Ayurvedic treatment of vicharchika (photodermatitis): case study.

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Journal name: World Journal of Pharmaceutical Research
Original article title: Management of vicharchika (photodermatitis) with the combination treatment (shodhana & shamana) through ayurveda – a case study
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Author:

Dr. Manisha Vaman Davkare, Dr. Sourabh Deshmukh and Dr. Subhash Jamdhade


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Management of vicharchika (photodermatitis) with the combination treatment (shodhana & shamana) through ayurveda – a case study

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr202312-28823

Copyright (license): WJPR: All rights reserved


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Summary of article contents:

Introduction

Photodermatitis, often referred to as sun poisoning or photoallergic dermatitis, is a skin disorder characterized by inflammation triggered by light exposure. In Ayurveda, it correlates to a condition known as Vicharchika, classified under Shudra Kushta. Symptoms of Vicharchika include itching, swelling, and blackish discoloration, highlighting the importance of Ayurvedic treatment modalities. This case study presents the successful management of a 42-year-old female patient suffering from Vicharchika through a combination of Shodhana (purification) and Shamana (alleviating) therapies over five months.

Shodhana Chikitsa: The Cleansing Process

Shodhana therapy plays a crucial role in the treatment of Vicharchika. Initially, Vamana (emesis) was performed as part of the treatment plan, aimed at cleansing and detoxifying the body. This procedure involved a series of preparatory steps, including Deepana and Pachana, before administering the main cleansing method. The primary objective of Vamana is to expel excess Kapha dosha from the system, which aligns with the pathogenic nature of Vicharchika. Following Vamana, a series of internal medications were given to further enhance the detoxification process and alleviate symptoms over a defined duration.

Shamana Chikitsa: Alleviating Symptoms

In conjunction with Shodhana, Shamana therapies were implemented to provide relief from the symptoms of Vicharchika. Medications like Arogyavardhini and Shatadhauta ghrita were prescribed, reflecting the Ayurvedic principles that stress the importance of balancing the doshas and improving skin health. The local application of oils and herbal preparations complemented oral treatments, ensuring a holistic approach to symptom management. These therapies aimed to soothe the skin, reduce inflammation, and restore its natural balance, allowing for a significant improvement in the patient's condition.

The Role of Dietary and Lifestyle Modifications

Diet and lifestyle modifications were pivotal in the management of Vicharchika. The patient's personal history revealed vegetarian dietary preferences and disturbances in sleep due to symptoms, which were addressed through tailored Ayurvedic recommendations. Incorporating Snehana (oleation) and swedana (sudation) during treatment further supported systemic detoxification while improving the overall well-being of the patient. The treatment also included the use of Triphala and other herbal formulations for enhancing digestive processes and strengthening immunity, emphasizing the interconnectedness of diet, lifestyle, and skin health in Ayurvedic philosophy.

Conclusion

This case study underscores the effectiveness of combining Shodhana and Shamana therapies in treating Vicharchika, highlighting the role of a comprehensive approach in managing photodermatitis. Through systematic cleansing, symptom alleviation, and dietary adjustments, Ayurvedic modalities not only addressed the current symptoms but also provided preventive measures against future recurrences. The treatments reflect the deep-rooted principles of Ayurveda, advocating for a holistic understanding of health that encompasses body, mind, and lifestyle.

FAQ section (important questions/answers):

What is Photodermatitis, and how does it relate to Vicharchika?

Photodermatitis refers to skin inflammation caused by light exposure, often resembling Vicharchika, an Ayurvedic dermatitis form. Vicharchika manifests itching, swelling, and discoloration, similar to the symptoms of photodermatitis.

What are the treatment modalities used for Vicharchika?

The treatment for Vicharchika involves Shodhana (purification) and Shamana (alleviating) therapies. This combination aims to address both the symptoms and root causes of the condition, promoting long-term relief and preventing recurrence.

What symptoms did the patient present in the case study?

The patient experienced blackish discoloration, itching, swelling, and a burning sensation on both upper limbs, indicating a case of Vicharchika diagnosed as photodermatitis.

How long was the total treatment duration for the patient?

The total treatment duration for the patient was five months, including initial Shodhana treatments followed by Shamana therapies to maintain health and prevent recurrence.

What were the outcomes of the treatment for Vicharchika?

