Siraja Granthi is one among the Granthi Roga described in various Ayurvedic classics. It denotes a pathological condition characterised by an elevated, quickly developing, and round swelling of veins, which are non-pulsating and painless. Symptomatology’s of Siraja Granthi indicate the correlation towards the varicose veins. Ayurvedic management has multiple time-tested modalities of treatment such as external application of Sahacharadi Taila, internal Basti and Para surgical procedure such as Raktamokshana, for, for the management of Siraja Granthi. A hypothesis was made that, whether Raktamokshana, for by Siravyadha method which is comparatively safe, has extended systemic action quoted to be Ardha Chikitsa and can be employed in patients with Siraja Granthi / varicose veins.
Case Presentation: Case Presentation: A 50 years female patient visited our Outpatient department of Shalya Tantra at Sri Babu Singh Ayurvedic Medical College & Hospital (SBSJSAMCH), Farrukhabad, with Chief Complaints of Pain in bilateral lower limb, exacerbating toward the end of the day since 1month.The patient reportedly experienced Burning sensation in both legs, more pronounced in left leg And Ulcer over lower limb since3 weeks. She also experienced gradual onset of ankle edema, hyperpigmentation around the affected area.
Based on clinical evaluation, a treatment protocol was designed comprising:
•    Raktamokshana by Siravyadha, administered in four sittings at seven-day intervals.
•    Sahacharadi Kashaya, 15 ml twice daily (BID), administered internally for 30 days.
Tab Kaishor Guggulu,2 BD, administered internally for 30 days.