Management of Vicharchika (Eczema) an Ayurvedic Approach-A Case Report

Background: In Ayurveda, all types of Kustha are believed to have a Tridoshaja origin, and they are classified into two categories: Mahakustha and Kshudra Kustha. Vicharchika is a type of Kshudra Kustha, characterized by symptoms such as Kandu (itching), Srava (discharge), Pidaka (vesicles), and Shyava Varnata (skin discoloration). In modern medical terms, Vicharchika closely resembles eczema and is considered a form of dermatitis, where the dermis becomes inflamed, often referred to as Atopic Dermatitis, characterized by pruritis, burning, oozing, papules, vesicles, dryness, scaling, discoloration and skin lichenification. Vicharchika affects psychological health causes anxiety, depression, disturbs the person’s routine thus interrupts the ability to function normally and lead to social isolation. In classical text of Ayurveda Shodhana and Shamana therapy is explained best line of treatment for Kushta. Among Shodhana therapy Virechana karma is best purificatory therapy in Vicharchika.