You might have first noticed an itchy, red patch on your cheeks, chin. Maybe you experienced something similar on your own neck, inner elbows, or behind your knees also. That’s probably when you made an appointment with your doctor, who looked at it, talked to you about your symptoms. Then your doctor told you it was eczema.
Eczema is a common non infectious inflammatory skin condition Characterized by redness, itching and oozing and vesicular lesions which becomes scaly , crusted and hardened
According to Ayurveda , Eczema , / Vicharchika is one among the kusta , i.e. there are 18 types of Kusta , among which 7 are considered to be Mahakusta , and 11 are Kshudra Kusta . Vicharchika is one of the kshudra Kusta .
Types of eczema
- Contact dermatitis: This form is caused by an irritating substance, like chemicals, detergents and some skin care products
- Dyshidrotic eczema: This causes blisters on the hands and feet and is brought on by irritants as well as stress, allergies, and damp feet and hands.
- Hand eczema: This form is triggered by irritating substances, and is also linked to family history.
- Neurodermatitis: This causes rough, dry, thick patches of skin, thought to be triggered by stress or bug bites.
- Nummular eczema: This type presents as small, itchy spots, possibly brought on by dry winter skin, bug bites, or inflammation.
- Stasis dermatitis: This is usually caused by blood pressure issues, which can lead veins to leak and cause skin irritation.
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Symptoms, Precautions & Treatments
What Are the Symptoms of Eczema?
No matter which part of the skin is affected, eczema is almost always itchy. Sometimes the itching will start before the rash appears, but when it does, the rash most commonly appears on the face, back of the knees, wrists, hands, or feet. It may also affect other areas as well.
Affected areas usually appear very dry, thickened, or scaly. In fair-skinned people, these areas may initially appear reddish and then turn brown. Among darker-skinned people, eczema can affect pigmentation, making the affected area lighter or darker. Pale patches of skin may appear because eczema can disturb the production of pigment which controls skin colour. The effect does fade and disappear.
Symptoms in Ayurveda
स कण्डूः पिडिका श्यावा बहुस्रावा विचर्चिका॥(च चि १/२६)
Kandu – Itching , Shyava pidaka – Blackish eruptions , Bahusraava – With excessive oozing
Other symptoms –
Aswedanam (Decreased sweat ), Atiswedanam (Excessive swaet), Parushyam – Roughness of the skin, Suptata (Numbness), Paridaha (burning ) Ruksha (Dryness) Rakta (might be associated with bleeding) Vrana (Ulcerations)
Causes of Eczema
Healthy skin acts as a barrier to retain moisture and to protect the body from environmental challenges. Any factor that disrupts the ability of the skin to act as an effective barrier can lead to the loss of moisture, causing dryness and the entry of allergens, irritants and bacteria, which can result in inflammation and infection.
Potential causes of eczema are:
- Factors that cause the skin to become dry, which in turn affects the skin’s barrier function
- Genetic mutations that affect the skin’s barrier function
- Immune system dysfunction causing an unwanted inflammatory response in the skin.
Certain substances or conditions called trigger factors can cause eczema to flare (ie: become worse). These trigger factors can be:
- Irritants such as soaps and detergents, wool, skin infections, dry skin, low humidity, heat, sweating or emotional stress.
- Allergens such as dust mites, pollen, moulds or foods.
Causes in Ayurveda
Virudda Ahara and Snigdha Ahara – Wrong combination of food substances , ie , Honey and Ghee in equal quantities , etc , Foods which are heavy to digest and oily
VegaDharana : Supression of natural urges ,Ushnat sheet cha – exposure to heat soon after Exposure to Hot or Exposure to cold soon after heat etc , Excessive intake of Curd , salt and sour substances , Divasvapna – Sleep during day time, Excessive Intake of Masha , (Black gram ), Mulaka (Radish ), Tila (Sesame seeds ), Excessive intake of alcohol with milk, Use of meat of deer with milk
BAHYA CHIKITSA (EXTERNAL TREATMENT )
Lepa – Lepam is nothing but external application, which is prepared out of medicated powders along with suitable liquids , which enhances the properties of medicine . ex manjistadi Lepa
Parisheka – pouring of medicated liquids on affected part Ex karanja Taila
Avachurnana – Dusting with dry powders
Avagahana – Dipping of affected part in the medicated liquid
Dhuma – fumigation of affected skin part
Single drug therapy – Bakuchi , Manjista , Khadira etc are used .
ABHYANTARA CHIKITSA (INTERNAL TREATMENT ).
Virechana : Elimination of doshas through purgation therapy Which. is given after the snehana & svedana .
Vamana – Elimination of doshas through emesis , which will eliminate doshas from upper GI tract .
Raktamokshana – Letting out the bad blood is thr prior treatment as all skin disorders are caused due to vitiated blood in the body .
Conservative line of management is followed , if patient is not fit for panchakarma , using ,panchatikta kashaya , kaishora guggulu , Mahamanjistadi qwatha , khadirarishta etc can be prescribed .
Laghu Ahara – Foods which are light to digest
Tikta Shaka – Bitter vegetables
Purana Dhanya – Older grains
Jangala Mamsa – Flesh
Mudga – Green gram
Patola – Snake gourd
Yava – Barley
Godhuma – Wheat
Guru anna – Foods which are heavy to digest
Dugdha – Excessive intake of dairy products
Amla rasa – Sour food substances
Dadhi – Curd
Anupa mamsa – Marshly flesh
Guda – Jaggery
Tila – seasame
Kulattha – Horse gram
Masha – Black gram
Vidahi anna – spicy food
Ikshu Vikara – Sugarcane derivatives
Lavana – Salty foods
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