Management of Vicharchika (Atopic eczema) through an Integrated Ayurvedic Approach: A Case Report

Abstract

Vicharchika, described in Ayurveda as a type of Kshudra Kushtha (minor skin disease), presents with key features such as Kandu (Pruritus), Shyava(hyperpigmentation), Bahustrava (Exudate) and Raji (Lichinification). These clinical features are comparable to atopic eczema (atopic dermatitis), a chronic, relapsing inflammatory skin condition characterized by xerosis, pruritus, exudation, and lichenification. A 21-year-old female patient with a history of long-standing eczema on the lower limbs, refractory to conventional treatments, was assessed through Ayurvedic parameters along with modern scoring systems including the Eczema Area and Severity Index (EASI) and the Dermatology Life Quality Index (DLQI). The treatment regimen included Nidana Parivarjana (elimination of aggravating factors), Shamana Chikitsa, which included oral administration of Panchatikta Ghrita, Gandhaka Rasayana, Samshamani Vati, and Guduchyadi Kwatha. Topical care was provided by washing the affected area with Panchavalkala Kwatha mixed with Shuddha Tankana. After washing, the patient was advised to use Gandhaka Malahara for topical application. Within 3 months of treatment, the patient experienced complete relief from itching, papules, exudation, burning, and pain. Objective assessments confirmed significant improvement, with the EASI score reducing from 7.2 to 0 and the DLQI score from 10 to 0, reflecting both clinical remission and restoration of quality of life. This case demonstrates that an integrative Ayurvedic approach can be highly effective in the management of Vicharchika (atopic eczema). The results emphasize the shared pathophysiology between Ayurveda and modern dermatology while showcasing the therapeutic potential of polyherbal formulations and holistic interventions. Further large-scale and controlled clinical studies are recommended to validate these encouraging findings.