Management of Chronic Foot Eczema Through Ayurvedic Shodhana Therapy: A Case Report

Background: Eczema is a chronic inflammatory dermatosis with recurrent exacerbations and significant impact on quality of life. In Ayurveda, a comparable condition is described as Vicharchika, a subtype of Kushta. Virechana (therapeutic purgation) is considered a principal Shodhana therapy for skin disorders. Case presentation: A 40-year-old male construction worker presented with chronic eczematous lesions over both feet associated with severe pruritus, burning sensation, and persistent serous discharge for four years. Despite the chronicity of symptoms, routine investigations were within normal limits. The patient was managed exclusively with Ayurvedic interventions, primarily classical Virechana therapy following appropriate preparatory procedures, along with local wound care and internal medications. Outcome: Significant reduction in inflammation, discharge, and itching was observed within weeks. Complete healing of lesions with minimal residual hyperpigmentation was achieved within one month. No recurrence was noted during one year of follow-up. Conclusion: This CARE guideline–compliant case report highlights the potential role of Ayurvedic Shodhana therapy, particularly Virechana, in achieving sustained remission in chronic eczema (Vicharchika).