Varicose ulcers are a debilitating complication of chronic venous insufficiency and account for nearly 70% of chronic lower-limb ulcers. High recurrence rates and delayed healing remain major challenges despite conventional management. In Ayurveda, varicose ulcers are correlated with dushta vrana, for which Jalauka Avacharana (leech therapy) is advocated. A case report of a 52-year-old male with a chronic non-healing venous ulcer refractory to conventional treatment, which was successfully managed using leech therapy along with adjuvant ayurvedic wound care. Complete ulcer healing was achieved within 30 days without adverse events, highlighting the potential role of Ayurvedic interventions in chronic venous ulcers.