Introduction: The prevalence and incidence of congestive heart failure (CCF) is increasing. There is no any published case report that shows the treatment of CCF through Ayurveda. This is case of CCF treated with Ayurveda. Clinical findings: A 68 years male patient came with complaints of dyspnoea on exertion, mild orthopnoea associated with chest pain, abdominal distension, and loss of appetite, constipation, bilateral pedal oedema, and dry cough since 1 year. Diagnosis: He was known case of CCF. In Ayurveda it can be correlated with Hrudroga. Intervention: Patient was treated on the basis of treatment principle of Hrudroga. Outcome: There is increase in left ventricular ejection fraction from 25% to 40% within 2 months. ECG was normal, complete relief in symptoms after 2 years course of treatment. Conclusion: This case report give direction to the treatment of CCF through Ayurveda. Hence the further research in this direction is warrante