Malnutrition is characterized by deficiencies, excesses, or imbalances in a person's nutrient or calorie consumption. Children in developing countries like India continue to struggle with this serious and challenging public health problem. According to India's most recent National Family Health Survey (NFHS-5), 36% of infants under five have stunted growth (too short for their age). This is an indication of ongoing malnutrition. 32% of children under five are underweight, which is a symptom of severe undernutrition, while 19 percent of children under five are wasted (too small for their height). Malnutrition can be correlated with Karshya in Ayurveda, and it can be managed with a preparation of Ashwagandha called "Ashwagandhadi Leha." This drug is made up of the following ingredients: Ashwagandha (Withania somnifera), Tila (Sesamum indicum), Mash (Vigna mungo), Guda (Jaggery), Pippali (Piper longum), and Ghrita (Cow ghee). Emphasizing "Ashwagandhadi Leha's" efficacy in treating malnourished children is the main purpose of the current review. The ingredients of this drug have Deepana (increase digestive fire), Balya (Provide strength), Brinhana (provide nourishment), and Rasayana (rejuvenator) properties. The clinical evidence shows that these health promoters enhance bioavailability and have excellent nutritional properties. The present paper reveals that this drug is better for gaining weight in malnourished children.