Vicharchika is a common and distressing dermatological disorder that adversely affects physical appearance, personality, and social well-being. In Ayurvedic literature, it is classified under Kshudra Kushta, Kshudra Roga, and Sadhya Kushta. Classical texts describe it as a Tridoshaja condition with predominance of Kapha and Pitta, involving Twak, Rakta, Mamsa, and Ambu. Considering Vicharchika as a Rakta-pradoshaja and Tridoshaja disorder affecting Bhaya Roga Marga, the present study evaluated the role of Shamana Chikitsa in its management. The study aimed to assess the therapeutic efficacy of oral Kushtaghna Mahakashaya and topical Marichyadi Taila in patients suffering from Vicharchika. A single-blind clinical study was conducted on 60 patients diagnosed with Vicharchika, selected randomly from the OPD of the Kayachikitsa department irrespective of age and sex. Patients fulfilling diagnostic criteria were divided into two groups. Group A received Kushtaghna Mahakashaya capsules (500 mg), two capsules twice daily after meals with warm water. Group B received the same oral regimen along with local application of Marichyadi Taila twice daily. The findings support the usefulness of Ayurvedic Shamana therapy in managing this chronic skin disorder. Further studies with larger samples, longer duration, and inclusion of Shodhana therapy are recommended for achieving sustained remission and developing standardized treatment protocols.
1*Dr. Sharang Madaan, 2Dr. Satyadeo Pandey, M.D., PHD (Mon,) studied this question.