“ROLE OF SHAMAN AND NITYA VIRECHAN IN THE MANAGEMENT OF VICHARCHIKA (ATOPIC DERMATITIS)”: A CASE STUDY

Abstract

Abstract
Background: In Ayurveda, Vicharchika, a type of Kshudra Kushtha, bears a strong clinical resemblance to atopic dermatitis. It is a Tridoshaja Raktapradoshaja Vikara with Kapha predominance. Case Presentation: A 55-year-old female presented with a 7-year history of recurrent, hyperpigmented, thickened, erythematous papular lesions with severe itching, burning sensation, and serous discharge distributed over her legs, back, abdomen, and hands. The condition was diagnosed as Vicharchika. Intervention: The patient was treated with a comprehensive Ayurvedic protocol comprising Nitya Virechana (daily therapeutic purgation) using Erand Bhrishta Haritaki Churna and a 30-day course of internal medications (Panchatikta Guggulu Ghrita, Amritadi Kwath, Sarivadi Vati, etc.) along with external applications (Panchvalkal Kwath bath, Mulethi Lepa, and 777 oil). Outcome: Assessment on day 0, 15, and 30 based on subjective parameters (Kandu, Srava, Daha, Shyavata, Rukshata) showed significant improvement. By day 30, symptoms like oozing, burning, and most of the dryness had resolved, while itching and discoloration were markedly reduced. Conclusion: The combined regimen of Nitya Virechana and Shamana Chikitsa proved highly effective in managing this chronic case of Vicharchika, offering substantial symptom relief and visible skin improvement. This holistic approach presents a viable alternative for refractory atopic dermatitis.