Study on effectiveness of Siravyadha in comparison with Siravyadha followed by Yashada Lepa in Vicharchika w.s.r. to Eczema

Vicharchika is one among 11 Kshudra Kushta and it is one among the Astamahagada as said by our Acharyas. This can be co-related to Eczema of contemporary science. Eczema is an inflammatory reaction of skin characterized by dry skin, itching, red to brownish grey patches and painful vesicles. In Ayurveda, management of Kushta includes Shodhana based on Dosha Praadhaanyata followed by Shamanoushadas which include Abhyanga, Parisheka and Lepa. On the other hand, contemporary Medical science, use of oral anti-histamines, oral and topical corticosteroids which reduces local inflammation, itching and lichenification, but show significant adverse effects. It is told that Vicharchika (Kushta) is a Rakta Pradoshaja Vikaara and Siravyadha is an effective modality in treating Rakta Dushti. Yashada Lepa is said to cure Vicharchika in a short duration. The present study, “Study on effectiveness of Siravyadha in comparison with Siravyadha followed by Yashada Lepa in Vicharchika w.s.r. to eczema.” was conducted in SJIIM Hospital, Bengaluru with 40 patients randomly allotted into 2 groups namely - Group A and Group B. Assessment was done based on subjective parameters like (Itching, pain, discharge, discoloration and dryness) and objective parameters like (area and lichenification). Observation was done before and after treatment. Assessment of Itching, Pain, discharge, discoloration, dryness, Area, and intensity of the lesion and lichenification in Group-A showed 80%, 75%, 60%, 68%, 88.89%,65.38% and 80.76% improvement and in Group-B showed 90.9%, 90%, 100%, 81.25%, 85.71%, 80.76% and 100% respectively. Statistical analysis revealed that Siravyadha followed by Yashada Lepa is more effective compared to only Siravyadha