Ayurvedic management of Vicharchika with special reference to Chronic Eczematic Ulcer - A Case Report

Abstract

Kushta Roga is classified into two types: Maha Kushta and Kshudra Kushta. Vicharchika (eczema), a type of Kshudra Kushta, presents with symptoms such as itching (Kandu), discharge (Srava), vesicles (Pidaka), and skin discoloration (Shyava Varna). Vicharchika is often correlated with eczema based on its clinical presentation. Modern dermatology has advanced significantly, but there is no definitive cure for eczema. Instead, symptomatic treatments such as antihistamines and steroids are commonly used, which may lead to severe side effects, including nephrotoxicity, osteoporosis, and skin cancer. Ayurveda addresses the disease at its root by cleansing vitiated Doshas and balancing the Doshas and Dhatus without any side effects. Ayurveda emphasizes Shodhana (purification therapy) and Shamana (palliative therapy) to treat the underlying cause. This case study highlights the successful Ayurvedic management of a chronic eczematic ulcer using internal medications, external applications, and bandaging, leading to significant improvement.