Vicharchika: One of the Kshudra kushtha can be correlated with eczema in modern parlance runs a chronic course & considered difficult to be cured and even if it is cured, relapses are common. Ayurvedic classics consider Rakta dushti as one of the prime causes of skin diseases; on the other hand, patients may get relief after letting out the vitiated blood. Hence taking into consideration the long lasting duration of disease and recurrence it was considered that shodhana therapy – Jalaukavacharana prior to shamana therapy & Rasayana therapy may provide better relief. So the present study has been conducted with the aims & objective to evaluate the role of Jalaukavacharana as treatment modality of Vicharchika (eczematous dermatitis). To fulfill this objective, Jalaukavacharana was carried out before administrating the Shamana therapy and compared with Shamana therapy alone (GroupA) whereas in Group B Jalaukavacharana was done prior to administration of Rasayana and applying Lepa for the purpose of sthana shuddhi solving both the purposes Lekhana & Lepana and compared with Lepa & Rasayana therapy given without blood letting by leeches. The results were found better in the patients treated with Jalaukavacharana followed by Shamana / Rasayana therapy. The recurrence was checked where Rasayana therapy was administered after blood letting by leeches (42.86%). Jalaukavacharana served the purpose of shodhan by expelling out vitiated blood.

Key words: Jalaukavacharana; Vicharchika; Eczema; Rasayana; Shodhana.