Varicose Vein are enlarged,swollen, and twisting veins, often appearing blue or dark purple. They happens when faulty valves in the veins allows blood flow in the wrong direction or to pool. It may also occur in person involved in excessive muscular contractions e.g. Rickshaw pullers and athletes1. According to Ayurveda Varicose vein is usually compared to Sirajagranthi. As per Acharya Sushrutha, due to Vataprakopakanidanas like physical exertion and strainings, Vayu enters the siras manifesting Sirajgranthi2. According to Ayurveda Raktamokshana is cure Varicose veins. Jalaukavacharana is the procedure employed in the study. this is case presentation of a 52 years female patient with history of varicose veins, having complaints of pain, muscle cramps, blackish discolouration since 5 years. Jalaukavacharana was done weekly once for one month. The patient got relief in all symptoms with appreciable change in blackish discolouration of both legs.