Ayurvedic Management of Vishaja Sopha

Vishaja Sopha, as described in Ashtangahrudaya, denotes toxic-induced swelling and shows close resemblance to contact dermatitis, an inflammatory eczematous condition. This case report describes a 50-year-old male who presented with bilateral leg swelling, difficulty in walking, skin discoloration, and recurrent moderate fever for 24 days, attributed to toxic exposure through drainage water. Management was carried out based on Chikitsa Sidhantha, considering the exposure as Visha dravya , with Asukari Chikitsa aimed at Samprapti Vighatana , along with initial management of Jwara while assessing Ama and Agni . Posttreatment evaluation using the Short Form Health Survey questionnaire showed significant improvement in physical activity, along with marked reduction in Sopha (oedema) and complete resolution of Vaivarnya (discoloration). This case highlights that fundamental therapeutic principles are universal and supports the potential role of Ayurvedic management in conditions comparable to contact dermatitis.