Role of Ayurveda in treatment of Vicharchika (Eczema)

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    In Ayurveda, Vicharchika is characterized under Kshudrakushta by Ayurvedic Dermatologists. The clinical presentation of Vicharchika is compared to Eczema in modern dermatology. Eczema also called atopic dermatitis is distinguished by dry, itchy skin with poorly demarcated erythematic and scale areas.  In the acute phase, Eczema may be vesicular and oozing in the chronic phase and may become hyper pigmented or thickened. Excoriations (scratch marks) are frequently seen.

    The existing treatment in modern science for Eczema consists of reassurance elimination of predisposing causes and palliative measures. It is also said that no specific medication can cure Eczema, though few drugs give symptomatic relief only modern dermatology employs systemic and local administration of steroids for the management of Eczema.

    Causes of Eczema (Vicharchika)

    The cause is unknown but presumed to be a combination of genetic and environmental factors, such as house dust mites. According to Ayurveda, Eczema is caused by-

    • Incompatible foods and drinks
    • Watery and fatty food
    • Uncooked food and overeating
    • Fish, salty and sour foods, black gram
    • Suppress the urges of vomiting
    • Heavy physical exercise
    • Improper method of administering Panchakarma
    • Over indulgence in sexual intercourse
    • Exposure to heat immediately after taking food

    Sign and Symptoms of Eczema (Vicharchika)

    • Redness of the skin
    • Swelling
    • Itching
    • Skin lesions with sometimes oozing and scarring

    According to Ayurveda, symptoms consists of pimples which are itchy, blackish, and with excessive discharge

    1. Kandu- severe itching and most distressful symptom.

    2. Pidika- inflammation and redness

    3. Srava- profuse discharge.

    4. Shyava

    5. Raji- Raji means linings

    6. Rukshata- dryness in the lesion.

    7. Ruja-Ruja means Vedna i.e.  Pain

    Line of Ayurvedic Treatment

    Based on the symptoms, the most aggravated symptoms should be treated first.

    • In cases of Vata predominant Kusta, ghee is prescribed.
    • For Pitta predominant Kusta, Virechana (purgation) followed by Rakta Mokshan (bloodletting), and for
    • Kapha predominant Kusta, Vamana (therapeutic vomiting) is utilised
    • Raktamokshan (blood letting)

    Blood-letting by making use of leeches has found to be very is effective in relieving the signs and symptoms of Eczema

    • Virechan karma (Purgation)

    Virechan should be done by the use of safed nishoth, Danti root, Triphala

    • Rasayana therapy

    Rasayana improves tissue nutrition.

    • Lepas (local application)

    Common herbs used in Lepa for Vicharchika include Haritaki and vidanga

    • Vaman (Therapeutic vomiting)

    Vamana is considered to be the effective treatment for both Pitta and Kapha vridhhi (Excess) with Madanphal, Mulathi, and Parora leaf mixed with the juice of Neem.

    • Shaman chikitsa

    Pathya churna-Haritaki boiled in cow urine with Haridra paste should be taken to destroy eczema

    Vishtailam, Durvadhtailam, Ekvinshatiguggulu, Panchnimba churna, Adgajadilepa, Pakvasasharplepa, Pakkvagrihdhumadi lepa, Argwadhadikwatha, Udaybhaskar rasa, Rasmanikaya, Amritankur loha, Marichadi taila, Vicharchkari taila

    Single Herbs Treatment for Eczema (Vicharchika):

    1. Haridra – Healing property, skincare
    2. Nimba– Lotion derived from Neem leaf or neem paste with turmeric, when locally applied, can cure these dermatological diseases within 3–4 days in the acute stage or a for tighten a chronic case
    3. Amla – Taking amla powder with water improves skin glow

    Conclusion: Modern science has advanced dramatically, particularly in dermatology, but there are no specific medicaments or treatments to cure eczema. Symptomatic treatments like steroids can be used, but they produce serious side effects such as nephrotoxicity, osteoporosis, skin cancer, etc., and do not provide the root treatment. Therefore, recurrence is very common in such cases. Ayurveda provides treatment for the root of eczema by cleansing vitiated Dosha and balancing the Dosha and Dhatus. In case you have a query, you can always consult an Ayurvedic doctor at Total Ayurveda Care and get answers to your questions!

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