After treatment, the patient showed significant improvement, with symptoms like discoloration, burning sensation, and swelling notably reduced, indicating effective management of Vicharchika using Ayurvedic modalities.

What specific Ayurvedic medicines were used during the treatment?

The treatment included Arogyavardhini, Shatadhauta Ghrita, Amalaki, and other herbs, which were administered both orally and topically, aimed at alleviating symptoms and promoting skin health.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Ayurvedic treatment of vicharchika (photodermatitis): case study.”. 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) Ghrita (Ghrta):
In Ayurveda, Ghrita refers to clarified butter, which is considered highly beneficial for its nourishing and healing properties. It acts as a carrier for herbal medicines, enhances absorption, and is used in various treatments for skin and internal disorders, making it essential in therapeutic regimens like Vicharchika management.

2) Karma (Karman):
Karma in Ayurveda signifies a procedure or therapeutic action undertaken to restore balance and health. It can refer to detoxification processes, medicinal therapies, or other healing practices essential for managing diseases. Each Karma is tailored to the individual's condition to promote well-being and balance the doshas.

3) Shodhana (Sodhana):
Shodhana is detoxification or purification therapy in Ayurveda. It involves removing toxins from the body through various therapeutic procedures, including Vamana and Virechana. This practice is crucial for treating disorders like Vicharchika, aiming to restore balance among the doshas and improve overall health.

4) Dosha (Dosa):
Dosha represents the three fundamental bodily energies in Ayurveda—Vata, Pitta, and Kapha. Each dosha consists of different qualities and influences physical and mental characteristics. A proper balance of doshas is vital for health; imbalances can lead to various diseases, necessitating individualized treatments.

5) Table:
In this context, 'Table' refers to a structured data representation within the study's findings, such as treatment protocols, patient observation metrics, or dosage regimens. It organizes complex information for easier understanding and analysis, facilitating comparisons and drawing conclusions regarding the treatment's efficacy.

6) Swelling:
Swelling, or Shotha, is a physical manifestation of inflammation characterized by an increase in size and volume in affected areas. In conditions like Vicharchika, swelling is associated with the underlying dosha imbalances and indicates the need for specific Ayurvedic treatments to alleviate inflammation and restore normalcy.

7) Itching:
Itching, or Kandu, is a common symptom in various skin disorders, including Vicharchika. It signifies irritation and inflammation, often exacerbated by dosha imbalances. Managing itching involves both external applications and internal treatments in Ayurveda to soothe the skin and restore balance to affected doshas.

8) Samana (Shamana):
Shamana refers to alleviating therapies in Ayurveda aimed at soothing symptoms and restoring balance among the doshas without aggressive detoxification. This approach is essential for managing chronic conditions like Vicharchika, focusing on dietary changes, herbal medications, and lifestyle adjustments to promote healing.

9) Vamana:
Vamana is a therapeutic emesis procedure in Ayurveda used to expel excess Kapha dosha from the body. It is part of Shodhana therapy, helping cleanse the digestive system and alleviate conditions characterized by congestion and excess accumulation, playing a critical role in managing Vicharchika.

10) Kapha:
Kapha is one of the three doshas in Ayurveda, characterized by the qualities of heaviness, moisture, and stability. An imbalance of Kapha can lead to various ailments, including skin conditions like Vicharchika, necessitating specific treatments to pacify its effects and restore harmony.

11) Mamsa (Mamsha):
Mamsa refers to the muscle or flesh tissue in Ayurvedic terminology. It plays a significant role in the body’s structure and function. In the context of skin disorders, proper Mamsa dhatu balance is essential for maintaining healthy skin and aiding in healing processes.

12) Triphala (Tri-phala):
Triphala is an Ayurvedic herbal formulation composed of three fruits—Amalaki, Bibhitaki, and Haritaki. Renowned for its detoxifying, rejuvenating, and balancing properties, Triphala is used to support digestion, enhance immunity, and aid in treating various conditions, including inflammatory skin disorders.

13) Amalaki:
Amalaki, or Indian gooseberry, is a powerful herb in Ayurveda celebrated for its high vitamin C content and antioxidant properties. It plays a crucial role in balancing Pitta and supporting the immune system, making it beneficial in treating skin conditions like Vicharchika.

