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A 54-year-old male patient complained of constant blinking of both eyes since 1 year. Based on the MRI report, the condition was pre-diagnosed as Blepharospasm. Despite receiving standard of care, the condition continued to worsen, significantly impacting his daily life. He was recommended Botox therapy, which the patient refused and opted for Ayurveda. Dr Rajnikanth diagnosed this condition as Pakshma gata vayu prakopa. The line of treatment followed was Vatapitta hara and shotha hara. The medicines were picked targeting the relief from the symptoms and boosting the immunity and promoting the digestion. After six months of Ayurvedic treatment, the patient experienced substantial relief from the symptoms. This case report demonstrates the successful standalone ayurvedic management of Blepharospasm in a patient who was not getting satisfactory relief inspite of standard of care and was recommended Botox therapy as the solution.