In Ayurveda, Kushtha is described as a group of chronic skin disorders which arises due to vitiation of Tridosha and involvement of 7 Dravya- Tridosha, Tvak, Rakta, Mamsa and Ambu leading to various skin changes. Acharya Charaka has divided Kushtha into Mahakushtha and Kshudra Kushtha based on severity and prognosis wherein Pittaj Kshudra Kushtha is a subtype with Pitta predominance. Pathologically vitiated Pitta affects the skin and blood producing inflammatory symptoms like raga(redness), daha (burning sensation), kandu (itching), tivra vedana (pain/irritation) and srava (oozing). A case study was conducted on a 57 year old male patient with above symptoms of Pittaj Kshudra Kushtha and tremendous results were seen in lesions with an integrated ayurvedic approach of internal medications (Shaman Chikitsa) and Panchakarma therapy as discussed below.