Case report on Ayurvedic management of Eczema with special reference to Charma Kushta

Skin inflammation is referred to as eczema, also referred to as dermatitis. Erythema, vesiculation, and oozing are the symptoms of acute eczema, followed by subacute scaling and crusting and chronic lichenification. According to Ayurveda, Charmakushta which is one among the 18 types of Kushta can be correlated to chronic stage of eczema. This condition can be managed with Sodhana and Shamana principles mentioned in Kushta. The subjective parameter like pruritus is assessed with NRS(numeric rating scale) and EASI score (eczema area and severity index) was taken for measuring area or extent along with severity. Sleep disturbance was measured using atopic dermatitis sleep score (ADSS) and DLQI (Dermatology Life Quality Index) was also assessed. All these parameters were assessed before and after treatment and also after follow up. DLQI of the patient was 66.6%before treatment which was reduced to 26.6% after treatment and 13.3% after follow up. NRS score has showed a 5 point decrease in the score and ADSS showed a marked decrease in mean score after follow up. EASI score also showed a marked reduction from 22 to 8.6 after follow up.