Eczema is a reaction pattern manifested by variable clinical and histologic findings. Primary lesions may include papules, erythematous macules and vesicles which can coalesce to form patches and plaques. In severe eczema, secondary lesions such as weeping and crusting may predominate. Eczema has quite resemblance with Vicharchika in Ayurveda. Vicharchika is characterized by skin manifestation having the symptoms Kandu (Itching sensation), Pidika (Papule), Shyava Varna (Blackish brown discoloration) and Bahusrava (Excessive exudation). Case summary: A 10-year-old male patient approached with chief complaints Dry scaly patches of skin over face, upper limbs, lower limbs, abdomen and flanks associated with severe itching since 6 months. The Ayurvedic diagnosis was made as Vicharchika (Eczema) on the basis of signs and symptoms. The patient was given with Ras, Raktha, Mansa Shodhaka and Kushtahara Shamana Aushadis (Oral medications) along with Parisheka (face & body wash) with Panchavalkala churna kwatha. Later on, Virechana was administered for Koshta Shudhi. From the 2nd day Abhyanga (Oil massage) & Snehapana was started and on 6th day of treatment Virechana was done. Significant improvement was observed after 07 days of treatment. This case study shows that Ayurvedic treatment is helpful in effective management of Vicharchika and helps in improving the quality of life.
Bharat Ganesh Subhashrao1*, Nimmi V.2, Sudheer B. R.3 (Fri,) studied this question.