Introduction: Arterial ulcers are often located distally and on the dorsum of the foot or toes with unbearable pain. These ulcers are mostly due to peripheral arterial disease and poor peripheral circulation. Atherosclerosis of the peripheral arteries is the commonest cause of this condition. It commonly occurs on the tips of toes and fingers. Incidence: Leg ulcers usually occur secondary to venous reflux or obstruction, but 20% of people with leg ulcers have arterial disease, with or without venous disorders. Between 1.5 and 3.0 in 1000 people have active leg ulcers. In Ayurveda this disease is not mentioned but it can be correlated with Vata-Pittaja Gambhir Vatarakta, Rakta-twak-mansa dushti and srotodushti lakshanas like sanga and siranam granthi. Material and Methods: A 32 year male patient was thoroughly examined and investigated for its classical clinical features of said disease in Shalya Tantra OPD in Parul University Vadodara. Patient has been planned for basti procedure followed by internal medication. Discussion: Due to the lekahana effect of kshara is does srotoshodhana and hence increases the peripheral circulation and helps in wound bed healing by increasing the blood flow to the wound bed . To improve the vitality and metabolites supply to aid healing the patient was given manjista which by virtue of its rakta sodhaka and praasdana property will increase the metabolites in the blood and helps in providing sufficient substrates in the wound bed for its healing and guggulu which contains rasa- Tikta,Katu Kshaya , Virya- ushna and Vata-kapha Shamak due to these properties it shows Varnya,Balya, Shophahar effect an dvolatile oil and its terpenoidal constituents. Conclusion: Considering pathogenesis, clinical features of this disease can be correlated with vata-pittaja gambhir vatarakta, rakta-twak-mansa dushti and strotodushti lakshanas like sangaand siranam grathi(1). Keeping this in mind patient was managed some Ayurvedic internal medications. This treatment gave satisfactory results. Patient had increased his claudication distance according to Boyd’s classification (2) .before treatment claudication distance was 200 meters. After treatment claudication distance was 700meters.