A Case Study on Pompholyx (Dyshidrotic Eczema) w.s.r. to Vicharchika
Journal name: Ayushdhara
Original article title: A Case Study on Pompholyx (Dyshidrotic Eczema) w.s.r. to Vicharchika
AYUSHDHARA is an international peer-reviewed journal. It focuses on research in Ayurveda, Yoga, Unani, Siddha, Homeopathy, Allopathy, and Pharmaceutical Sciences.
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Priya Pathak
Assistant Professor, Department of Swasthavritta & Yoga, SAHMC, Mohali (Punjab), India.
Ayushdhara:
(A peer-reviewed, bi-monthly open-access journal)
Full text available for: A Case Study on Pompholyx (Dyshidrotic Eczema) w.s.r. to Vicharchika
Year: 2022 | Doi: 10.47070/ayushdhara.v9i2.925
Copyright (license): CC BY-NC-SA 4.0
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Summary of article contents:
Introduction
The article presents a case study on Pompholyx, also known as dyshidrotic eczema, correlating it with the Ayurvedic condition Vicharchika. Vicharchika is classified under Kshudra Kushtha in Ayurveda and is characterized by skin eruptions, severe itching, and discharge. The study underscores the universal challenge of skin diseases in patients which often transcend various treatment modalities, particularly in developing countries. The skin, pivotal for sensory functions and protective barriers against diseases, becomes compromised due to various underlying factors, predominantly the aggravation of Pitta dosha, leading to conditions like Pompholyx. The case study involves a 42-year-old female patient who presented with acute symptoms and underwent a 40-day Ayurvedic treatment regimen.
Ayurvedic Perspective on Skin Formation
In Ayurveda, the skin, or Twak, plays a significant role in overall health, being considered an Upadhatu of Mamsa, meaning it is derived from body tissues. Maharshi Charaka describes its development as complex, influenced by the balance of the Tridoshas (Vata, Pitta, Kapha) and the health of other body dhatus (tissues). According to Ayurvedic texts, skin layers are formed in a multi-stage process, where disturbances at any stage can lead to various skin disorders. The understanding of the skin's formation is crucial for addressing skin-related ailments, including Vicharchika, which manifests due to an imbalance of these doshas and tissue health.
Pathogenesis of Vicharchika
The pathogenesis of Vicharchika, as described in Ayurvedic literature, involves an intricate interplay of etiological factors or Nidanas, which lead to the vitiation of the Tridoshas, particularly Pitta dosha. This results in various symptoms, including itching, blister formation, and inflammation. In the case of the patient, underlying conditions such as low digestive fire and constipation accompanied her external symptoms. The Ayurvedic approach emphasizes the need for understanding this pathogenesis to create an effective treatment plan that not only seeks to alleviate symptoms but also addresses root causes through dietary management, lifestyle modifications, and specific Ayurvedic medications.
Conclusion
The case study illustrates the effectiveness of Ayurvedic treatment in managing a chronic condition like Vicharchika, which exhibits features similar to Pompholyx. Despite advancements in conventional dermatological treatments, skin conditions often remain challenging. The research emphasizes the importance of thorough diagnosis, understanding the disease's etiology, and the role of holistic wellness through Ayurvedic practices, including dietary control and detoxification therapies. By adopting a multidimensional approach to treatment and considering the unique Ayurvedic frameworks, healthcare providers can improve patient outcomes in skin disorders that are often recurrent and debilitating.
FAQ section (important questions/answers):
What is Pompholyx and its relationship with Vicharchika?
Pompholyx, or dyshidrotic eczema, presents with itchy blisters on hands and feet. It resembles Vicharchika in Ayurveda, which is characterized by skin eruption, itching, and discharge, suggesting they share similar symptoms and underlying factors.
What Ayurvedic treatments were used for the patient with Vicharchika?
The patient was treated with Ayurvedic treatments including Gandhak Rasayana, Avipattikara Churna, Panchtikta Ghrita guggulu Vati, Mahamanjisthali Kwath, along with local applications of Dashanga Lepa and Vetpaladi Taila, promoting significant symptom resolution.
