Introduction- Dushta Vrana is still a challenge for clinicians. Long standing Dushta Vrana need surgical debridement which patient avoids due fear. Ksharaplota (Alkaline medicated gauze) is used as dressing material. Material and methods – A female 16years student present with multiple non-healing ulcers over ring finger of left hand in spite of taking allopathic conventional treatment, the details of which are furnished in the paper. On examination it was primarily diagnosed as Dyshidrotic eczema. Treatment – treated with daily Ksharaplota dressing to ring finger of left hand for 4 days Jathyadi taila dressing for 10days along with few oral medications. Results – wound was healed without any complications within a month Discussion – Kshara has Vrana Shodhana, Ropana and Tridoshaghna properties, here Ksharaplota is used as dressing material for debridement or to remove unhealthy tissue and to enhance formation of healthy granulation tissue.