Background: Sira Pidaka is a Shuklagata Netra Roga (Acharya Sushruta), Sarvagata Netra Roga (Acharya Vagbhata) described in Ayurvedic classics, characterised by localised inflammatory swelling involving ocular blood vessels due to Rakta and Pitta dushti. Objective: To evaluate the efficacy of Ayurvedic management in a case of Sira Pidaka and correlate it with nodular episcleritis. Methods: A 23-year-old male patient presenting with nodular episcleral inflammation following ocular trauma was treated with Ayurvedic Kriya Kalpa procedures and internal medications. Results: Complete resolution of pain, redness, and nodular swelling was observed within 10 days without visual impairment. Conclusion: Ayurvedic management using Kriya Kalpa Chikitsa is effective in treating acute Sira Pidaka (nodular episcleritis).