Introduction: Vicharchika, classified under KshudraKushtha in Ayurveda, is a chronic skin disorder characterized by Kandu (itching), Daha (burning), Pidaka (eruptions), and ShyavaVarna (discoloration). Vicharchika is often correlated to eczema based on the clinical presentations. Conventional treatments offer temporary relief but are often followed by recurrence. Ayurveda emphasizes a holistic approach aimed at addressing the root cause and preventing relapse. Methods: A 23-year-old female presented with persistent itching, burning sensation, scaling, and hyperpigmentation on the neckline for 3 years. Symptoms temporarily resolved with allopathic treatments but recurred within 2–3 months posttreatment. Based on classical features, the case was diagnosed as Vicharchika. Ayurvedic treatment was initiated without prior Shodhana, involving internal and external therapies for two months. Internal medicines included PatolakaturohinyadiKashaya (20 ml BD before food), ArogyavardhiniVati (250 mg BD), GandhakaRasayana (250 mg BD), and GomutraHaritaki (500 mg BD). A mixture of Sarshapa Taila and BadamTaila was applied externally twice daily. Dietary and lifestyle modifications were advised. Results: Significant symptom relief was noted within three weeks. Itching, burning, and scaling reduced markedly, and hyperpigmentation began to fade by the fourth week. By the end of two months, the lesions had resolved completely with healthy skin regeneration. No recurrence was reported during a three-month follow-up. Discussion: The treatment effectively addressed both symptoms and underlying Dosha imbalance. Patolakaturohinyadi Kashaya pacified Pitta-Kapha, while ArogyavardhiniVati and GandhakaRasayana acted as Raktashodhaka and Rasayana. GomutraHaritaki aided in AmaPachana. The oil mixture provided local soothing and anti-inflammatory effects. The Ayurvedic regimen provided effective symptom relief and prevented recurrence in this chronic eczematous condition.
Chaudhari et al. (Wed,) studied this question.