A conceptual study on role of Pracchana in Vicharchika with special reference to Dry Eczema

Vicharchika (Eczema) has been considered one among 11 Kshudra Kushtas by Brihattrayees. It is also enumerated under Kshudra Rogas by Sushruta.[1] Features like Raji (Excoriations), Ati Kandu (Excessive itching), Ruja (Pain), Ruksha (Dryness), Arati (Uneasiness) are said by Sushruta which can be clinically corelated to dry eczema. Eczema is not contagious inflammation of the skin characterised by erythema, scaling, dry skin, itching, red to brownish grey patches.[2] In Brihattrayees, Rakta Dushti (Vitiation of blood) has been told as the prime reason for skin diseases for which letting out the vitiated blood gives better relief in symptoms. In Vicharchika, there is localized vitiation of blood. Hence Rakthamokshana (bloodletting) by Pracchana is an effective method of treatment, as Pracchana is a mode of Shastrakrita Raktamokshana indicated for Eka Deshastha (localised) Twak Vikaras (Skin disorders).[3]