Chronic migraine is a prevalent neurological disorder. Conventional treatment has been providing symptomatic relief by reducing the symptoms of pain and vomiting. In addition, there are side effects associated with these medications. A 53-year-old male presented with chronic migraine with aura. He was treated for acute symptoms for 10 days with the following acupuncture points at the EM 6 (Qiuhou), ST 8 (Touwei), GB-8 (Shuaigu), LI 4 (Hegu), and ST 44 (Neiting). In addition, Vamana Dhauti (VD) (self-induced emesis) was taught once followed by VD practice once a week as part of a long-term follow-up for 10 years. Results suggest that acupuncture is beneficial to reduce the acute symptoms of migraine and the possible frequency of migraine attacks. However, VD has shown to be beneficial in reducing the frequency of migraine attacks over a period of time and eventually led to the complete cessation of migraine attacks. In conclusion, randomized controlled trials are required for testing the efficacy in managing migraine.