Abstract

A CLINICAL CASE REPORT ON VICHARCHIKA AND ITS AYURVEDIC MANAGEMENT

Sreevidya P. R., Sruthi Mol K. K.*, Rakhi R., Asha Karunakaran K. and Suneeshmon M. S.

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Abstract

Dermatological conditions had always been a cause of concern affecting 1.8 billion people at any point in time. Atopic dermatitis, a chronic relapsing hypersensitive response has the highest disease burden based on disability-adjusted life-years. Causing significant itch, pain, disfigurement, and physical and psychological stress, there is no cure for the same but can be controlled with treatment for periods before it recurs. The science of Ayurveda encompasses skin diseases under kushta pointing out a multifactorial etiology. The management line focuses mainly on shodhana followed by samana, rasayana therapies, and nidana parivarjana. A 39-year-old male patient (k/c/o T2DM) approached Kayachikitsa OPD of Govt. Ayurveda College, Thiruvananthapuram with complaints of erythematous pustular lesions over b/l hand, foot, and left foreleg associated with oozing and itching. Initially, kushtahara sodhana drugs were administered along with local seka externally. Shodhana was the main line of treatment with prior snehana with due consideration to prameha. Vamana, virechana were done followed by samsarjana krama. Jalookavacharana done locally at the sites showed significant results. Itching, oozing and erythema considerably reduced with a change in EASI score from severe to mild form with no due exacerbation. The case report implies that repeated sodhana has a marked role in the treatment of skin diseases.

Keywords: vicharchika, atopic dermatitis, sodhana, kushta, EASI score.