Meniere’s disease is an inner ear disorder characterized by episodes of vertigo, fluctuating sensorineural hearing loss, tinnitus, and aural fullness. In Ayurveda, these symptoms correlate with conditions such as Bhrama (vertigo), Karnanaada (tinnitus), and Badhirya (hearing loss). The pathogenesis (Samprapti) is understood as a Tridoshaja condition with a predominance of Vata and Pitta doshas. There is no promising cure to this disease in conventional science only with life style adjustments and surgery used to manage the condition. The present case study patient with meneires disease was successfully managed with Ayurveda treatment. A 63year old male patient presented with episodes of vertigo lasting for 4-5 hours, tinnitus, hearing difficulty, and aural fullness in the both ears for 6 months. Based on clinical features, a probable diagnosis of Meniere’s disease was made. The treatment protocol included was Marsha Nasya, Shiropichu, Karnabasti and Internal medications was administered for a period of 2 months. The patient exhibited gradual improvement in all symptoms within 15 days. Complete relief was achieved by the end of two months, indicating the efficacy of the Ayurvedic treatment protocol in managing Meniere’s disease. This case demonstrates that understanding the disease through Ayurvedic principles allows for effective treatment strategies. The selected therapies aimed at Agnideepana (enhancing digestive fire), Amapachana (digesting toxins), Vatanulomana (normalizing Vata), and balancing Vata-Pitta doshas, along with Rasayana (rejuvenation) therapies, contributed to the patient’s recovery.