Vatkantaka, caused by vitiated Vata at Gulpha Sandhi as described under Vatavyadhi in Ayurvedic texts, leads to Shool (pain), Shoth (swelling), and Dah (burning sensation) at the Gulpha Sandhi. This condition can be correlated with Achilles Tendinitis in modern science. For the treatment of Vatkantaka, Raktavasechan has been indicated by Acharya Bhavaprakash. A 60-year-old male patient had complaints of pain, swelling, and burning sensation at the Gulpha Parshva Pradesh for 3-4 months. Pain increased during the first few steps after waking up from bed. The patient took oral painkillers and IM injections for relief. He underwent Jalauka Avacharana treatment with 2 leeches applied to the Gulpha Parshva Pradesh after 7 days for 3 consecutive sittings. After Jalauka Avacharana, the patient got relief from complaints.