Mukhadushika (Acne) is a most common skin disease in adolescent. Current varies treatment procedures which include oral antibiotic,Topical applications; Surgery, Laser therapy etc. are associated with many side effect, scar & irritation of the skin & recurrence. But Raktamokshana is the most important treatment of the Pitta Dosha. Jalaukavacharna is the method of removing impure blood from the body. It is considered as the most easy and convenient method of bloodletting therapy which is one among the Panchakarma (five purificatory) Procedure. Raktamokshana is the most important treatment of the Pitta Dosha. Raktamokshana by Jalouka can provide a simple, painless, OPD basis & economic treatment. The purpose of this take a look at is to assess the efficacy of Jalaukavacharana(Leech therapy) and shamana oushadhis in the control of pimples vulgaris. This is a particular case take a look at of 26 year aged female patient with complaints of pustules all over each cheeks and forehead pus discharge and suffering from 10-12 months. This case was successfully managed with 8 sitting (once in 7 days) of Jalaukavacharana and shamana oushadhis for 3 months. All the pimples got cleared, Skin complexion has increased. Conclusion is Ayurveda can provide promising result in the patient of Acne vulgaris through Leech therapy and shamana oushadhis.Result was significant, assessments were observed clinically & recorded.