Vicharchika: Exploring Ayurvedic Perspectives and Treatments for Eczema

In Ayurveda, Eczema, referred to as "Vicharchika," is considered a skin disorder arising from an imbalance in the doshas, particularly an aggravated state of the Pitta dosha. According to Ayurvedic philosophy, skin health is intricately linked to overall well-being, encompassing both mental and physical aspects. When the doshas, especially Pitta, are out of balance, it can lead to various skin-related issues, including Eczema. It's important to note that it's not just the Pitta dosha, but also the vitiating of Kapha, leading to fire, inflammation, blisters, and oozing, which can result in infections. Additionally, this imbalance can also affect the Vata dosha, causing an increase in dryness, pain, and itchiness. Maintaining skin equilibrium in Ayurveda involves a holistic approach, including a balanced lifestyle, mindful diet, regular exercise, and consistent daily routines.

Symptoms of Eczema:

• Itching and Redness: Eczema often manifests as persistent itching, redness, and inflammation of the skin. This can lead to discomfort and can interfere with daily activities.

• Dry and Flaky Skin: Individuals with Eczema may experience dryness and flakiness of the skin, particularly in affected areas. This can lead to rough patches and a feeling of tightness.

• Blisters and Oozing: In severe cases, Eczema may lead to the formation of blisters that can ooze fluid. This can further exacerbate discomfort and may lead to secondary infections.

• Thickened Skin (Lichenification): Chronic scratching and inflammation can lead to the thickening of the skin in affected areas. This can alter the texture and appearance of the skin.

• Crusting and Scaling: Eczema can result in the formation of crusts and scales on the skin, especially during flare-ups. This can further contribute to itching and discomfort.

• Sleep Disturbances: Itching and discomfort associated with Eczema can disrupt sleep patterns, leading to fatigue and decreased quality of life.

• Emotional Impact: Chronic skin conditions like Eczema can have a significant emotional impact, leading to feelings of self-consciousness, frustration, and stress.

• Social Impact: The visible symptoms of Eczema can affect social interactions and may lead to a sense of self-isolation.
• Inflammation: Eczema is characterized by persistent inflammation of the skin, which contributes to symptoms like redness, swelling, and discomfort.

Causes of Eczema According to Ayurveda:

• Dietary Imbalances: Consuming foods that are excessively spicy, sour, or hot, as well as excessive intake of caffeine, alcohol, and processed foods, can aggravate the Pitta dosha and contribute to skin inflammation.

• Stress and Emotional Factors: High levels of stress, anxiety, and emotional disturbances are known to aggravate the Pitta dosha, which can lead to flare-ups of Eczema. Emotional stress can weaken the immune system and disrupt the natural balance of the skin.

• Environmental Allergens: Exposure to allergens such as pollen, dust mites, pet dander, and certain chemicals can trigger allergic reactions in individuals with Eczema. These allergens can further exacerbate inflammation and itching.

• Toxic Buildup (Ama): The accumulation of toxins in the body, known as "ama" in Ayurveda, can disrupt the natural balance of doshas. Ama accumulation is often associated with poor digestion and dietary habits, which can contribute to skin disorders like Eczema.

• Excessive Sun Exposure: Prolonged and excessive exposure to the sun's heat can lead to an aggravation of the Pitta dosha, resulting in skin inflammation and increased susceptibility to Eczema.

• Hormonal Imbalances: Fluctuations in hormonal levels, especially during puberty, pregnancy, or menstruation, can influence the balance of doshas and contribute to skin disorders.

• Genetic Predisposition: Ayurveda acknowledges the role of inherited factors in the development of Eczema. Individuals with a family history of skin disorders may be more susceptible to this condition.

• Improper Skin Care: Harsh soaps, detergents, and skincare products with synthetic chemicals can strip the skin of its natural oils and disrupt the skin's barrier function, making it more prone to inflammation and irritation.

• Seasonal Changes:* Changes in weather, particularly transitions from one season to another, can affect the balance of doshas. For example, the transition from winter to spring, when the weather becomes warmer, can exacerbate Pitta-related skin conditions.

• Inadequate Hydration: Dehydration can lead to dry and sensitive skin, making it more susceptible to irritation and inflammation. Proper hydration is essential for maintaining skin health.

Ayurvedic Treatments for Eczema:

Vata Dosha Imbalance:

Treatments:

• Abhyanga (Oil Massage): This helps moisturize and nourish the skin, reducing dryness and flakiness associated with Vata imbalance.
• Nasya: Administering nasal drops with medicated oils helps in lubricating the nasal passages, which can indirectly benefit the skin.
• Basti (Enema Therapy): This treatment helps in balancing Vata dosha by providing nourishment and reducing dryness.
• Swedana (Herbal Steam Bath): Swedana induces sweating and helps to open up the pores, aiding in the elimination of toxins and improving skin health.
• Vata-Pacifying Herbs: Specific herbs like Ashwagandha, Guduchi, and Shatavari are recommended to balance Vata dosha and support skin health.

