Eczema (Vicharchika) is described in Ayurveda as one of the Kshudra Kushtha (minor skin disorders), primarily caused by vitiation of Kapha, Pitta, and Rakta dhatu. It presents as itching (Kandu), eruptions (Pidaka), oozing (Srava), redness (Raga), and dryness (Rukshata). The pathogenesis involves dosha dushti, rakta dushti, and srotorodha, leading to local inflammation, discharge, and chronic skin changes.
Signs & Symptoms of Eczema
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Itching (Kandu): Persistent and intense itching across affected areas.
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Redness and Eruptions: Raga (redness) with small vesicles or pidaka.
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Discharge (Srava): Sticky or watery fluid from lesions.
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Dryness (Rukshata): Followed by scaling, lichenification or thickening.
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Skin Cracking: Twak sphutana, especially in chronic cases.
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Dark Discoloration: Shyava varna with changes in lesion locations.

Causative Factors (Nidana)
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Dietary Causes: Intake of incompatible, heavy, or unwholesome food like curd, milk, seafood, and fermented items.
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Lifestyle Factors: Day sleep, late nights, cold/dry environment exposure, chemical allergens, or poor skin hygiene.
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Dosha Imbalance: Kapha-Pitta-Rakta dushti leading to itching, inflammation, oozing, and dryness.
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Psychological Triggers: Stress, worry, anger, and grief disrupting manas doshas and skin health.
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Genetic Factors: Family history or beejadosha-related vulnerability to skin disorders.
Ayurvedic Approach to Eczema Management
At Aimil Healthcare, Vicharchika is managed by balancing vitiated doshas, detoxifying the body, and nourishing the skin through a combination of therapies.
1. Dietary Regime (Ahara Chikitsa)
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Favor tikta, kashaya rasa; include triphala, neem, drumstick, barley, and green gram.
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Avoid milk, curd, jaggery, sour fruits, fermented items, and seafood—especially curd at night.
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Consume warm, freshly cooked light meals to aid digestion and reduce ama.
2. Lifestyle Recommendations (Vihara Chikitsa)
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Avoid day sleeping, late nights, and exposure to allergens.
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Wear breathable cotton, maintain hygiene, and avoid overuse of cosmetics.
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Regular moderate exercise and pranayama help manage stress and balance doshas.
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Use medicated oils for abhyanga based on dominant dosha.
3. Panchakarma Therapy (Shodhana Chikitsa)
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Snehapana with Mahatikta or Panchatikta ghrita to prepare the body.
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Vamana for Kapha-dominant cases; Virechana for Pitta-Rakta cleansing.
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Raktamokshana in chronic, localized eruptions; Basti for Vata imbalance.
4. Palliative Therapy (Shamana Chikitsa)
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Internal: Panchtikta ghrita guggulu, Kaishora guggulu, Mahamanjishtadi kwatha, Arogyavardhini vati, Gandhaka rasayana.
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External: Jatyadi taila, Nimba taila, Karanja taila, Chandana-Haridra lepa.
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Use Triphala or Manjistha churna for ongoing detox support.
5. Ayurvedic Drug Therapy (Aushadha Chikitsa)
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Internal: Khadirarishta, Sarivadyasava, Mahamanjishtadi kwath, Patolakaturohinyadi kashaya, Arogyavardhini vati, Kaishora guggulu, Gandhaka rasayana.
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External: Nimba taila, Dineshavalyadi taila, Karanjadi taila, Triphala lepa.
Ayurveda offers a safe, natural, and effective pathway to manage chronic skin conditions like Eczema by addressing the root causes, purifying blood, improving digestion, and promoting healthy skin regeneration.