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49 year old patient who was apparently normal before 6 months. After which she developed small papular lesions on the foot. Occasionally associated with itching. Since 2 months the same complaints started on dorsum of both foot. Associated with swelling and oozing of colourless watery fluid while itching. In Ayurvedic classics, the word “KUSHTHA” represents all the skin disorders. According to Tridosha theory of Ayurveda, unhygienic and irregular diet affects Vata, Pitta and kapha which in term affect skin and cause Kushtha or skin disorder. Eczema” bears the nearest similarity to the clinical features of Vicharchika. Eczema is a disease which is resultant of delayed type hypersensitivity mediated by memory T lymphocytes in the skin and the clinical lesions may be acute (wet and oedematous) or chronic (dry, thickened, and scaly). It is an inflammatory response of the skin to multiple agent characterized by erythema, edema, vesiculation, oozing, crusting and later lichenification.In Ayurveda, symptoms mentioned are itching, burning sensation,erythema, dryness in lesion, purulent discharge(when the disease is superimposed by secondary infections),ulceration(created by excessive scratching & discharge),oozing, alteration of skin color. In Ayurveda , shodhana karma ( a procedure for the purification of the body by radical elimination of morbid vitiated Dosha through nearer root )is advised prior to all other types of treatment. Eczema management has three main goals:Healing the skin and keeping it healthy, Preventing flares,Treating symptoms when they do occur. First of all identify the exacerbating factors and avoid those circumstances, which trigger the skin immune system and the itch-scratch-itch cycle.
Ayurvedic Remedy for Eczema:
First 2 weeks, internal medication was given.
First week:
Patolakaturohinyadi kashayam-15ml given with 45 ml warm water, before food.
Avipathy choornam-5gm with hot water,bedtime.
Kaishora guggulu: 2-0-2,with kashaya.
Second week:
Snehapanam with aragwadha mahatikthaka ghrtham for 7 days.(doses decided based on daily monitoring).
Third week:
Virechanam done with trivrt choornam.
Other external therapies:
Kshalanam with nalpamaradi and thriphala kashayam.
Snuhyadi lepam for external application.
After 3 months of Ayurvedic remedy for Eczema treatment and follow up, patient got symptomatic relief.
Patient was advised to do the following according to Ayurvedic Remedy:
Moisturize frequently
Avoid sweating or overheating
Reduce stress
Avoid scratchy material e.g. wool or other irritant
Avoid harsh soaps, detergents and solvents and use mild soap.
Avoid environmental factors that trigger allergies e.g. pollens, moulds, mites and animal dander.
Be aware of any food that may cause an outbreak
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