Vicarcika is a chronic illness characterized by skin eruptions and itching with oozing. If it is neglected then normal condition of the body may be affected. This condition is called as Kushta in Ayurveda. Most of such cases have appearance of Kandu (excessive itching), Pidaka (papules, vesicles and pustules), Shyava (erythema with discolouration), Bahusrava (profuse discharge and oozing), Raji (thickening and lichenification of the skin), Ruja (pain) and Ruksha (dry lesion). The present study highlights a case of 69-years old male patient with major complains of discharge, itching on skin and severe pain on both lower limbs. He was managed successfully with treatment steps of Rukshana, Snehana and Virechana procedures. After 10 days of treatment, the acute inflammation was reduced with no discharge, old dead scaly layer get dried out and scaled off whereas the edema was markedly reduced. Moreover, pain and itching sensation were reduced in patient while the condition of erythema was completely disappeared.