Ayurvedic management of Vicharchika (Eczema) - A Case Report

Abstract

Eczema is a reaction pattern manifested by variable clinical and histologic findings. Primary lesions may include papules, erythematous macules and vesicles which can coalesce to form patches and plaques. In severe eczema, secondary lesions such as weeping and crusting may predominate. Eczema has quite resemblance with Vicharchika in Ayurveda. Vicharchika is characterized by skin manifestation having the symptoms Kandu (Itching sensation), Pidika (Papule), Shyava Varna (Blackish brown discoloration) and Bahusrava (Excessive exudation). Case summary: A 62 year old male patient approached with chief complaints of diffuse scaly skin lesions over face, upper limbs, lower limbs, abdomen and flanks associated with severe itching and serous discharge since 8 months. The Ayurvedic diagnosis was made as Vicharchika (Eczema) on the basis of signs and symptoms. The patient was given with Raktha Shodhaka and Kushtahara Shamana Aushadis (Oral medications) along with Parisheka (Sudation by shower sprinkling) with Sidharthaka Snana Choorna as Sravahara line of management. Later on Sadyovirechana was administered for Koshta Shudhi. From the 7^th day Abhyanga (Oil massage) was started and on 11^th day of treatment Siravyadha (Bloodletting) was done. Significant improvement was observed after 14 days of treatment in terms of EASI Score. This case study shows that Ayurvedic treatment is helpful in effective management of Vicharchika and helps in improving the quality of life.