MANAGEMENT OF VICHARCHIKA W.R.TO ECZEMA THROUGH AYURVEDA - A CASE STUDY

Kadam Krishna Namdeo* and Jadhav Viraj Vilas

ABSTRACT

All Kushthas are having Tridoshaja origin; hence Vicharchika can be explained in similar manner. Dermititis is being used as synonym of eczema by most of the dematologist. These are the kind of non contagious inflammation of the skin characterized by erythema, Scaling, edema, vesiculation and oozing the disease Vicharchika to a greater extent ressembles eczema/dermatitis. Therefore the eczematous dermatitis can be included in study of Vicharchika.Vicharchika can be correlated with eczema in the sequence. The involvement of Vata results in dry, blackish lesion of eczema, itching in those affected areas is due to Kapha and Pitta responsible for Strava. Thought, the disease Vicharchika is not life threatening, it makes worried the patient due to its appearance, severe itching, disturbing routine and its nature susceptible to be chronic. In classical texts of Ayurveda, Acharyas emphasizes Shodhana and Shamana therapy as the line of treatment at various places. Among the Shodhana Karmas, Virechana is chiefly advocated, purificatory measures in Vicharchika. Virechana is not only a mere bowel cleaning procedure but also has systemic effects. Acharya Charaka has advocated Virechana for the Pitta Dosha and Rakta Dushti (Ch.Chi.7/39). Purpose of study aimed to evaluate efficacy of Virechana and Khadiradi Kwatha on Vicharchika and thus forming key of successful remedy in Vicharchika for focusing its trial on large populations. A case of 22 year old female patient, presented with Kandu, Daha, Rukshata, Strava, Vedana, Vaivarnya, Raji etc lakshanas of Vicharchika on her palms of both hands from last 2 yrs. She was taking oral Antifungal, analgesic drugs daily from 2yrs. Since when she was not affordable for further treatment and not getting relief, visited to me in OPD at M.A.Podar Hospital, Mumbai for further treatment. She was administered with Samyaka procedure of Virechankarma. After that she was asked to administer Khadiradikwatha in 40ml quantity twice a day with water after meal for 30 days. The above clinical features of patient were significantly improved by 4 weeks. Routine Laboratory findings were within normal limit. Virechana as a Samshodhana therapy and Khadiradiwatha as Shaman remedy, both in combinations when followed systematically, give relief from symptoms in patients of Vicharchika.

Keywords: Kushtha, Vicharchika, Khadiradi kashaya, Virechana etc.