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Dr. Shahin Pathan*, Vaidya Rohini Salve and Dr. Pushkar Rai


All Kushthas are having Tridoshaja origin; hence Vicharchika can be explained in similar manner. Vicharchika (Eczema) is a type of Kshudrakustha often encountered by Ayurvedic Dermatologists characterized with symptoms, namely, Kandu (itching), Srava (discharge), Pidaka (vesicles), and Shyava Varna (discoloration). It is one of the non contagious inflammation of the skin. Vicharchika to a greater extent resembles eczema/dermatitis of modern science. The involvement of Vata results in dry, blackish lesion of eczema, itching in the affected areas is due to Kapha where as Pitta is responsible for Srava. Though, the disease Vicharchika is not life threatening, it makes the patient worried due to its appearance, severe itching, disturbing routine. Its nature is susceptible to be chronic. In classical texts of Ayurveda, Acharyas emphasizes Shodhana and Shamana therapy as the line of treatment at various places in the management of Kushtha. 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). A case of 30 year old female patient, presented with Kandu, Daha, Rukshata, Srava, Vedana, Vaivarnya, Raji etc lakshanas of Vicharchika on her Pristh Pradesh (Back region), Ubhay Pad Pradesh (Lower Limb), Ubhaya Hasta Pradesh ( Upper Limb) since last 4 yrs. She was taking oral Antifungal, analgesic drugs daily since 4yrs. As the patient was tired of the medicines and recurrence of the disease, visited to Parul Institute of Ayurveda Vadodara for further treatment. Purpose of study was aimed to evaluate efficacy of Trivritta Choorna for Virechana Karma and Shamanaushdhi on Vicharchika and thus forming key of successful remedy in Vicharchika for focusing its trial on large populations. She was administered with Samyaka procedure of Virechan Karma For 2 times. After Shodhan,Shaman Aushadhi was administered for 15 days. The above clinical features of patient were significantly improved by 51days. Routine Laboratory findings were within normal limit. Virechana as a Samshodhana therapy, and Shaman Aushadhi both in combinations when followed systematically, give relief from symptoms in patients of not only stopped her contempary medicines but recurrence was controlled.

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