Varicose veins pose significant challenges due to their prevalence and adverse impact on patients quality of life. This review explores the management of varicose veins, focusing on Raktamokshana therapy. Varicose veins, characterized by dilated, twisted veins primarily in the lower limbs, result from venous insufficiency influenced by various factors such as heredity, valve incompetence, and weakened vascular walls. Management involves lifestyle modifications, hydrotherapy, and surgical interventions. This paper delves into the risk factors, symptoms, conservative and surgical management, complications, and prevention strategies associated with varicose veins. A 47-year-old female presented with symptoms of itching, swelling, and aching pain in her right lower limb for five years. Ayurvedic examination and diagnostic procedures led to the decision to administer Raktamokshana therapy through Siravyadha. This therapy demonstrated significant improvement in symptoms over three sessions conducted at 15-day intervals. Raktamokshana, particularly Siravyadha, facilitates the drainage of stagnant blood, reducing RBC breakdown, pigmentation, and itching. The therapy targets vitiated Vata in the blood vessels, alleviating pain by removing accumulated substances causing discomfort. This approach underscores the significance of blood purification in managing varicose veins, offering relief from symptoms and improving overall well-being. In conclusion, Raktamokshana holds promise as a therapeutic modality in varicose vein management. Further large-scale clinical studies are warranted to evaluate its long-term benefits and efficacy. This abstract provides insights into the comprehensive management of varicose veins, emphasizing the role of traditional therapies like Raktamokshana in modern medical practice.