THE ROLE OF TRIJATYADICHOORNA WITH BHALLATAKTAIL IN THE MANAGEMENT OF VICHARCHIKA W. S. R. TO ECZEMA: A CASE STUDY

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Plot no. 16, Sant Dnyaneshwar Society, Near New India Church
Mankapur, distt.- Nagpur- 440030


Contact No. : 07448085058, Email : monica.chavan94@gmail.com

Date of Acceptance : 28 Dec 2025

Date of Publication : 31 Dec 2025

Article ID : SD-IJAY_195

How to cite this article : http://doi.org/10.55552/SDNJAY.2025.3415

Abstract

Background: Vicharchika is one of the Kshudra Kushthas described in Ayurvedic classics and closely resembles eczema or atopic dermatitis in contemporary medicine. It is characterized by Kandu (itching), Pidika (eruptions), Shyavarna (blackish discoloration), Bahusrava (oozing), Rukshata (dryness), Rajyo (marked lining due to lesion thickening), and Ruja (pain). Considering its chronic and recurrent nature, Ayurvedic interventions may provide a safe and effective treatment modality.

Aim and Objectives: To evaluate the therapeutic efficacy of Trijatyadi Churna administered orally along with topical application of Bhallataka Taila in the management of Vicharchika (Eczema).

Case Presentation: A 45-year-old male patient presented with complaints of itching, skin discoloration, eruptions, dryness, pain, and intermittent discharge over the affected area for the past three years. Based on the classical signs and symptoms described in Ayurvedic texts, the condition was diagnosed as Vicharchika (Kshudra Kushtha).

Treatment Protocol: The patient was treated with Trijatyadi Churna (3 g orally with lukewarm water) and local application of Bhallataka Taila for 45 days.

Conclusion: The case demonstrated clinically significant improvement in the symptoms of Vicharchika following Ayurvedic management. Trijatyadi Churna and Bhallataka Taila may be considered an effective therapeutic option in the management of Vicharchika (Eczema).

KEY WORDS:-  Vicharchika, Eczema, Trijatyadi Churna, Bhallataka Taila, Kshudra Kushtha, Ayurveda.

Introduction

Skin is the largest organ of the human body and performs vital physiological functions, including protection, sensation, and maintenance of homeostasis. In Ayurveda, Twak is considered one of the five Gyanendriyas responsible for Sparsha Gyan (sense of touch). Kushtha is a broad term encompassing all dermatological disorders described in Ayurvedic classics. The term Kushtha is derived from “Kushnati iti Kushtham”, which denotes a disease that gradually impairs or destroys the affected tissue.[4]

Charaka Samhita and Sushruta Samhita have classified Kushtha into Mahakushtha and Kshudra Kushtha.[3] Vicharchika is included under Kshudra Kushtha and is characterized by Kandu, Pidika, Shyavarna, Bahusrava, Rukshata, Rajyo, Ruja, and Lohitvarna.[1,2,6,7]

The classical references of Vicharchika are described as follows:

1. “त्वचः कुर्वन्ति वैवर्ण्यं दुष्टाः कुष्ठमुशन्ति तत्” (Ashtanga Sangraha, Nidana Sthana 14/3).[5]

2. “सकण्डूपिडकाश्यावा बहुस्रावा विचर्चिका” (Charaka Samhita, Chikitsa Sthana 7/26; Bhavaprakasha 54/27; Yogaratnakara).[6,7,8]

3. “राज्योऽतिकण्डूर्वतिवरुजः सरुजाभवन्ति गात्रेषु विचर्चिकायाम्” (Sushruta Samhita, Nidana Sthana 5/13).[2]

4. “सकण्डूपिटिकाश्यावा लसीकाढ्या विचर्चिका” (Ashtanga Hridaya, Nidana Sthana 14/18).[1]

Clinically, Vicharchika can be correlated with eczema or atopic dermatitis, a chronic inflammatory skin disorder characterized by pruritus, erythema, scaling, dryness, oozing lesions, and skin discoloration. Its chronic and recurrent course often adversely affects the quality of life of patients.

According to Ayurveda, etiological factors include Viruddhahara, Adhyashana, Diwaswapa, improper Panchakarma procedures, excessive intake of curd, sour and salty food substances, and Agnimandya, leading to vitiation of Doshas and involvement of Twak, Rakta, Mamsa, and Lasika.[1,2,3]

Considering the Kushtaghna, Kandughna, Kledaghna, and Raktaprasadana properties of Trijatyadi Churna and Bhallataka Taila, the present case study was undertaken to evaluate their efficacy in the management of Vicharchika (Eczema).

Discussion

Trijatyadi Churna possesses Kushtaghna, Kandughna, Kledaghna, and Raktaprasadana properties. Most of its constituents exhibit Katu Vipaka and Ushna Virya, thereby facilitating the reduction of Kleda and improvement in Rakta Dhatu. Ingredients such as Daruharidra, Guduchi, Triphala, and Vidanga contribute to blood purification and enhance metabolic functions.

Bhallataka Taila possesses antimicrobial, antioxidant, and anti-inflammatory properties. Owing to its Ushna Virya and Ruksha Guna, it helps reduce Kleda and improves the clinical manifestations of Vicharchika. Its local application aids in reducing itching, discharge, and thickening of lesions.

The combined therapeutic action of Trijatyadi Churna and Bhallataka Taila effectively alleviates the signs and symptoms of Vicharchika by correcting Dosha imbalance and promoting tissue healing.

Conclusion

The present case study demonstrates that Trijatyadi Churna administered orally along with topical application of Bhallataka Taila is effective in the management of Vicharchika (Eczema). The treatment provided considerable symptomatic relief and was well tolerated by the patient. Ayurvedic management may therefore serve as a safe and promising therapeutic approach for patients suffering from chronic dermatological conditions such as Vicharchika.

References

1. Vagbhat. Ashtanga Hridaya, Nidana Sthana, Chapter 14, Verse 18. Chaukhambha Surbharati Prakashan, Varanasi; 2016.

2. Sushruta. Sushruta Samhita, Nidana Sthana, Chapter 5, Verse 13. Chaukhambha Sanskrit Sansthan, Varanasi.

3. Agnivesha. Charaka Samhita, Nidana Sthana, Chapter 5, Verse 4. Chaukhambha Sanskrit Pratishthan, Delhi; 2007.

4. Madhavakara. Madhava Nidana with Madhukosha Commentary, Chapter 49, Verse 22. Chaukhambha Prakashan, Varanasi.

5. Vagbhat. Ashtanga Hridaya, Nidana Sthana, Chapter 14, Verse 3. Chaukhambha Surbharati Prakashan, Varanasi; 2016.

6. Yogaratnakara. Kushtha Nidana, Verse 23. Shri Gajanan Book Depot, Pune.

7. Agnivesha. Charaka Samhita, Chikitsa Sthana, Chapter 7, Verses 26 and 30. Chaukhambha Sanskrit Pratishthan, Delhi; 2007.

8. Bhavamishra. Bhavaprakasha, Chapter 54, Verse 27. 5^th Edition. Chaukhambha Prakashan, Varanasi; 1993.