Year - 2026Volume - 4Issue - 3Pages - 01-07
“An Ayurvedic Management of Vicharchika W.S.R. to Eczema: A Case Study”
15 Jul 2026
9
About Author
Shendage D1,Jamdhade D2,Jamdhade D3,Polawar D4,
1 PG scholar, D.M.M.Ayurved , college, Yavatmal
2 HOD and Professor, D.M.M.Ayurved , college, Yavatmal
3 Assistant professor , D.M.M.Ayurved , college, Yavatmal
4 Professor , MUP Ayurveda college,Risod
Correspondence Address
D.M.M. Ayurved college, Arni road, Shivajinagar,Yavatmal
Contact No. : 7057443659, Email : hrishikeshs0909@gmail.com
Date of Acceptance : 24 Sep 2026
Date of Publication : 30 Sep 2026
Article ID : SD-IJAY_190
How to cite this article : http://doi.org/10.55552/SDNJAY.2026.4301
Abstract
Background: Vicharchika, described under Kshudra Kushtha in Ayurveda, is a chronic, recurrent skin disorder characterized by Kandu (itching), Srava (discharge), Vaivarnya (discoloration), and Rukshata (dryness). It closely resembles eczema (atopic dermatitis) in its clinical presentation. Ayurveda attributes its pathogenesis to Agnimandya leading to Ama formation, Tridosha vitiation (predominantly Kapha), and involvement of Twak, Rakta, Mamsa, and Lasika. This study evaluates the effectiveness of Ayurvedic management in a patient with Vicharchika.
Objective: To evaluate the efficacy of Ayurvedic treatment in the management of Vicharchika with special reference to eczema.
Materials and Methods: A single-case study was conducted on a 45-year-old female presenting with itching, pain, and erythema over both legs for four months. The treatment protocol included Shodhana Chikitsa (Snehapoorvaka Virechana and monthly Jalaukavacharana for three months), internal medications (Arogyavardhini Vati, Kaishor Guggulu, Khadiradi Vati, Haridrakhanda, Punarnavasava, and Sukhavirechana Churna), and external therapies (Triphala Kwatha Dhavana, Karanja Taila, and Shatadhauta Ghrita). Clinical assessment was based on the severity of Kandu, Raktavarna, Srava, and Vedana.
Results: Marked improvement was observed after three months. Complete resolution of itching, erythema, and discharge was achieved, while pain was significantly reduced. No adverse effects were reported during the treatment period.
Conclusion: A comprehensive Ayurvedic approach integrating Shodhana, Shamana, external therapies, and Pathya effectively reduced the clinical manifestations of Vicharchika and may help prevent recurrence. This case highlights the potential of Ayurvedic management as a safe and holistic treatment option for eczema, warranting further validation through larger controlled clinical studies.
Introduction
Atopic dermatitis, often known as eczema, is a disorder that results in dry, rough, itchy skin. Damage to the skin barrier is caused by eczema (the "glue" of skin). The skin becomes more sensitive, prone to infection, and dry due to this lack of barrier function. Use of skin moisturizers, phototherapy, TIMs (Topical Immuno Modulators), mild soaps, and other items devoid of alcohol, colours, and fragrances are examples of conservative treatment. According to Ayurveda, Vicharchika is a Raktpradoshaja Vikara with three Doshas engaged with Kapha as the dominant Dosha. As mentioned in Charak Samhita Samprapti (pathogenesis) of Vicharchika starts with Agnimandya which occurs due to Nidana sewana which causesAmautpatti (indigestion) which further does Tridoshadushti & Kleda (moisture) formation and eventually causing Mamsadushti, Twakdushti, Lasika Dushti and Rakta Dushti finally causing Kushta/ Vicharchika. [1] Even though it is Kshudra Kushtha, it has a propensity for exacerbations and has a chronic history. Most Vicharchika (eczema) patients, who do not benefit much from modern medicines, seek for Ayurvedic treatment with high hopes of being cured of their illness. There are numerous factors that contribute to Vicharchika, including overindulging in foods that are salty, spicy, sour, fermented, dry, cold, and dry; working late; eating frequent late-night meals;engaging in excessive physical, mental, and sexual activity; and stress. Eczema can also be brought on by excessive consumption of tea, coffee, alcohol, aerated drinks, indigestion, constipation, acid reflux or flatulence. [2]
Ayurveda emphasizes a holistic treatment approach aimed at Samprapti Vighatana through Shodhana Chikitsa (Vamana, Virechana, and Raktamokshana where indicated), Shamana Chikitsa, local therapies, and appropriate Pathya-Apathya. These interventions not only alleviate symptoms but also target the underlying etiopathogenesis, thereby reducing recurrence and improving overall quality of life. Contemporary clinical studies have demonstrated encouraging outcomes of Ayurvedic interventions in the management of Vicharchika (eczema), suggesting their potential as safe and effective therapeutic options. [3]
Therefore, the present article aims to review the Ayurvedic concept of Vicharchika and its correlation with eczema, with special emphasis on its etiopathogenesis and evidence-based Ayurvedic management. [4]
Discussion
Kushtha is tridoshaj vyadhi ,In wich Twak , rakta , mansa and lasika were involved.,
So treatment was intentionally planned to target the kapha,pitta doshas by carrying out virechan , To remove vitiated pitta and kapha doshas.
