Vatarakta (Gout) is a disease explained in Ayurveda involving Vata Dosha imbalance affecting Rakta Dhatu. Raktadushti plays a crucial role in its pathogenesis. "Abhighataja Raktadushti" refers to a condition of vitiation of blood caused by injury or trauma leading to Utthana Vatarakta1. This can manifest as swelling, pain, and inflammation, particularly in the affected area. It's closely related to the concept of Vatarakta, where both Vata and Rakta are involved2. Cupping therapy has been a traditional practice dating back to ancient times. Cupping therapy is a therapeutic technique that utilizes a vaccum force created beneath a small vessel applied onto the skin’s surface. This approach focuses on blood and autologous healing substances in a specific area, stimulating metabolic activity, improving immune function, and stabilizing blood biochemistry3. Cupping is typically categorized into 2 primary procedures- wet and dry cupping. In both techniques, containers made from various materials are used to create a vaccum over a specific area of the skin. However, suction is applied in a wet cupping procedure to draw small quantities of blood and extracellular fluid from the body, typically after creating minor incisions or superficial skin abrasions, often in significantly smaller amounts than conventional bloodletting practices4. On the principal of vaccum, cupping methods are used for Raktamokshana karma. In this method the therapist puts special cups on the skin for few minutes to create suction. A 55 years old male patient visited OPD with the complaints of severe pain, numbness and swelling at left thigh region since 2 days associated with difficulty in walking. One day while working in the paddy field he met with a trauma, run over by a tractor front wheel on his left leg.