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What is Eczema?

Eczema is an immune mediated inflammation of the skin arising as a result of an interaction between genetic and environmental factors. It is derived from the Greek term “ekzein” which means to boil over. Dermatitis is a common term that is used interchangeably and depicts inflammation of the epidermal layer of skin. In Ayurveda Eczema is correlated to Vicharchika.

What are the symptoms of Eczema?

In acute cases, eczema appears as erythematous macules on the skin, that may go on to enlarge and become papules. Gradually it becomes a vesicle that oozes pus. Following this crust formation occurs which begins scaling and flakes away to heal.
In chronic cases, there will be less exudation but more lichenification, scaling and fissuring on the surface.


How to cure eczema – Treatment for Eczema in Ayurveda

Treatment of Eczema In Ayurveda, is included under Kushta Chikitsa in classics. Eczema can be understood as Vicharchika, mentioned as a kshudra kushta(minor skin ailment). There is an involvement of Kapha and Pitta dosha, along with Agni mandya ( reduced metabolism and sluggish hypersensitivity) vitiation There is also vitiation of rasa, rakta and kleda, which result in vesicle formation and oozing.


The first line of ayurveda eczema treatment is to reduce inflammation and normalise immune response. This is done by the administration of Deepana and Pachana drugs. Following this, measures to eliminate toxins are taken, which is done by adopting ayurveda panchakarma therapies like lepana, dhara etc are the ayurvedic remedy for Eczema
Once the toxins are eliminated, measures are taken to heal the vesicles and prevent relapse.






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What causes Eczema?

The exact cause of Eczema is unknown, but it is thought to be caused due to the combination of genetic and environmental factors. Endogenous factors:The risk of developing it is higher in first degree relatives, and is seen to be associated with the presence of filaggrin gene. Maternal intake of broad spectrum antibiotics during pregnancy has also been linked to early onset of Eczema. Exogenous factors: These include foreign particles like irritant,allergies and photodermatitis.

Stress does not cause Eczema, but it can aggravate already existing eczema. When under stress, the body produces a hormone called Cortisol. The Hypothalamic-pituitary-adrenal axis is also altered which leads to the release of neuropeptides that triggered dermatitis.

Commonly it is seen in the face, neck, scalp, extremities especially elbow and abdomen. Dishydrotic eczema: it is a type of eczema, localised to the palms, feet, and webspaces. It oozes and causes severe itching. The exact cause is unknown but goes away on its own within a span of three weeks.

Although seen in varying ages, the onset of disease is more common in childhood between the age group of 2-5 years.

• Contact eczema • Atopic eczema • Seborrheic eczema • Napkin eczema

It has been found that three out of five cases of Eczema have got moderate relief from Eczema flare and bacterial growth while using a bleach bath. There is also a reduction in the rate of relapse.

Certain foods like peanuts, eggs, sea-food, gluten, soy and tree-nuts can trigger an attack of eczema in some people. Even though there are no foods that directly pacify eczema, drinking optimum quantity of water and having foods rich in antioxidants like Indian Gooseberry, berries, grapes, red capsicum, lean meat etc have shown to reduce the flare in many.

If Eczema is suspected, always consult a physician who, after proper history taking may advise you to get a patch test done. Once the diagnosis is confirmed administration of cortico-steroids and antimicrobial therapy may be started immediately. Dressing in the form of wet dressing, patches and light therapy may also be given. In case of an eczema triggered by stress, counselling and cognitive behavioral therapy may also be started to reduce anxiety. start ayurveda treatment for this