The adenoid is a mass of lymphoid tissue located in the nasopharynx, responsible for producing antibodies. However, adenoid hypertrophy, a common condition where the adenoid becomes enlarged, can lead to nasal obstruction, resulting in sleep disorders such as snoring and sleep apnea. This, in turn, can cause educational and social problems. Chronic nasal obstruction and mouth breathing can also lead to adenoid facies, characterised by an elongated face, crowded teeth, and a pinched nose. If left untreated, complications such as middle ear infections, glue ear infections, and chest infections may occur. Fortunately, management options are available, including breathing exercises, decongestant nasal drops, steroid nasal spray, antihistamines, and, in severe cases, adenoidectomy, the surgical removal of the adenoid. However, these medical treatments provide only temporary relief, and surgical intervention is not always preferred in paediatric practice. Hence, a pre and post-clinical trial was conducted on 26 participants aged 4-12 years, irrespective of gender, diagnosed with adenoid hypertrophy within 1 month by X-ray, CT or Diagnostic Nasal Endoscopy (DNE) at the Shalakyatantra OPD, Govt. Ayurveda College, Kannur. Participants received study medications in age-appropriate doses with the necessary instructions. Assessment of symptoms such as mouth breathing, snoring, sleep apnoea, and nasal obstruction was carried out at baseline (Day 0), on the 15th and 31st days, and at follow-up on the 45th and 61st days. Data were analysed using the Friedman test, followed by post hoc analysis with the Durbin–Conover test. The results revealed that symptoms such as mouth breathing, snoring, and nasal obstruction had statistically significant improvement (p < 0.001) following treatment, and no cases of sleep apnoea were observed during the study period. The requirement for nasal spray use was markedly reduced during treatment, and most participants remained symptom-free even at follow-up, indicating sustained therapeutic benefits.