Effect of Raktamokshna using Ghati Yantra (Cupping), Panchamuli Laghu Draksha Kashaya and Wilandawennadi Lepa in Vicarcika (Eczema) – A Case Study

Abstract

In Ayurveda, Vicarcika is described under Kshudra Kushtha. Kandu (itching), Shyava Pidaka (blackish-brown eruptions), Bahu Srava (copious exudation).  Rajyo (cracks), Ruja (severe pain) and Ruksha (roughness) are the clinical features of Vicarcika. It can be correlated with eczema causing dry, itchy skin and rashes of the skin. Charaka describes Raktamokshna as one of the therapeutic measures in treatment of Kushtha Roga. Panchamuli Laghu Draksha Kashaya and Wilandawennadi Lepa are used to treat patients suffering from Vicarcika at Ayurveda teaching hospital, Borella with effective results. So far, no known scientific study has been conducted to evaluate the effect of these treatments. A 68year female with a two-month history of Vicarcika (eczema) was treated with this treatment regimen for a period of 24 days. This patient had occasional pain, itching, eruptions, roughness, cracks and copious exudation in both lower limbs. The response to the treatment was recorded and therapeutic effects were evaluated through symptomatic relief. After completion of entire treatment, it was observed that the symptoms such as Srava (copious exudation) and Ruja (pain) were relieved by 75% and other symptoms were partially relived. It is concluded that Rakthamokshna using Ghati Yantra (cupping), Panchamuli Laghu Draksha Kashaya and Wilandawennadi Lepa are beneficial in treatment of Vicarcika (eczema)