The present case report highlights the integrative management of Kaphapurvaka Vata Pradhanaja Shlipada (correlated with Elephantiasis Nostras Verrucosa), a chronic non-filarial lymphatic disorder characterised by fibrosis, induration, and recurrent ulceration. A 45-year-old male patient presented with chronic swelling and ulceration of the left lower limb, diagnosed as Shlipada. Initial modern wound management, including Betadine–Hydrogen Peroxide infiltration, VAC dressing, and Metrogyl packing, effectively reduced local infection and discharge but showed limited improvement in chronic oedema. Subsequently, an Ayurvedic protocol focusing on Shodhana and Shamana Chikitsa was instituted. The treatment included Abhyanga with Sarshapa Taila, Dhara with Dashamoola Kashaya, and Udwartana with Kolakulathadi Churna to promote lymphatic drainage, reduce Srotorodha, and alleviate Kleda Sanchaya. This was followed by Niruha Basti with Manjishtadi Kshara Basti and Anuvasana Basti with Manjishta Taila and Triphala Taila from 10/01/2024 to 17/01/2024 for systemic detoxification, nourishment, and wound healing. Oral medications included Sapthavinshati Guggulu, Gandhaka Rasayana, Ekangaveera Rasa, and Varunadi Kashaya. Marked clinical improvement was observed, with significant reduction in oedema, induration, and pain, and the Defence and Veterans Pain Rating Scale (DVPRS) score improved from Grade 9 before treatment to Grade 4 after treatment. The integrative approach combining modern wound care with classical Ayurvedic therapies provided effective symptom control and functional recovery. This case demonstrates the potential of evidence-based Ayurvedic interventions as complementary to modern management in chronic lymphatic disorders such as Shlipada, achieving sustained relief and tissue restoration.