Diet:

• Warm, Nourishing Foods: Foods like soups, stews, and well-cooked grains help to pacify Vata dosha and provide essential nutrients for skin health.
• Ghee (Clarified Butter): Ghee is a potent moisturizer and helps to alleviate dryness and flakiness associated with Vata imbalance.
• Hydration: Drinking warm herbal teas and staying well-hydrated helps in maintaining skin moisture levels.

Supplements:

• Ashwagandha: It helps in reducing stress and provides overall support to the nervous system, indirectly benefiting skin health.
• Shatavari: Known for its nourishing properties, Shatavari can help in balancing Vata dosha.
• Omega-3 Fatty Acids: These supplements support skin health and help in maintaining moisture levels.

Lifestyle:

• Establishing a Routine: Having a regular daily routine can help stabilize Vata dosha, providing a sense of grounding and stability.
• Avoiding Excessive Physical or Mental Exertion: Vata imbalance can be exacerbated by excessive activity. Relaxation is important.
• Warm Baths: Taking warm baths with added herbal oils like sesame or coconut can help in soothing and moisturizing the skin.

Pitta Dosha Imbalance:

Treatments:

• Takra Dhara (Medicated Buttermilk Pouring): This therapy helps to cool down the skin and reduce inflammation associated with Pitta imbalance.
• Lepa (Herbal Paste Application): Herbal pastes with anti-inflammatory properties can help in soothing redness and irritation.
• Sheetala (Cooling) Packs: The application of cool, herbal packs on affected areas can provide relief from heat and inflammation.

Diet:

• Cooling Foods: Including foods like cucumbers, mint, and coconut in the diet can help to pacify Pitta dosha and reduce inflammation.
• Aloe Vera: Consuming Aloe Vera juice can help in cooling down the body from within.
• Bitter and Astringent Tastes: Foods like bitter gourd and fenugreek can help in reducing excess heat in the body.

Supplements:

• Neem: Neem is known for its anti-inflammatory and cooling properties, making it beneficial for Pitta-related skin conditions.
• Turmeric: The anti-inflammatory properties of turmeric can help in reducing redness and irritation.

Lifestyle:

• Avoiding Excessive Heat and Sun Exposure: Pitta dosha is sensitive to heat, so it's important to stay cool and avoid direct sun exposure.
• Managing Stress: Stress can exacerbate Pitta imbalance, so stress-reducing practices like meditation and deep breathing are crucial.
• Regular Cool Showers: Taking cool showers can help maintain skin temperature and reduce heat-related symptoms.

Kapha Dosha Imbalance:

Treatments:

• Udvartana (Herbal Powder Massage): This treatment helps stimulate circulation and reduce excess moisture and heaviness associated with Kapha dosha.
• Pinda Sweda (Herbal Bolus Massage): This therapy involves massaging the body with warm herbal boluses, which help reduce congestion and promote lymphatic drainage.
• Udgharshana (Dry Herbal Powder Massage): Using dry herbal powders for massage can help exfoliate the skin and reduce excess Kapha-related sluggishness.

Diet:

• Light and Warm Foods: Including spices like ginger and turmeric can help stimulate digestion and reduce Kapha-related congestion.
• Bitter and Astringent Tastes: Foods like leafy greens, fenugreek, and dandelion greens can help in balancing excess Kapha.

Supplements:

• Trikatu (A Combination of Ginger, Black Pepper, and Long Pepper): Trikatu is known for its digestive properties, which can help in reducing Kapha-related sluggishness.
• Guggulu: This resin is known for its detoxifying properties and can be beneficial in reducing excess Kapha.

Lifestyle:

• Regular Exercise: Engaging in regular physical activity helps in stimulating circulation and reducing excess Kapha dosha.
• Dry Brushing: This practice can help exfoliate the skin and stimulate the lymphatic system, which can be beneficial for Kapha-related congestion.
• Sun Exposure: Spending time in natural sunlight can help uplift the mood and reduce excess Kapha-related lethargy.

Conclusion

Ayurveda defines Eczema as "Vicharchika," stemming from a Pitta dosha imbalance. It emphasizes the close connection between skin health and overall well-being. Symptoms encompass itching, redness, dryness, blisters, and emotional impact. Ayurvedic treatments focus on rebalancing doshas, employing therapies like Takra Dhara, Lepa, and specific herbal formulations. Additionally, dietary adjustments, yoga, meditation, and lifestyle modifications are integrated. However, it's crucial to combine Ayurvedic and conventional medical care for a comprehensive approach to managing Eczema, ensuring individuals receive the best possible support for their skin health and overall well-being. For more information, click here.

Written By:?Dr Usha Nagavarapu?(Ayurvedic Dermatology and Aging Science (Longevity))

Please visit?www.televeda.us?to consult with?Dr Usha Nagavarapu