Introduction: Skin diseases in Ayurveda are described as Kushta Roga. There are seven Mahakushta and eleven number of Shudra Kushta Roga are explained. All Kushta Roga are Tridoshaja in nature but according to dominancy of Dosha they can be classified according to Dosha. The drug- Vachadi Ointment that contain Vacha, Daruharidra, Sarshap and oil with wax base which having easily availability and also cost effective. Vachadi ointment is having strong action of all ingredients hence, quickly result giving formulation for paediatric age group. The combinations of medicines described in the textbooks of Ayurveda are the products of thorough analysis and clinical trials with time bound revalidation. Many of them indicated in the context of various disorders are able to work both in the curative as well as preventive perspective. The skin has several inbuilt mechanisms for interacting with the environmental agents and most of the times the skin is able to protect it from those agents. The protective ability however, may not always be able to deal with the environmental stimulus and this leads to the production of skin disease. Material & Methods: Information was collected from the world health organization, books, research papers, journals. Ayurveda literature from reference books, internet, and opinions of experts utilize as a review. Conclusion: It suggests that external application of Vachadi ointment is quite suitable therapy. As in Kushta Chikitsa both internal and external therapy gives in text and efficacy treatment of skin diseases.