Conceptual study of Vicharchika

To determine Arka Taila's likely course of action against Vicharchika Vicharchika is a Shakhagata sickness that is caused by a morbid Dosha that vitiates the Rakta, then spreads through Tiryakavahisira and affects the Tvak. Since it is difficult to fully restore the vitiated Dosha from Shakha to Koshtha, especially if it has spread through Triyakavahi sira, the involvement of all three variables suggests that the illness nature is tough to treat. As a result, the last Dosha in Shakha becomes chronic and recurrent. As a result, this illness has a chronic course that includes flare-ups and remissions. Almost all Ayurvedic books describe vicharchika, either as Sadhya kustha, Kshudra roga, or Kshudra kushtha. In relation to their symptomatological complex, some Acharya noted Vicharchika with varying Doshika involvement. According to Acharya Charaka, Vicharchika is a Kapha-dominant illness with four main symptoms: Bahusrava (excessive oozing), Pidika (eruptions), Shyava (blackish discolouration), and Kandu (pruritis). This denotes the wet kind of eczema or its early or acute stages.The clinical manifestation of dry eczema (Shushka Vicharchika) has been reported by Acharya Sushruta. significant discomfort, distinct linings, and severe pruritis as symptoms. This variation is only the result of agitated Pitta. It suggests a chronic or advanced stage of the illness. Accordingly, this viewpoint might also imply a distinct stage of Vicharchika. Acharya Vagbhatta also said that Vicharchika has a characteristic discharge like Lasikadhya, although Indu says it is Jalapraya, or watery discharge. In the early stages of Vicharchika, when pruritus is acute, this leads to a rupture of skin integrity and water discharge. According to the traditional criteria, Vicharchika (excessive pruritis), Pidika (boil/pustule/vesicle), Shyava (discoloration/hyperpigmentation), Bahusrava (profuse oozing) and later Rajii (marked linings/lichenification/Cris-cross marking), Ruja (pain), and Saruksha (excessive dryness) share symptoms with eczema. Eczema is characterised as an inflammation of the epidermis or dermatitis. Eczema is a general word used to describe a variety of chronic skin disorders. It is characterised by erythema, scaling, oedema, vesiculation, and oozing and is not communicable. Eczema eruptions catch the skin and create vesiculation and plastering. Erythematic, or reddening, skin is the initial symptom. These papules or vesicles disintegrate and leak from the skin's afflicted region. Scales may appear and the skin may thicken if the illness continues. Kushtha symptoms included excessive sweating (Atisvedanam) or loss of sweating (Asvedanam) due to persistent irritation caused by the obstruction of sweat glands, especially at the site of the lesion. Viruddha, Mithyaahara, and vihara, along with other Nidana, may function as metabolic poisons or other irritants and cause skin sensitisation, which is another similarity in the etiopathogenesis to eczema. It is possible to conclude, after all the debate, that Vicharchika is a clinical entity in which the lesion has the Shyava colour of Pidika with extreme pruritis and leaking. It can appear anywhere in the body (Gatreshu), whether it is wet or dry. Erythema, or skin reddening, oedema, vesiculation, leaking, crusting, and eventually lichenification are the initial signs of eczema. Extreme stages of Vicharchika may result from changes in the body's internal and external environments and the reactions to these changes. Tvak (adhishthana), Rakta (blood and lymph), Mamsa (deep cutaneous tissue), and Lasika (sweat gland apparatus) are the primary sites of etiopathogenesis.

Composition of arka taila

Considering all signs and symptoms of vicharchika Arka taila mentioned in Yogratanakara (Kustha Nidana Chikitsa Prakarana 203) could be useful in treatment of vicharchika.

Composition of arka taila

Arka Taila contains drug Arka, Haridra, Sarshapa tail.

Arka has Katu-Tikta rasa, Laghu-Ruksha-Tikshnaguna, Ushna virya, it act as Bhedana, Dipana, Krimighna, Shophahara, Vatahara, Vranahara, Vishaghna, Kusthaghana, kandughna.

Haridra has Katu-Tikta rasa, Laghu-Rukshaguna, Ushna virya, it act as Kushthaghna, Kandughna, Raktaprasadana, Raktavardhaka, Vishaghna, Anulomana, Shothahara, Varnya.

Sarshapa taila has Katu-Tikta rasa, Tikshna, Snigdha guna, Ushna virya, it act as Lekhana, Varnya, Krimighna, Jantughna, Kushthaghna.

Upon topical application, the active principle of the Taila reaches to the deeper tissues through Siramukha and Svedavahi srotas by virtue of its stains it with its Sukshma and Tikshna property. Due to its Ushna, Laghu, Ruksha properties it removes the obstruction in Svedavahi srotas and allows the local toxins to flow out through the Sveda, thus clearing out the micro channels.

Probable mode of action of taila:

The probable mode of action of Taila can be described in two steps as follows:

Pilosebaceous uptake: The active components of the chemicals in Taila are released into the base when it is applied to the skin's surface in the opposite direction of the hairs on it. This mixture then passes via the svedavahi srotas and siramukha before entering the Romkoopa. However, it should be remembered that the pilosebaceous uptake, or absorption, of Taila varies depending on the site variation, skin condition, and—above all—the base used for application.

Cutaneous bio transformation: Thereafter it goes through Pachana by Bhrajakagni, which is the viable epidermis. This starts breaking down the material it took in with the help of enzymes that are needed. As the above changes happen, new chemicals may be created that calm down the imbalanced doshas in the area. This breaks the cycle of disease, which leads to relief.