Vataja karnashoola is one of the karna rogas mentioned in Ayurveda. In various texts the number of karna rogas vary. As per Charakaacharya[1], these are of 4 types. Acharya Sushruta[2] said 28 types whereas 25 types are told by Acharya Vagbhata[3]. Karnashoola is explained in detail along with their causes by both; Sushrutaacharya and Vagbhataacharya. As per the critical analysis of the text, it can be a disease itself, and also can be a symptom or lakshana of some other diseases. Based on all this, it can be related to otalgia. As per Vagbhataacharya, 5 types of karnashoola are there and one of the types is vataja karnashoola. Otalgia or pain in the ear, can be a consequence of ear disease (primary otalgia), or it may arise from any pathology of structures other than the ear (secondary otalgia).[4] In this current study, a 51 years old male patient of vataja karnashoola was treated on Ayurvedic line of treatment given in pratishyaya(common cold) along with follow-up medication for a total duration of 15 days. There was significant improvement in the case and he was advised the aahara-vihara to be followed thereafter.