Journal of Ayurveda and Integrated Medical Sciences

Due to poor cleanliness, skin diseases are more common in youngsters and those from lower socioeconomic groups. According to Ayurveda, Vicharchika has similar clinical presentation as eczema. According to Bruhatryee, Vicharchika comes under Kshudrakustha. As Kustha is caused due to Viruddhaahara which leads to Agnimandya. Atopic dermatitis is another name for eczema in modern medical terminology. Eczema, also known as atopic dermatitis, is a pattern of skin inflammation caused by delayed type hypersensitivity and mediated by T cells in the skin.^[1] Although scarring is uncommon, areas of transient skin darkening occasionally defined healed wounds.

There are many causes of Vicharchika, excessive consumption of foods that are dry, stale and cold, salty, spicy sour, fermented or fried, late night work schedules, regular late-night dinners, excessive physical, mental and sexual activities and the stress is responsible for causing Vicharchika. Excessive intake of teas, coffee, alcoholic beverages, aerated drinks, indigestion, constipation, acidity or flatulence too can cause eczema.

A 32-year-old female consulted in Out-patient department of Rajkiya Ayurved Hospital Motichohtta, Udaipur. Complain of the patient was recurrent skin patches on both feet and thigh region with redness, itching, along with discharge. Patient was suffering with these symptoms from last six years. The patient also consulted to allopathic hospitals and took allopathic treatment but did not get much relief from modern medicine and even condition become vaster with spreading of symptoms to nearby area of body.

Dashvidh Pariksha

After Virechana patient have got relief in symptoms

• Decreased redness and itching
• Discharge subsides

Poor food and lifestyle choices contribute to eczema or Vicharchika, which compromises digestion and aggravates Kapha Dosha.^[2] When Kapha is present, it shows up in the skin and builds up toxins. eating too much fish, new grains, curds, and sour or salty meals. Black grammes, radish, foods made from flour paste, sesame, and items made with milk and jaggery. Vicharchika's aetiology and risk factors include engaging in sexual activity even when food hasn't fully digested (sex right after eating), sleeping during the day, insulting peers like brahmins, gurus, and other respected individuals, as well as engaging in sinful behaviour. The three vitiated Doshas of Vata, Pitta, and Kapha, as well as impaired Tvak, Rakta, Mamsa, and Ambu, collectively make up seven crucial elements that contribute to the pathogenesis of this skin illness, with Kapha being the main Dosha in Vicharchika.^[3]

Patient should consume easily digestible and wholesome food, green leafy vegetables bitter in taste, food and ghee prepared by fortifying with Bhallataka, Triphala and Nimba, one year old cereals, meat of animals inhabiting from arid area, preparations of Mudga and Patola. Patient should avoid food which are heavy to digest, sour food, milk, curd, meat of animals residing in marshy area, fish, jaggery and sesame.^[4]

The case study shows how eczema can be totally treated with only Ayurvedic medicine. A key component of the treatment for Vicharchika is Pathyasevan. Apathy must be prevented.