A Review Article On Vicharchika - A Twak Vikar

Abstract

Skin is the most pervasive sense organ that covers the whole outside of the body, forming a protective barrier  against pathogens and injuries from the environment. It puts light on our physical, general health and wellbeing  of an individual. In Ayurveda, all types of skin diseases can be considered under the shelter of Kushtha Roga (Skin diseases) and Vicharchika (Eczema) is one Twaka Vikara (Skin Diseases) explained under Kshudra  Kushtha (Minor skin diseases). The clinical presentation of Vicharchika (Eczema) viz.Kandu(itching),  pidaka(vesicles), Srava (Discharge) and Shvayavarna(discoloration) resembles to eczema in modern  dermatology. It is not life-threatening disease but affects psychological health causing anxiety, depression,  disturbs the person’s routine thus interrupts the ability to function normally, lead to social isolation and also  disturbs quality of life. Modern science has advanced techniques & treatment but for the cure of eczema there  is no satisfactory treatment, antihistamines and steroids are mostly used which shows various side effects. In  Ayurveda Shodhan (Purification) is the best therapeutic procedure to eradicate the root cause of the disease and  in Kushtha (Skin diseases) repeated Shodhna (Purification) is indicated to balance the vitiated Dosha. Amid Shodhan (Purification) therapy Virechan Karam (Purgation) described in ancient texts is mainly prescribed and  it doesn’t only cleanse the intestine but has multiple systemic benefits. Acharya Charak has indicated Virechan  Karma (Purgation) for Pittaj and Rakatj Dushti. Hence the best possible treatment in Vicharchika (Eczema) is  Shodhan (Purification) followed by Shamana therapy (Pacification). The present paper emphasizes on the  various aspects of Vicharchika (Eczema) explained in ancient Ayurvedic texts.