What are the key characteristics of Vicharchika in Ayurveda?
Vicharchika is characterized by skin eruptions, itching, and dark discoloration. It reflects an imbalance of Pitta Dosha, resulting in conditions such as inflammation, vesiculation, and potentially chronic skin issues requiring attentive management.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “A Case Study on Pompholyx (Dyshidrotic Eczema) w.s.r. to Vicharchika”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Disease:
A disease is a pathological condition, often caused by various factors including pathogens and imbalances within the body. In Ayurveda, diseases may arise from imbalanced Doshas and other such factors.
2) Kushtha (Kustha):
"Kustha" in Ayurveda refers to a group of skin diseases, often chronic and difficult to treat. These diseases can include various types of eczema and are frequently associated with the imbalance of the Doshas.
3) Rakta:
"Rakta" translates to blood in Ayurvedic terms. Blood plays a crucial role in the nourishment and proper functioning of tissues, and its vitiation can lead to various disorders including skin problems.
4) Dosha (Dosa):
The term "Dosha" refers to the three fundamental bodily humors in Ayurveda: Vata, Pitta, and Kapha. The balance of these Doshas is essential for health, and their imbalance can result in diseases.
5) Nidana:
"Nidana" refers to the causative factors or etiology of a disease in Ayurveda. Knowing the Nidana helps in understanding the root cause and accordingly guiding effective treatment and prevention.
6) Mamsa (Mamsha):
"Mamsa" refers to muscle tissue in Ayurveda. It is considered an important tissue that supports the structure and function of the body, and its vitiation can lead to various diseases.
7) Ahara:
"Ahara" means food or diet in Ayurvedic terms. Proper Ahara is crucial for maintaining health and balance in the Doshas, while improper diet can be a causative factor for diseases.
8) Hetu:
"Hetu" signifies cause or reason in Ayurveda, often used to describe the causative factors behind the imbalance of Doshas and the onset of diseases.
9) Samprapti:
"Samprapti" refers to the pathogenesis or the process by which a disease develops in Ayurveda, from the initial contact of causative factors to the full manifestation of the disease.
10) Mithya:
"Mithya" in Ayurveda denotes improper or incorrect, often used in contexts like Mithya Ahara (improper diet) and Mithya Vihara (improper activities), contributing to diseases.
11) Food:
Food in Ayurveda, referred to as Ahara, is considered vital for maintaining the balance of Doshas and overall health. Improper or incompatible food (Viruddha Ahara) can lead to various diseases.
12) Pitta:
"Pitta" is one of the three Doshas in Ayurveda, associated with heat, metabolism, and transformation. Imbalance in Pitta can lead to skin diseases like eczema.
13) Tridosha (Tridosa, Tri-dosha):
"Tridosha" refers to the concept of the three Doshas: Vata, Pitta, and Kapha. Their balance is essential for health, and their imbalance can cause diseases.
14) Vihara:
"Vihara" encompasses activities and lifestyle practices in Ayurveda. Improper Vihara or Mithya Vihara can contribute to the development of diseases.
15) Dhatu:
Dhatu refers to the seven bodily tissues in Ayurveda. Proper nourishment and balance of the Dhatus are essential for health, while their vitiation can lead to diseases.
16) Rasayana (Rasa-ayana):
Rasayana therapy in Ayurveda aims at rejuvenation and revitalization of tissues. It helps in immune enhancement and is used for chronic conditions like eczema.
17) Tvak:
"Tvak" means skin in Ayurvedic terms. It is vital for protection and sensory functions, and its health is closely tied to the balance of Doshas and Dhatus.
18) Apathya:
"Apathya" refers to dietary and lifestyle choices that should be avoided in Ayurvedic treatment. Improper Apathya can aggravate disease conditions.
19) Dushya (Dusya):
"Dushya" are the bodily elements that become impure during the disease process. In skin diseases, these often include Rakta (blood), Tvak (skin), and Mamsa (muscle).
20) Lasika:
"Lasika" is the lymph in Ayurvedic terms, playing a crucial role in the immune system and the pathology of skin diseases when it becomes vitiated.