14) Vilepi:
Vilepi refers to a specific type of Ayurvedic preparation, usually in paste form. It can include various medicinal herbs and is used externally to treat skin conditions, providing nourishment, hydration, and healing benefits to the affected areas, especially in inflammatory conditions.

15) Peya:
Peya is a type of soft or liquid diet in Ayurvedic practices, often prescribed during recuperation or after detoxification therapies. It supports digestion and provides essential nutrients while ensuring that the digestive fire remains balanced, crucial for recovery from conditions like Vicharchika.

16) Daha:
Daha signifies a burning sensation in Ayurveda, which can be symptomatic of various conditions, including skin diseases and Pitta dosha imbalances. Managing Daha involves treatments aimed at cooling the body and addressing underlying imbalances to restore comfort and health.

17) Ayurveda (Ayus-veda):
Ayurveda is a traditional system of medicine originating from India, emphasizing balance among the body, mind, and spirit. It utilizes natural remedies, dietary practices, and lifestyle modifications to promote health and prevent disease, making it essential for managing various ailments, including skin disorders.

18) Burning (Burn, Burned, Burnt):
In the context of skin disorders, burning refers to the intense sensation often experienced alongside inflammation and irritation. This symptom indicates underlying issues, such as Pitta imbalance, and requires specific Ayurvedic treatments to soothe and restore skin health effectively.

19) Akrita (Akrta):
Akrita translates to 'unformed' or 'not created,' referring to something that has not yet manifested or developed. In Ayurvedic contexts, it can relate to unbalanced doshas or substances that have not been adequately processed or assimilated by the body, impacting overall health.

20) Pitta:
Pitta is one of the three doshas in Ayurveda, characterized by qualities of heat, transformation, and metabolism. It governs digestion and energy production in the body. An imbalance of Pitta can lead to inflammatory skin conditions like Vicharchika, requiring proper management for healing.

21) Rakta:
Rakta represents the blood in Ayurvedic terminology, vital for nourishing tissues and maintaining overall health. It is closely associated with Pitta dosha and plays a critical role in skin health; imbalances can lead to various conditions, including rashes and inflammation.

22) Shrava (Srava):
Srava refers to oozing or discharge from the skin, often associated with inflammatory conditions. In treating skin disorders like Vicharchika, managing Srava is crucial, involving therapies aimed at reducing exudation and promoting healing through balancing the involved doshas.

23) Krita (Krta):
Krita signifies 'created' or 'processed,' often used in the context of treatments or diets that support bodily functions. In Ayurveda, Kryta therapies or formulations are designed to optimize health and manage specific conditions, highlighting the importance of tailored treatments for optimal outcomes.

24) Vata:
Vata is one of the three doshas in Ayurveda, characterized by qualities of air and space. It governs movement and communication within the body. An imbalance in Vata can lead to various health issues, including nerve disorders and skin problems, necessitating specific balancing treatments.

25) Burning sensation:
The burning sensation in Ayurveda usually indicates an increase in Pitta dosha or inflammation. It often accompanies conditions like Vicharchika, requiring specific cooling treatments and dietary adjustments to mitigate discomfort and restore the balance of bodily energies.

26) Medicine:
Medicines encompass a broad range of Ayurvedic formulations, including herbal remedies, powders, and liquids. These preparations are crucial for treating various ailments and maintaining health by restoring balance within the body’s doshas.

27) Purva:
Purva means 'prior' and refers to the preparatory treatments in Ayurveda preceding main procedures. Purva karma includes detoxifying routines that prepare the body for subsequent therapies, ensuring optimal receptivity of medicinal interventions and enhancing treatment efficacy.

28) Agni:
Agni, or digestive fire, is a fundamental concept in Ayurveda representing the body's metabolic processes. Maintaining proper Agni is crucial for digestion, absorption, and overall health. Imbalances in Agni can lead to various health issues, including skin disorders like Vicharchika.

29) Maharashtra (Maharastra, Maha-rashtra):
Maharashtra is a state in India known for its rich cultural heritage and traditional practices, including Ayurvedic medicine. The region's diversity in flora contributes to the availability of various medicinal herbs and treatments, integral for local healthcare practices.

30) Raktadhatu (Rakta-dhatu):
Raktadhatu represents the blood tissue in Ayurvedic terminology, vital for nourishment and energy distribution throughout the body. Maintaining a balance in Raktadhatu is crucial for healthy emotional and physical functioning, including skin health.