Then Raktamokshan in which jaloukavacharan were carried out for raktashuddhi. As a rakta is the main dushya.Externally Triphala Dhawan helps in keldoshaman,reducesd strav from local area, After washing local application of Karanj Tailam and shatadhaut ghrit were administered. Shatadhaut ghrita Reduces burning sensation (Daha) and inflammation. Moisturizes and restores the skin barrier. Karanj taila Possesses antimicrobial and antifungal properties, reducing secondary infection.
Aarogyavardhini Vati – Corrects Pitta-Kapha imbalance, improves liver function, and helps reduce skin inflammation and itching.
Khadiradi Vati – Purifies blood (Raktashodhaka) and relieves itching, discharge, and skin lesions Kaishor Guggulu – Reduces inflammation, detoxifies Rakta, and promotes healing of chronic skin lesions. Haridrakhand Churna – Acts as an anti-allergic and antipruritic formulation, reducing itching and hypersensitivity in Vicharchika.
Sukhvirechan Churna was administered to achieve mild Virechana, which is considered one of the principal therapies for Pitta disorders. It aids in the elimination of vitiated Pitta, improves bowel regularity, enhances Agni, and contributes to the overall correction of the disease process.
Conclusion
Shodhana Chikitsa (Panchakarma), as described in the classical Ayurvedic texts, plays a significant role in the management of Vicharchika by eliminating vitiated Doshas and reducing the chances of disease recurrence (Apunarbhava). Shamana Chikitsa, including both internal and external therapies, is effective in alleviating the clinical symptoms of Vicharchika. Along with these treatments, strict adherence to Pathya (appropriate diet and lifestyle) plays a crucial role in promoting faster recovery and preventing recurrence. Thus, a comprehensive Ayurvedic approach provides significant symptomatic relief, improves the patient's quality of life, and helps achieve long-term disease control.References
REFERENCE
1. Sri Satya Narayana Sastri, Charak Samhita, Chikitsa sthana, Varanasi; Chaukhambha Bharati Academy Publication; 1987. p. 248-249.
2. Pt. Kasinatha Sastri, Charak Samhita, Nidana sthana, Varanasi; Chaukhambha Publication; reprint 2012.P 514.
3. Kaur C, Chandola HM. Role of Rasayana in cure and prevention of recurrence of Vicharchika (Eczema). AYU. 2012;33(4):505–510.PMC
4. Padwal KS, Salunkhe SA, Shah S. Ayurvedic Management of Vicharchika W.S.R. to Eczema. Int Res J Ayurveda Yoga. 2021.
5. Agnivesha. Charaka Samhita. Chakrapanidatta Commentary. Acharya YT, editor. Varanasi: Chaukhambha Surbharati Prakashan; Chikitsa Sthana, Chapter 7
6. Sushruta. Sushruta Samhita. Dalhana Commentary. Acharya YT, Acharya NR, editors. Varanasi: Chaukhambha Orientalia; Nidana Sthana 5/13.
7. Vagbhata. Ashtanga Hridaya. Arunadatta & Hemadri Commentary. Nidana Sthana, Chapter 14
8. Sandeep S. Khandalikar, Harshali R. Murade, Priyanka G. Kengale. Effect of Virechana and Raktamokshan in Vicharchika: A Single Case Study. J Ayurveda Integr Med Sci 2023;05:271-274. http://dx.doi.org/10.21760/jaims.8.5.47