Chronic sinusitis or Chronic rhinosinusitis is an inflammation of the paranasalsinuses and nasal cavity where the symptoms last more than 12 weeks .The sinuses most commonly involved is the maxillary followed by ethmoid, frontal and sphenoid. When, more than one sinus are involved called as (multisinusitis). Sometimes all the sinuses are involved, resulting in pansinusitis.The clinical picture of this shows the predominance of in the Kaphavata dosha and can be correlated with Dushta Pratishyaya .This case study show that Ayurvedic treatment which give effective results in Chronic sinusitis.