed based on relief in nasal obstruction, crust formation, and mucosal moisture. Marked symptomatic improvement was observed, with reduction in crusting and enhanced nasal comfort. This highlights the potential role of Ayurvedic Nasya karma in chronic nasal disorders refractory to conventional therapy.