Background: Renal colic due to ureteric calculi is an acute painful condition caused by ureteric obstruction and spasm. Conventional management mainly relies on analgesics and antispasmodics, which may have limitations or adverse effects. In Ayurveda, Viddhakarma is a parasurgical procedure indicated in acute pain conditions (Shoola) and is known for providing immediate pain relief. Objective: To evaluate the effectiveness of Viddhakarma in the Ayurvedic management of renal colic caused by ureteric calculus.

Methods: A 26-year-old male patient presented with severe left loin pain. Ultrasonography revealed a 5.8 × 3.6 mm distal ureteric calculus located 1.8 cm proximal to the ureterovesical junction with grade I hydroureteronephrosis. Viddhakarma was performed at the classical indicated site under aseptic precautions. Pain intensity was assessed using the Visual Analog Scale (VAS) before and after the intervention. Results: Immediate and significant pain relief was observed following Viddhakarma. The VAS score showed marked reduction within minutes of the procedure. No adverse effects or complications were reported, and the patient remained symptomatically improved during follow-up. Conclusion: Viddhakarma was found to be an effective, safe, and economical Ayurvedic intervention for instant pain relief in renal colic due to ureteric calculus. This single case study suggests its potential role as an alternative or adjuvant therapy in acute pain management.