Abstract
Background:
Hikka Vyadhi (hiccups) is described in Ayurveda as a disorder of Pranavaha Srotas and is classified among Shighrapranahara Vyadhi due to its potentially fatal nature if not managed promptly. It is primarily caused by aggravated Vata and Kapha obstructing Prana, Udaka, and Annavaha Srotas, resulting in repetitive involuntary diaphragmatic contractions. Classical texts advocate Trāsana Chikitsa and Viddha Karma as emergency interventions.

Objective:
To evaluate the clinical efficacy of Viddha Karma at Nasagra combined with oral Triphala Masi with Madhu in the management of persistent Hikka Vyadhi.

Materials and Methods:
A single-case interventional study was conducted on a 40-year-old male patient presenting with persistent hiccups. Viddha Karma was performed at Nasagra (tip of nose) once daily for three consecutive days. Additionally, Triphala Masi was administered orally with Madhu as Anupana during the treatment period. Clinical assessment was based on frequency, duration, and recurrence of hiccups.

Results:
The patient showed marked reduction in hiccup frequency after the first sitting, with complete remission observed by the third day. No recurrence was reported during follow-up. The intervention demonstrated rapid symptomatic relief without adverse effects.

Principal Conclusion:
Viddha Karma at Nasagra, supported by Triphala Masi with Madhu, proved to be an effective, safe, and non-pharmacological intervention in acute Hikka Vyadhi. This case validates classical Ayurvedic principles, particularly Trāsana Chikitsa, in contemporary clinical practice.

Key words: Keywords:Ayurveda,Hiccups,Trāsana Chikitsa,Triphala Masi,Viddha Karma