Management of Vicharchika through Panchakarma: a case study

Abstract

Background: Vicharchika is a type of skin disorder; as per our ancient Acharyas, all skin disorders are described under Kushtha, which is further divided into two subcategories MahaKushtha and KshudraKushtha. Vicharchika is one of the types of KshudraKushtha as mentioned in Ayurveda texts. The clinical presentation of Vicharchika is similar to that of atopic dermatitis. Aim: As modern system of medicines is no safe and permanent solution, Ayurveda provides a wide range of treatment protocols such as Shamana (medication of disease), Shodhana (purification), and Rasayana (rejuvenation) therapies. In this single case study, Ayurveda Panchakarma treatment was used to understand its effectiveness and safety. Materials and Methods: The patient was given treatment for a period of 15 days along with a follow-up period of 15 days. The treatment protocol included DeepanaPachana, Snehpana, Sarvanga Abhyanga, SarvangaBaspaSwedana followed by Virechana (purgation therapy) through NimbamruthadiErandaTaila, Triphala, and TrivrutChurna.Results: A significant improvement was seen in all assessment criteria, i.e., Eczema Area and Severity Scale, Scoring Atopic Dermatitis, and Ayurveda Signs and Symptoms. An average improvement of 86.87%was recorded in all assessment criteria. Conclusion: Ayurveda Panchakarma procedures have immense potential even in chronic cases and can be used as a treatment plan for skin disorders. Considering the chronicity of the case and substantial improvement found, this case was worth sharing with scientific domain for betterment of science.