31) Purvakarma (Purvakarman, Purva-karman):
Purva-karma refers to preparatory practices in Ayurveda prior to main therapeutic procedures. This phase involves detoxification and preparation of the body, critical for ensuring effective treatment outcomes and enhancing absorption of subsequent medicines and therapies.

32) Observation:
Observation is a critical component in Ayurveda, encompassing patient assessments and monitoring of symptoms during treatments. It aids practitioners in evaluating treatment efficacy and making necessary adjustments to therapies, ensuring individualized care tailored to the patients' needs.

33) Rasayana (Rasa-ayana):
Rasayana refers to rejuvenative therapies in Ayurveda aimed at promoting health, longevity, and vitality. These treatments involve using specific herbs and practices to enhance bodily functions and restore balance, significantly contributing to the management of chronic conditions like Vicharchika.

34) Disease:
Diseases represent deviations from normal health conditions, often resulting from dosha imbalances or external factors. In Ayurveda, identifying underlying causes of diseases aids in crafting effective treatment strategies tailored to restore health.

35) Dhatu:
Dhatu refers to body tissues in Ayurveda, categorized into seven types, each vital for different functions. Proper balance and nourishment of dhatus are essential for maintaining health; disturbances can lead to various ailments, including skin diseases, requiring targeted treatments.

36) India:
India is the birthplace of Ayurveda, a comprehensive system of medicine that integrates natural healing practices with philosophical concepts of health and wellness. The rich traditions and extensive herbal knowledge make it unique and influential in holistic health practices worldwide.

37) Yusa (Yusha):
Yusha usually refers to a type of soup or liquid diet prescribed in Ayurvedic treatments, providing nourishment and aiding digestion. It is often recommended during recovery phases or as part of a dietary regimen to balance doshas and support healing.

38) Vati:
Vati refers to tablet or pill forms of Ayurvedic medicines, commonly utilized for their convenience and standardized dosages. They are formulated to deliver therapeutic effects effectively, ensuring patients can easily adhere to treatment regimens for various health conditions.

39) Nadi (Nadin):
Nadi translates to 'nerve' or 'pulse' in Ayurveda. It signifies the channels through which vital energies flow within the body. Monitoring Nadi helps Ayurvedic practitioners assess health status and dosha imbalances, guiding treatment decisions for restoring balance.

40) Shamanacikitsa (Samanacikitsa, Shamana-cikitsa):
Shamana-chikitsa refers to the alleviating treatments aimed at stabilizing the doshas without aggressive detoxification. This approach is vital in managing chronic issues, offering symptom relief and restoring balance through dietary adjustments, herbal remedies, and lifestyle modifications.

41) Vatadosha (Vatadosa, Vata-dosha):
Vata-dosha is one of the three doshas in Ayurveda, often associated with movement and activity. An imbalance in Vata can lead to various health issues, including dryness and neurological disorders; it necessitates targeted therapeutic interventions to restore balance.

42) Samprapti:
Samprapti translates to 'pathogenesis' in Ayurveda, depicting the process that leads to disease development. Understanding Samprapti is crucial for Ayurvedic practitioners to identify the root causes of ailments, guiding tailored treatment strategies for effective prognosis and health restoration.

43) Pradhana:
Pradhana refers to the primary or main treatments in Ayurvedic therapies. These interventions are crucial for addressing the root cause of health concerns, focusing on restoring balance and harmony within the body through dedicated approaches tailored to individual needs.

44) Rukshata (Ruksata):
Rukshata denotes dryness in Ayurveda, a condition often associated with imbalances in the doshas, particularly Vata and Pitta. It can lead to various skin issues, so addressing Rukshata through appropriate therapies is essential for restoring skin health and moisture balance.

45) Yavatmal:
Yavatmal is a district in Maharashtra, India, known for its agricultural legacy and traditional Ayurvedic practices. The region's indigenous knowledge of medicinal plants contributes significantly to Ayurveda's ongoing evolution and application in contemporary healthcare settings.

46) Vitiation (Vitiated):
Vitiation refers to the disruption or imbalance of doshas in Ayurveda, leading to disease. Understanding the factors contributing to vitiation is essential for formulating effective treatment strategies and restoring health by realigning the dosha balance.