21) Nature:
Nature in the context of Ayurveda typically refers to a person's basic constitution (Prakriti), which influences their susceptibility to different diseases.
22) Paka:
"Paka" generally refers to inflammation or maturation, particularly the suppuration stage in skin conditions.
23) Viruddhahara (Viruddha-ahara):
"Viruddha-ahara" means incompatible food combinations. These can disrupt digestion and contribute to diseases.
24) Prakopa:
"Prakopa" means exacerbation or aggravation, used to describe heightened activity of Doshas, leading to disease.
25) Sthana:
"Sthana" means place or location. It refers to the sites where imbalanced Doshas get lodged, causing diseases.
26) Pathya:
"Pathya" refers to recommended dietary and lifestyle practices beneficial for treating and preventing diseases.
27) Kapha:
"Kapha" is one of the three Doshas, associated with structure and lubrication. Its imbalance can lead to diseases like colds and metabolic disorders.
28) Priya:
Priya Pathak is the assistant professor and author of the case study in the provided text, contributing to the research on Ayurvedic treatment for skin diseases.
29) Rasa (Rasha):
"Rasa" can refer to taste in dietary context or plasma in bodily tissues, essential for transport of nutrition and waste.
30) Sira (Shira):
"Sira" denotes vessels or ducts in Ayurveda, involved in the transport of Doshas and other substances within the body.
31) Ambu:
Ambu refers to fluids in Ayurvedic contexts, including bodily fluids that are essential for various physiological functions.
32) Diet:
Diet, referred to as Ahara, is crucial in Ayurveda for maintaining the balance of Doshas and overall health, with improper diet leading to diseases.
33) Burning sensation:
Burning sensation, often linked with Pitta imbalance, is a common symptom in skin diseases like eczema.
34) Inflammation:
Inflammation, or Paka, is a key symptom in skin diseases, characterized by swelling, heat, and redness, often due to Dosha imbalance.
35) Pittadosha (Pittadosa, Pitta-dosha):
"Pitta-dosha" is one of the three Doshas, associated with heat and metabolism. Its imbalance can lead to inflammatory conditions.
36) Samhita:
Samhita refers to classical Ayurvedic texts, like Charaka Samhita and Sushruta Samhita, which provide foundational principles and treatments.
37) Kshudra (Ksudra):
"Kshudra" refers to minor diseases, but in context like Kshudra Kustha, it encompasses chronic skin issues not life-threatening but troublesome.
38) Sevana:
"Sevana" means intake or indulgence. Nidana Sevana refers to indulging in causative factors leading to disease.
39) Vamana:
"Vamana" is a therapeutic emesis treatment used in Panchakarma for detoxification, particularly for Kapha disorders.
40) Karana:
"Karana" means cause or method, often related to the preparation of food or treatments affecting the body’s physiology and health.
41) Pidika:
"Pidika" are small pustules or papules appearing on the skin, often symptomatic in conditions like eczema (Vicharchika).
42) Kandu (Kamdu):
"Kandu" denotes itching, a major symptom in many skin diseases, often resulting from Dosha imbalances.
43) Marga:
Marga refers to pathways or routes in the body, such as channels (Srotas) through which physiological functions and disease processes occur.
44) Krimi (Krmi):
"Krimi" means parasites or worms, considered one of the etiological factors in certain skin diseases.
45) Bahya:
"Bahya" means external in Ayurveda, often referring to external treatments or manifestations of diseases.
46) Roga:
"Roga" is the term for disease in Ayurveda, caused by Dosha imbalances, bad diets, improper lifestyles, etc.
47) Agni:
"Agni" refers to digestive fire, key for digestion and metabolism. Its dysfunction (Agnimandya) is a root cause of many diseases.
48) Lepa:
"Lepa" refers to pastes or plasters applied externally as part of Ayurvedic treatment, often for skin conditions.
49) Vega:
"Vega" refers to natural urges or reflexes in Ayurveda. Suppression of Vegas can disrupt bodily functions and lead to diseases.
