An insight on Vicharchika and its management

Abstract

The skin serves as the body's interface with the external environment, constantly interacting with physical, chemical, and biological agents. These interactions can lead to specific reaction patterns, resulting in characteristic skin lesions across various body parts. Environmental stimuli vary, and the body's innate resilience determines the occurrence of spontaneous remissions and relapses. In Ayurveda, skin diseases are categorized under Kustha, further divided into Mahakustha and Kshudra  Kustha. Vicharchika falls under the latter category. It is characterized by symptoms such as itching (Kandu), eruptions (Pidaka), dark discoloration (Shyva Varna), and excessive discharge (Bahusrava). Charaka Samhita describes Vicharchika with predominance of Kapha, while Sushruta Samhita highlights symptoms indicating Pitta dominance. Vicharchika is regarded as a challenging condition to treat, categorized as a minor skin disorder (Kshudra-Kustha) yet considered a significant health issue. Ayurvedic texts outline various Sodhana (purification) and Shamana (palliative) treatments to balance the Doshas involved in Kustha. Shamana therapies include applications of medicated pastes (Lepa), internal medications (Pradeha), and herbal oils (Taila). Overall, addressing Vicharchika requires a comprehensive approach that integrates Ayurvedic principles with lifestyle modifications aimed at restoring balance and promoting skin health.