Diabetes Mellitus (DM) is one among the most common lifestyle related disorders in the present era. In type II DM, prevalence of microalbuminuria is 20 -25% in both newly diagnosed and established cases. Microalbuminuria defined as urinary albumin excretion of 30 -300 mg/day is an earlier sign of vascular damage due to complications of DM and a marker of general vascular dysfunction. Microalbuminuria is seen in the third stage of diabetic nephropathy and is a leading cause of End Stage Renal Disorder (ESRD). In Ayurveda, Lakshanas (symptoms) of Kaphapittavruta Madhumeha (DM with Kapha and Pitta obstruction) show similarity to the features of microalbuminuria. Aragwadhaadigana Kashaya( Medicated Decoction) having Kaphapittasamana (reduces Kapha and Pitta humours), Pramehahara, Apatarpana(non nourishing) properties is considered to be effective in Prameha(Obstinate urinary disorders including Diabetes) associated with Kapha Pitta Aavarana (Obstruction). A 60-year-old male patient, already a known case of DM for the past 20 years came to our OPD with complaints of frothiness of urine, urgency of micturition and bilateral ankle swelling for one year along with generalized tiredness for two years. On investigation, 24-hour urine microalbumin was found to be 281 mg/day. The patient was advised to take Aragwadhadigana Kashaya 48 ml twice daily for 30 days. At the end of the study, significant changes in subjective criteria and 24hour urine microalbumin were observed. This effective treatment protocol can prove as a noninvasive safe therapy in managing Microalbuminuria in Type II Diabetes Mellitus.