Abstract
Background: Kushtha is the broad term used for all skin conditions in Ayurveda. Vicharchika is a subtype of Kshudrakushtha. It is Rakta Pradoshaj Vyadhi involving all three Doshas in its Samprapti. It can be correlated with atopic dermatitis (eczema) due to similarity in clinical features, such as Kandu (pruritus), Pidika (papules, vesicles, and pustules), Shyavata (erythema with discoloration), Srava (copious discharge), Raji (thickening, lichenification of skin), Ruja (pain), and Rukshata (dry lesion). In Ayurveda, Shodhana and Shamana chikitsa are mentioned for Kushthavyadhi. Case Report: A 63-year-old male reported having blackish thick patches on back side of both knee joints with severe itching, burning sensation, and watery discharge for the last 3 months. The case was treated with Nitya Virechan with Aragvadha Kadha and Avipattikar Churna for 7 days followed by Shaman Aushadhi (Arogyavardhini Vati, Khadirarishtha, Panchtiktaghrit guggul, and Karanja tail) for 15 days. Result and Discussion: The assessment of subjective parameters like Kandu (pruritus), Srava (discharge), Daha (burning sensation), Shyavata (discoloration), and Rookshata (dry skin) was done on days 0, 7, and 14 as well as photographs of the affected areas compared before and after treatment. Patient showed remarkable relief from all symptoms after treatment. Conclusion: Nitya Virechan followed by Shamana Aushadhi is very effective in the management of Vicharchika (eczema).
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