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Vatarakta is a variety of Vataroga , as the name suggests it occurs due to the vitiation of Vata Dosha and Rakta Dhatu . It is an illness where both Vata and Rakta are afflicted by distinct etiological factors.1 In this condition the normal flow of Vata is obstructed by Rakta leading to symptoms starting from Paada (foot) and Hasta (hands) mula . Panchakarma is a unique module of management which can eliminate the causative pathogen from the system for complete eradication of disease process. Various Panchakarma procedures and Ayurvedic drugs have been proved useful for this disease. Basti is one of them, which is also called as Ardha chikitsa by Acharya Charaka. Here is a case of Vatarakta, which was treated with a combination of Ksheera Basti and Shamana chikitsa. The condition was treated with 8 days schedule of Yashtyahvadi Niruha Basti along with Sarvanga abhyanga and Nadi sweda. Patient's condition was assessed for symptoms of Vatarakta and marked improvement in signs and symptoms were seen. After observation and discussion we concluded that Yashtyahvadi Niruha Basti is effective in management of Vatarakta.