47) Snehana:
Snehana signifies the process of oleation or lubrication in Ayurveda, integral to detoxification therapies. It involves using oils and fats to nourish tissues and facilitate the elimination of toxins, promoting healing and balance in various conditions, including skin disorders.

48) Kashaya (Kasaya):
Kashaya refers to a type of herbal decoction in Ayurveda used for its therapeutic properties. These preparations are typically bitter or astringent and are employed to balance doshas, enhance digestion, and treat various health conditions, including skin disorders.

49) Bhasma (Bhasman):
Bhasma represents calcined herbal or mineral powders in Ayurveda, often used in formulations for their potent therapeutic benefits. These substances are meticulously prepared to ensure safety and efficacy, integral to many treatments targeting various diseases, including chronic skin conditions.

50) Srotas (Shrotas):
Srotas translates to 'channels' or 'pathways' in Ayurveda that facilitate the movement of substances, including nutrients and waste, throughout the body. Maintaining the health of Srotas is crucial for preventing blockages and ensuring proper bodily function, especially concerning metabolic processes.

51) Kandu (Kamdu):
Kandu denotes itching in Ayurvedic terminology, often associated with allergies, irritations, and skin conditions. Addressing Kandu involves identifying the underlying dosha imbalances and employing treatments that soothe the skin and alleviate discomfort effectively.

52) Water:
Water is essential to Ayurveda, representing a primary element influencing health and hydration. Proper hydration supports bodily functions and helps balance the doshas, making it crucial in treatment protocols for various conditions, including skin disorders like Vicharchika.

53) Study (Studying):
Study refers to the systematic investigation and analysis conducted to understand a particular topic or phenomenon. In Ayurveda, such studies are vital for validating the efficacy of treatments, exploring new therapeutic approaches, and enhancing the understanding of traditional practices.

54) Rasa (Rasha):
In Ayurveda, Rasa refers to the taste of food and medicines, which significantly influences digestion and absorption. Different Rasas affect the body's dosha balance and play a role in selecting appropriate dietary and medicinal interventions to maintain health.

55) Sign:
Sign refers to observable indicators of a condition in Ayurveda. It helps practitioners diagnose imbalances and tailor treatments accordingly. Regular monitoring of signs is essential for evaluating treatment efficacy and making necessary adjustments to enhance health outcomes.

56) Tinospora cordifolia:
Tinospora cordifolia, commonly known as Guduchi, is a revered herb in Ayurveda known for its immunomodulatory and detoxifying properties. It aids in enhancing immunity and treating various ailments, making it a common ingredient in formulations targeting skin conditions and overall health improvement.

57) Azadirachta indica:
Azadirachta indica, or Neem, is a significant medicinal tree in Ayurveda known for its antifungal, antibacterial, and anti-inflammatory properties. It is extensively used in skincare formulations to address various conditions, including Vicharchika, promoting skin health and healing.

58) Shatadhautaghrita (Satadhautaghrta, Shatadhauta-ghrita):
Shatadhauta-ghrita refers to a special clarified butter preparation in Ayurveda, known for its soothing and rejuvenating properties. It may be used in treatments for skin disorders, enhancing skin health and providing nourishment while aiding in the management of inflammation and irritation.

59) Pradhana-karma:
Pradhana-karma signifies the primary therapeutic actions in Ayurvedic treatment protocols. These main interventions focus on directly addressing the root causes of ailments, implementing targeted strategies to restore health and balance among the doshas for optimal treatment outcomes.

60) Purification:
Purification in Ayurveda refers to the process of cleansing the body of toxins and impurities, essential for restoring balance and promoting health. This can be achieved through various detoxification therapies, which are vital components of treatments for chronic diseases and maintaining wellbeing.

61) Inflammation:
Inflammation is a biological response to harmful stimuli, and in Ayurveda, it often signifies an imbalance in the doshas, particularly Pitta. Managing inflammation is crucial for conditions like Vicharchika, necessitating treatments that focus on cooling and soothing the affected areas.

62) Pittadosha (Pittadosa, Pitta-dosha):
Pitta doshas represent the fiery energy in Ayurveda, responsible for metabolic processes. An imbalance leads to acute symptoms and conditions like inflammation, requiring specific dietary and treatment adjustments to restore balance and health.