50) Vata:
"Vata" is one of the three Doshas, associated with movement and flow. Its imbalance can cause numerous physical and mental issues.
51) Pain:
Pain is a symptom in many conditions, indicating an imbalance in the Doshas, often needing careful assessment and treatment.
52) Milk:
Milk, or Dugdha, can be Apathya for some skin conditions in Ayurveda due to its heavy and Kapha-increasing properties.
53) Raktadhatu (Rakta-dhatu):
"Rakta-dhatu" refers to the blood tissue, crucial for carrying nutrients and oxygen. Its vitiation is often involved in skin diseases.
54) Sutrasthana (Sutra-sthana):
Sutrasthana is a section of classical Ayurvedic texts focusing on foundational principles, definitions, and therapeutic guidelines.
55) Dhatvagni (Dhatu-agni):
"Dhatvagni" refers to the metabolic fire of the tissues (Dhatus), essential for their transformation and functioning.
56) Amlarasa (Amla-rasa):
"Amla-rasa" refers to the sour taste, which can aggravate Pitta and is often advised against in certain Ayurvedic treatments.
57) Knowledge:
Knowledge in Ayurveda is crucial for the understanding and treatment of diseases, based on principles and observations from classical texts.
58) Substance:
"Substance" in Ayurveda often refers to Dravya, significant in treatments and includes herbs, minerals, and dietary items.
59) Vitiation (Vitiated):
Vitiation refers to the aggravation or imbalance of Doshas and Dhatus, causing various diseases.
60) Ayurveda (Ayus-veda):
Ayurveda is the ancient Indian medical system aimed at balancing the body's Doshas, promoting health, and treating diseases through natural means.
61) Vagbhata:
Vagbhata is one of the important ancient authors in Ayurveda, known for his works Ashtanga Hridaya and Ashtanga Sangraha.
62) Vidradhi:
"Vidradhi" refers to abscesses or boils in Ayurveda, often caused by the vitiation of Doshas and impure blood.
63) Sithila (Shithila):
"Shithila" means looseness or laxity of tissues, often leading to disease, particularly when related to skin and muscles.
64) Medicine:
"Medicine" in Ayurveda includes both internal and external treatments derived from herbs, minerals, and other natural substances.
65) Guggulu:
"Guggulu" is a resin used in Ayurveda for its various therapeutic properties, particularly in treatments for skin diseases and joint disorders.
66) Samyoga:
"Samyoga" refers to the combination of substances, whether in diet or treatments, which can have synergistic or antagonistic effects.
67) Purisha (Purisa):
"Purisha" means feces or stool, and its proper and regular elimination is essential for health in Ayurvedic medicine.
68) Utsedha:
"Utsedha" refers to swelling or inflammation, often seen in various skin conditions driven by Dosha imbalances.
69) Samana (Shamana):
Shamana refers to pacifying treatments aimed at balancing and reducing the aggravated Doshas in various disease conditions.
70) Habitat:
Habitat or Desha in Ayurveda refers to the geographical and environmental factors that influence an individual's Prakriti and disease manifestation.
71) Vidahi:
"Vidahi" refers to food or substances causing burning sensations, which should be avoided in Pitta-related disorders.
72) Ghrita (Ghrta):
"Ghrita" is clarified butter (ghee), used extensively in Ayurveda for its nourishing and medicinal properties.
73) Gayada:
Gayada is a commentator referenced in the text, providing insights into the interpretation of classical Ayurvedic principles.
74) Family:
Family history is significant in Ayurveda for understanding predispositions and etiological factors of diseases.
75) Edema (Oedema):
Oedema or swelling is often a symptom indicating disorder in the body's water balance, linked to Dosha imbalances.
[Note: The above list is limited to 75. Total glossary definitions available: 229]
Other Science Concepts:
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Ayurveda, Agnimandya, Samprapti, Vicharchika, Kshudrakushtha, Pathyapathya, Kushtharoga, Pittadosha, Rasayana-chikitsa, Panchakarma Therapy, Nidana Panchaka, Chikitsa sutra, Aaharaja Hetu, Viharaja Hetu, Sadhvritta, Dyshidrotic Eczema.