Abstract

VICARCIKA (ECZEMA): AN INTEGRATIVE REVIEW OF AYURVEDIK CONCEPTS, MODERN CORRELATES, AND THERAPEUTIC APPROACHES

Dr. Kiran Haritwal*, Dr. Pramod Kumar Mishra, Dr. Bhanupriya Choudhary

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Abstract

Background: Vicarcikā is a classical Āyurvedik skin disorder commonly correlated with eczema (dermatitis) in modern dermatology. Though conventional treatments offer symptomatic relief, long-term side effects and relapse are challenges. Objective: To review the Āyurvedik conceptualization, pathogenesis, clinical features, and evidence for therapeutic strategies (śodhana, śamana, rasāyana, topical therapies) in Vicarcikā, and to compare with modern dermatologic approaches. Methods: A narrative review was conducted using electronic databases (PubMed, Google Scholar, Āyurvedik journal archives) and classical Āyurvedik texts. Inclusion criteria encompassed articles, case studies, reviews, and Āyurvedik treatises addressing Vicarcikā or its correlation with eczema. Results: Āyurvedik sources characterize Vicarcikā by kaṇḍu (itching), piḍikā (vesicles), śyāva varṇa (discoloration), srāva (exudation) etc. Correlation with modern eczema is supported by overlapping clinical features (pruritus, erythema, exudation, lichenification). Evidence (case reports and small trials) suggests benefit of combined śodhana (e.g. virecana) and śamana therapies, rasāyana support, and external applications (lepa). Challenges include paucity of large controlled trials and standardized protocols. Conclusion: Āyurveda provides a holistic and multi-modal framework for Vicarcikā that may complement conventional eczema management. Well-designed clinical trials and mechanistic studies are needed to validate efficacy and safety.

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