Objectives: To treat Active Tubotympanic CSOM (Pootikarna) case with Ayurveda Therapeutic Procedures and Shamanoushadhis.

Method: The present case of Active Tubotympanic CSOM approached to OPD of KAHER BMK Ayurveda hospital with a complaints of Otorrhoea, Otalgia, Deafness, in Right ear Since 2 years and Headache, Running nose since one month. Symptoms were transient and severity increased since last 1month. Oto-scopic findings were documented in the form of the photographs. Ayurvedic Treatment Protocol is planned as per the disease condition which was included local therapy in the farm of Karna and Nasa Dhoopana with Haridra and Ghrita varti along with Steam inhalation for 7 days along with Haridrakhanda (2tsf) and Triphala Guggulu (2 tabs) orally twice daily after food.

Results: There is significant decrease in the symptoms of CSOM viz. Otorrhoea, Otalgia, Deafness etc. and also major clinical changes pertaining to the size of perforation of Tympanic membrane seen in Otoendoscopy images.

Conclusion: Chronic Suppurative Otitis Media (CSOM) causes recurrent or persistent discharge (Otorrhoea) through a perforation in the tympanic membrane and can lead to thickening of the middle ear mucosa and may lead into complications such as mucosal polyps & cholesteatom. CSOM can be correlated with the Pootikarna which can be cured through Ayurvedic therapeutic procedures and oral medications, which is cost effective and without any adverse drug reactions.

Keywords: CSOM; Pootikarna; Dhoopana; Haridra Khanda; Triphalaghrita & Triphala Guggulu.