Role of Mild purgation in Panchakarma Anarha Rogi- A case study on eczema

Abstract

Panchakarma is bio-purificatory therapy that detoxifies body by removing toxins from the cellular level. This requires lots of assessment of patient as well as disease before subjecting to Panchakarma. Proper assessment of patient helps in easy evacuation of Dosha and minimizes complications during and after Shodhana. Administration of Panchakarma procedure in a subject unfit for procedure may results in serious complications. Vicharchika – a type of Kshudrakustha is often correlated to eczema based on its clinical presentations. No satisfactory treatment is available in contemporary medical practice except antihistamines and topical steroids. Vicharchika is effectively treated on Ayurvedic concepts by Shodhana and Shamana Aoushadhis. A patient approached the outpatient department of Panchakarma with chief complaints of oedema, erythematous skin lesions with intense pruritus and exudation at extensor surface of the right leg, calf and foot. This was Bahudoshavastha with demand of Shodhana as per assessment of Rogapareeksha. Rogi (patient) was Krisha, Vata Prakruti, Ruksha Shariri where Shodhana is contraindicated. After consideration of all factors, patient was treated with Nitya Virechana, Abhyanga, Parishekha and Lepa Chikitsa. A remarkable improvement in symptoms was observed in a span of one and half months.