Blepharospasm is an act of involuntary blinking .In few cases, disease become chronic with symptoms of persistent blinking and the person will be able to open his eyes only with a great effort which could eventually lead to a functional blindness. Most of the times it is associated with ALO (Apraxia of lid opening).ALO is an inability to initiate voluntary eyelid opening following a period of eyelid closure. Manual lifting of the eyelid often resolves the problem and lid is able to stay open for a while there after. Botulinum toxin injections are the treatment of choice for both Blepharospasm and ALO, which is too expensive and at the same time have only a temporary improvement. In Ayurveda such condition is comparable with Nimesha which is postulated to be resultant of Vata vitiation. Vata Shamana aushadhi and beside in Netra Tarpan ,Shashtika Pinda Sweda therapy of choice to treat above conditions. A single case study done at our department has shown significant improvement both in Continuous spasm of left eye, twitching of left eye (LPS) Photophobia, Stiffness in left side of face associated with heaviness around the eye after the patient was subjected to vata Shamana aushadhi.