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A 70 year old female patient presented with a non-healing wound in the left flank region with severe pain since 15 days associated with a foul smell. The patient consulted allopathic doctor and the diagnosis was made as Necrotising cellulitis on the left flank. She was advised for plastic surgery for wound management. She was reluctant to go for surgical management and opted for Ayurvedic treatment and approached Dr Rajnikanth. Based on the previous treatment records and clinical examination, the biomedical diagnosis was made as Necrotising wound and the Ayurveda diagnosis as Nadi/ dushta vrana. The line of treatment followed was Vrana hara cikitsa. The medicines used were indicated in vrana, and visha cikitsa. With 2 months of Ayurvedic treatment, the wound healed completely. Bates- Jensen wound assessment score was 52 before treatment became 16 after treatment. This case report demonstrates the successful standalone ayurvedic management of necrotising wound in an elderly woman who was suggested plastic surgery as the best treatment option.