63) Kaphadosha (Kaphadosa, Kapha-dosha):
Kapha-dosha, in Ayurveda, represents the element of water and earth, contributing to stability and structure in the body. An imbalance in Kapha can lead to accumulation and stagnation, often causing respiratory issues and skin disorders, hence necessitating balancing therapies.

64) Mamsarasa (Mamsa-rasa):
Mamsa-rasa refers to the essence of muscular tissue in Ayurveda, critical for physical strength and vitality. It signifies the nourishment from food, contributing to overall health and functionality, influencing skin health and recovery from ailments.

65) Mudgayusha (Mudgayusa, Mudga-yusha):
Mudgayusha refers to a type of food or preparation made from moong beans in Ayurveda. It is known for its digestibility and nutritive value, often included in dietary recommendations during detoxification therapies to support the digestive system and promote healing.

66) Substance:
Substance in Ayurveda can refer to any material, including herbs, minerals, and formulations, used for therapeutic purposes. The safety, quality, and efficacy of these substances are essential considerations in Ayurvedic practice for effective treatment planning and health outcomes.

67) Kandughna (Kandu-ghna):
Kandughna refers to Ayurvedic formulations or remedies specifically designed to alleviate itching or Kandu. These products aim to soothe irritated skin and restore comfort through the use of cooling herbs and soothing treatments found in various Ayurvedic texts.

68) Cleansing:
Cleansing in Ayurveda involves various practices aimed at detoxifying the body and removing accumulated toxins. Integral to therapies like Panchakarma, cleansing restores balance among the doshas, enhances digestive function, and promotes overall health through specialized procedures.

69) Vaivarnya:
Vaivarnya refers to dark or discolored skin, often as a result of imbalances in bodily processes. It is an important clinical sign in Ayurveda, indicating the need for targeted treatments to restore skin health and balance among the doshas.

70) Haritaki:
Haritaki is an Ayurvedic herb known for its laxative, anti-inflammatory, and detoxifying properties. Used widely in various formulations, it helps balance all three doshas and contributes to digestive health, making it a common ingredient in herbal treatments.

71) Lakshana (Laksana):
Lakshana denotes signs and symptoms of a disease, crucial in Ayurveda for diagnosis. Identifying Lakshana aids practitioners in determining the appropriate treatment strategies to address the underlying imbalances and restore health.

72) Samhita:
Samhita is singular for Samhitas, encompassing the vast collection of Ayurvedic literature. Each Samhita provides insights into various aspects of health, disease management, and therapeutic applications, serving as a critical resource for Ayurvedic practitioners.

73) Kshudra (Ksudra):
Kshudra refers to minor or lesser diseases in Ayurveda, often affecting skin or superficial tissues. Although considered less severe, Kshudra diseases still require appropriate treatments to manage symptoms and support overall health.

74) Samanya:
Samanya translates to 'common' or 'general.' In Ayurvedic contexts, it may refer to general treatments or principles applicable to a wide range of conditions, emphasizing the need for a standardized approach to health management.

75) Trikatu (Tri-katu):
Trikatu is a traditional Ayurvedic formulation composed of three pungent herbs—Ginger, Black Pepper, and Long Pepper. It is known for its digestive support, enhancing metabolism and Agni, widely used in detoxification therapies and improving bioavailability of nutrients.

[Note: The above list is limited to 75. Total glossary definitions available: 199]

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Discover the significance of concepts within the article: ‘Ayurvedic treatment of vicharchika (photodermatitis): case study.’. Further sources in the context of Science might help you critically compare this page with similair documents:

Vamana, Virechana, Vicharchika, Panchatiktaghrita, Shatadhautaghrita, Burning sensation, Nidra–sleep, Dosha imbalance, Shamanacikitsa, Bahirparimarjana chikitsa, Amalaki Rasayana, Arogyavardhini Vati, Kandu (itching), Shodhana Chikitsa, Triphala Kwath, Ayurvedic Therapy, Kshudra Kushta, Skin Examination, Nadi Sweda, Raktavaha Srotas, Ahar (diet), Combination Treatment, Sthanik Chikitsa, Arogyavardhini, Blackish discolouration, Annavaha Srota, Rasavaha Srota, Mamsavaha srota.

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