An exploratory prospective clinical study to assess the combined effect of Virechana and Raktamokshana in Vicharchika - A Case Study

Vicharchika is one of the Kshudra Kushta (skin disease). Kashyapa mentioned it as Sadhya Vyadhi. Almost all symptoms are Vata-Pitta or Kapha-Pitta predominant and even Tridosha involvement and it is specifically located at lower extremities. The choice of treatment is Virechana (purgation) and Raktamokshan (bloodletting). We can use this modality as per requirement. Kandu (itching), Pidika (pimples), Bahusrava (discharge) get relieved completely (100%) after Virechana. Mild effect was noticed in Shyava (blackish discoloration) and Rukshata (dryness) i.e. (33.33%). Highly significant result found after both the therapies (Virechana and Raktamokshana) and marked improvement was seen in Shyava and Rukshata after Raktamokshana. It shows over all Ayurvedic modality gives very good result in Vicharchika