Exploring the Role of Laghumanjisthadi Kashaya and Mahatrinaka Taila in the Management of Eczema (Vicharchika): An Integrative Ayurvedic Review

Background: Vīcarcikā, described under Kṣudra Kuṣṭha in Ayurveda, closely resembles eczema, a chronic inflammatory skin disorder marked by itching, erythema, discharge, and lichenification. Long-term management remains difficult because of recurrent exacerbations and limitations of prolonged conventional therapy. Classical Ayurvedic formulations such as Laghumanjisthādi Kaṣāya and Mahātrināka Taila are traditionally indicated in skin disorders and may provide complementary therapeutic benefits. Methods: A narrative review of classical Ayurvedic texts and contemporary pharmacological literature was conducted to evaluate the therapeutic rationale, pharmacodynamic properties, and probable mechanisms of these formulations in Vīcarcikā. Results: The formulations predominantly contain Tikta and Kaṣāya Rasa drugs with anti-inflammatory, antipruritic, antimicrobial, antioxidant, and wound-healing properties. Laghumanjisthādi Kaṣāya may act systemically by correcting internal Doṣic imbalance, while Mahātrināka Taila provides localized symptomatic relief and promotes tissue healing. Contemporary studies support several of these biological activities. Conclusion: The combined internal and external Ayurvedic approach appears promising for eczema management and warrants further clinical evaluation. Keywords: Vīcarcikā, Eczema, Laghumanjisthādi Kaṣāya, Mahātrināka Taila