Integrated Ayurvedic Approach in the Management of Vicharchika (Eczema): A Case Study

Abstract

Introduction
Vicharchika (eczema), categorized under Kshudra Kustha (minor skin disorders) in Ayurveda, is a chronic skin condition often associated with genetic predisposition and improper lifestyle. Modern treatments may offer temporary relief and are often associated with side effects. Ayurveda offers a holistic treatment through Trividha Chikitsa—Yuktivyapashraya (rational therapy), Sattvavajaya (psychological therapy), and Daivavyapashraya (spiritual therapy)—for comprehensive care. This case study illustrates an integrative Ayurvedic approach in managing Vicharchika.

Methods
A 33-year-old female presented with blackish-white lesions, itching, and burning sensations on both feet for one year, with a family history of psoriasis and vitiligo. Based on classical symptoms, it was diagnosed as Vicharchika Kustha. Treatment began with Shamana (palliative) and Shodhana (purificatory) therapies, including Triphala Kwatha Avagaha, Brihat Dantaphala Taila, and Nimba Patra Parisheka. Detox procedures involved Virechana and Raktamokshana, followed by Yoga Basti using Guggulu Tiktaka Ghrita and Manjisthadi Ksheera. The treatment was complemented by Sattvavajaya and Daivavyapashraya therapies.

Results
There was marked reduction in itching, discoloration, and burning sensation. Skin texture improved, lesion size reduced, and the patient reported better psychological well-being. No adverse effects were noted.

Conclusion
The case demonstrates the efficacy of Trividha Chikitsa in managing chronic skin conditions like Vicharchika. Integrating purification, palliation, and mental-spiritual interventions ensured sustained relief and enhanced quality of life.