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Introduction: Purpose of the study is to manage recurrent pharyngitis (Ekvrindamukharoga) because antibiotic resistance issue is a big concern as there is no permanent management in conventional medicine. Main Clinical Finding & Diagnosis: The present case was diagnosed with viral pharyngitis on basis of fever, sore throat &lymphocytosis. Interventions: TalishadiChurna, Mrityunjaya rasa, Laxmivilasa rasa & Tankana were administered for 3 days and subsequently Vamana (~induced therapeutic vomiting) was performed to prevent recurrence. Outcome: Major improvement recorded in oral temperature, color (beefy red to light pink), etc., after the intervention. Throat pain (from 5 point to 1) and swelling (from 2 to 1) after 2 h and were relieved completely after 3 days. Conclusion: This case study reports effective management of antimicrobial-resistant acute pharyngitis with stand-alone Ayurvedic therapy. Non-relapse of symptoms after Vamana during the follow-up period (6 months) emphasizes the effective secondary prevention achieved with Ayurveda.