World Journal of
Pharmaceutical and Life Sciences

A CRITICAL REVIEW ON VICHARCHIKA AND ITS MANAGEMENT WITH SPECIAL REFERENCE TO ECZEMA

A CRITICAL REVIEW ON VICHARCHIKA AND ITS MANAGEMENT WITH SPECIAL REFERENCE TO ECZEMA

ABSTRACT

Skin is a shield which protects us from various external invasions. Skin is the organ of the body which is readily available for inspection by the eyes. Of all the organs skin is larger one and is exposed to disease and injury. Because of its visibility, skin reflects once emotions and it is the index of normal physiology. It is link between internal and external environment and is also the seat of complexion which maintains beauty and personality. Changes in the skin colour may be due to homeostatic imbalance in the body. In Ayurveda the word ‘Twacha’ or ‘Charma’ is used for skin. Twacha is the seat of Sparshananendriya, which is one among seats of Vata and it is very extensive among all five Jnanendriya. All the skin diseases in Ayurveda have been described under the heading of Kustha, which are further divided into Maha Kustha and Kshudra Kustha. Vicharchika is one of the Kshudra Kustha runs a chronic course generally considered difficult to cure and even if it is cured relapses are common. It is characterized with symptoms like, Kandu (itching), Srava (discharge), Pidika (vesicles) and Shyava Varna (discoloration). The clinical presentation of Vicharchika similar to Eczema is characterized by dry itchy skin with areas of poorly demarcated erythematic and scale. In the acute phase eczema may be vesicular and oozing, in the chronic phase it may become hyper pigmented and thickened. Scratch marks are frequently seen. The modern science has greatly advanced, particularly in dermatology but there is no specific medicaments for sure cure of Eczema but symptomatic treatment like Anti allergic, steroids are used but they produce serious side effects like nephrotoxicity, osteoporosis, skin cancer etc. Ayurveda offers treatment for the root of Eczema by cleansing vitiated Dosha and balancing the Dosha and Dhatus. In Ayurveda main line of treatment of this disease is Shodhana, Shamana and Rasayana therapy.

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