Sinusitis one of the most troublesome diseases disturbing the usual daily activities. It is manifested by severe headache, nasal discharge, sneezing etc which creates a great problem. For its management analgesics, nasal decongestants & finally curettage of the sinus to remove the fluid deposit is adopted in modern medical science. However in Ayurveda Nasya & Dhumapan is best applied in this connection. A clinical trial was carried out to evaluate the effectiveness of Sadvindu Taila nasal drop in the management of frontal sinusitis. For this purpose total 40 patients of frontal sinusitis were collected from the OPD & IPD of Gangasheel Ayurvedic medical college, Bareilly(UP) as per the selection criteria. They were divided into two groups i.e. trial group & control group (consisting of 20 patients each) to whom the nasal drop Sadvindu Taila & Otrivin (Xylometazoline hydrochloride) nasal drop was given respectively. The trial drug was given in the prescribed dose for 7 days under Nasya & Dhumapana procedure. The control drug, in normal way only nasal instillation. After 7 days evaluation was done depending on the subjective & objective parameters. For statistical evaluation, mean ± SD, paired t-test was calculated. It was observed that the trial drug is very much effective in decreasing Headache, sneezing, nasal discharge & other allergic manifestation. Radiological the fluid level also decreased. Though the drug is better effective but it is not accepted by all the patients as it causes severe irritation in nasal mucosa. With the total study it can be concluded that the trial drug Sadvindu Taila has a great scope in the management of sinusitis, especially frontal sinusitis. Further studies are required to establish the drug more scientifically.