Eczema Vicherchika

Eczema Vicherchika


The skin is the immune barrier of the body; it is the chiefly affected tissue. In ayurveda skin disease is called as kushta. There are variety of kushta’s mentioned in ayurvedic classics. Among them Vicharchika- Eczema comes under kshudra kusta ( non prominent skin disease).

 

Kusta- skin diseases has been explained in detailed manner along with its management in Agni purana and Garuda purana. (epics of india). Vicharchika is identified as an independent disease in Garuda purana.

 

Vicharchika - eczema is defined as variety of kusta causing a peculiar dermatological manifestation.

 

Eczema is non-contiguous inflammatory disease of the skin responses to endogenous or exogenous stimuli characterised by erythema, edema, and vascularisation, oozing and crusting.

 

The treatment of Vicharchika is lighted in almost all Ayurvedic classics. Acharya Charaka amplifies the scope of the term “Chikitsa”. In sutra sthana chapter 9/5, he opines that the mere removal of the causative factors of the disease may not always result in the total removal of the disease as such, because the effects of the disease may still continue to be operative. So Chikitsa –treatment aims not only at the radical removal of the causative factors of the disease, but at the restoration of the doshic equilibrium.

 

After the removal of deranged Kapha by vamana- medicated emesis Pitta by virechana- purgation and raktamokshan-blood letting and Vata by vasthi- medicated enema followed by samshamana oushadi’s – internal herbal medications should be administered.

 

ECZEMA -VICHARCHIKA

Eczema or vicharchika is caused due to faulty diet and lifestyle, which leads to impairment of digestion and aggravation of kaphadosha. Kaphamanifests in the skin and causes accumulation of toxins. Consuming new grains, curds, fish, excessive salty and sour food items. Black grams, radish, food prepared from flour paste, sesame, milk and jaggery products. Indulging in sexual activity even if the food is not well digested (sexual intercourse immediately after taking food), sleeping during day time, insulting peers like brahmin / guru and other respected personal and doing sinful acts are the etiological and risk factors of vicharchika.

The vitiated three doshavata, pitta, kapha along with impaired tvak, rakta, mamsa and ambu together constitute sevenessential entities which play role in pathogenesis of this skin disorder and Kapha is the predominant doshainvolved in vicharchika. Recurrent skin rashes over extensor surface of foot and nearby areas characterized by redness, skin edema and cracking, oozing and bleeding were the symptoms of patient. Patches of skin were inflamed, itchy and red. Kaphadosha is responsible for symptoms like whitish discoloration, cold in touch, pruritus, non-progressive / slow progression of disease, elevated; heaviness and oiliness are presented along with maggot’s formation and stickiness like symptoms which are similar to the symptoms of the patient. Patient should consume easily digestible and wholesome food, green leafy vegetables bitter in taste, food and ghee prepared by fortifying with bhallataka, triphala and nimba, one year old cereals, meat of animals inhabiting from arid area, preparations of mudga and patola. Patient should avoid food which areheavy to digest, sour food, milk, curd, meat of animals residing in marshy area, fish, jaggery and sesame.

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