Varicose eczema is the condition usually present secondary to varicosity of superficial veins. There is no successful surgery as well as medical remedy available for complete cure of this condition. Contemporary treatment includes combination of locally applied topical steroids and use of emollients either applied directly or via emulsifying oils in bathing water with the treatment of varicose veins, which includes ligation, ligation with stripping, surgical treatments etc. But these treatments can cause re-occurrence. Considering this, alternatives are being searched by the suffering, as well the medical field too. A 38 year old male with complaints of pain, burning and discharges in the medial side of left lower limb associated with dilated and tortuous veins in the anterior aspect of lower leg with discolouration visited the hospital. He was treated with virechana (therapeutic purgation), internal medications, external treatments and siravyadha (venesection). After the treatment, all the signs and symptoms of varicose eczema as well as varicosity reduced significantly.