Background: Appearance places a high value in human society. There is a growing focus on skincare and maintaining beautiful and healthy skin. In Ayurveda skin diseases are included under the heading of Kushta and Kshudrarogas. Vyanga is one of the Kshudra rogas and is distinguished by the presence of the Niruj, Tanu and Shyava varna mandalas on the face, particularly the forehead, nose and cheeks with 90% patients are women. Clinical features of Vyanga are similar to that of Melasma. Bhrajak Pitta, which is responsible for skin coloration, is closely related to the complexion of skin. Vitiated Pitta Dosha plays an important role in the formation of Melasma. The management of this condition should focus on pacifying the aggravated Doshas and Promoting Raktashodhana. Jalaukavacharana(Leech Therapy) is considered a key treatment modality, as it aids in blood purification, removes toxins, and eliminates the vitiated Doshas accumulated in the body. Aims and Objectives:To evaluate the efficacy of Jalaukavacharana (Leech Therapy) Material: A 42 year old female patient reported to Rognidan O.P.D. with complaints of brownish colored patches on face mainly on cheeks and just above the eyebrow region since 1 and half year. No pain, itching and burning sensation. Methods: Jalaukavacharana sitting on 1st, 8th and 15th day. Two Jalauka’s were applied over cheeks. Discussion: Vyanga is Raktapradoshaja Vyadhi mentioned under Kshudraroga which has major concern with respect to beauty of the person specially females. Raktamokshana (Jalaukavacharana)is one of the shodhana karma which cures the disease originated by Rakta and Pitta. Conclusion: Present case report of patient with vyanga. The therapy was effective in reducing the symptoms. Hence, Jalaukavacharana is effective in treatment of vyanga patient.