AYURVEDIC CLINICAL INTERVENTION IN DUSHIVISHAJANYA VICHARCHIKA: A SINGLE CASE STUDY

Dr. Vijendra Parmar*, Dr. Prafulla, Dr. Sheetal Choudhari

ABSTRACT

Dushivisha, a form of latent cumulative toxicity described in Ayurvedic literature, is known to precipitate chronic and recurrent dermatological disorders such as Vicharchika (eczema). The chronicity, complexity, and recurrent nature of such conditions require a holistic therapeutic approach that addresses both systemic imbalance and cutaneous pathology. Case Summary: A 35-year-old male presented with a one-year history of small, dry, circular patches on both legs, accompanied by reduced appetite and an urge for bowel movement after morning meals. A diagnosis of Dushivishajanya Vicharchika was made based on classical signs, doshic involvement, and chronicity of symptoms. The treatment included internal medications such as Ajmodadi Churna, Chitrakadi Vati, Dushivishari Agada, Drakshasava, and Mahamanjishthadi Kashaya, along with topical application of Chitrakadi oil. Follow-up evaluations were conducted on Day 7, 15, 21, and 30 to document symptomatic changes, lesion morphology, and overall well-being. Results: Progressive clinical improvement was observed at each follow-up interval. The patient demonstrated early symptomatic relief in terms of reduced dryness and itching by Day 7. By Day 15 and 21, substantial diminution in lesion size and discoloration was noted. By Day 30, the lesions had nearly resolved, appetite was restored, and no adverse effects were reported. Conclusion: The Ayurvedic protocol employed in this case appeared effective in managing Dushivishajanya Vicharchika, demonstrating progressive symptom resolution over a 30-day period. This case highlights the therapeutic potential of classical Ayurvedic formulations in toxin-mediated chronic dermatological conditions, warranting larger and more controlled clinical studies.

Keywords: Vicharchika, Dushivisha, Ayurvedic management, Chitrakadi oil, Dushivishari Agada.