World Journal of
Pharmaceutical and Life Sciences

A COMPARATTIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF PRACCHANA AND PRACCHANA FOLLOWED BY DURVADYA TAILA APPLICATION IN VICHARCHIKA WITH SPECIAL REFERENCE TO DRY ECZEMA

Madhushree K. V.* and Duragappa H.

ABSTRACT

Vicharchika, classified as one of the 11 Kshudra Kushtas by Brihattrayees and under Kshudra Rogas by Acharya Sushruta, presents clinical features similar to dry eczema, including erythema, scaling, dryness, itching, and red to brownish-grey patches. The condition is primarily caused by Rakta Dushti (vitiation of blood), and Raktamokshana provides significant symptom relief. In Vicharchika, localized blood vitiation makes Pracchana (a therapeutic bloodletting technique) an effective treatment for localized skin disorders. Durva, part of the Varnya Maha Kashaya Gana, balances Kapha and Pitta and is beneficial in treating skin conditions. The combination of Pracchana and Durvadya taila application is hypothesized to offer better clinical outcomes. A clinical study was conducted with 40 patients diagnosed with dry eczema, selected from the OPD and IPD of Shalya Tantra, SJGAUH Bengaluru. The participants were divided into two groups: Group A, which received only Pracchana karma, and Group B, which received Pracchana karma followed by the application of Durvadya taila. The efficacy of the treatments was assessed based on clinical parameters and statistically analyzed. The results showed a p-value of 0.25, indicating no significant difference between the two approaches. However, Group B demonstrated better clinical outcomes with good to moderate improvement compared to Group A. In conclusion, while both treatments are effective, the addition of Durvadya taila after Pracchana karma may offer a more favorable clinical response in managing Vicharchika.

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