E-ISSN:2456-3110

Case Report

Neurodermatitis

Journal of Ayurveda and Integrated Medical Sciences

2025 Volume 10 Number 8 August
Publisherwww.maharshicharaka.in

Ayurvedic approach in the management of Charmakhya Kushta w.s.r. to Lichen Simplex Chronicus (Neurodermatitis) - A Case Report

Koundal K1*, Vyas H2
DOI:10.21760/jaims.10.8.46

1* Kshitiz Koundal, Post Graduate Scholar, Department of Kayachikitsa, Institute of Teaching and Research in Ayurveda, Jamnagar, Gujarat, India.

2 Hetal Vyas, Assistant Professor, Department of Kayachikitsa, Institute of Teaching and Research in Ayurveda, Jamnagar, Gujarat, India.

Introduction: Skin is the essential organ of the human body, which plays a vital role in cosmetology. It acts as a barrier and also vulnerable to a range of illnesses. The Nirukti of the Kushta is derived from the sutra “Kushnati Vapu Iti Kushtam” which means that causes Vikrati to the Shareera is called Kushta. In Ayurveda all skin disorders are classified as Kushta which is further divided into Mahakushta and Kshudra Kushta. Charmakhya is one of the Kshudra Kushta mentioned in Ayurvedic literature.

Case Presentation: A 55 years old male patient presented with blackish, thick discolouration on the medial aspect of right lower leg, associated with severe itching and burning sensation since 2 years.

Management and outcomes: The patient was treated with Shodhana Chikitsa i.e., Virechana and Matra Basti followed by Jalauka Avacharana along with Shaman Aushadhis. The patient showed significant improvement after the treatment.

Discussion: Ayurvedic treatment for Charmakhya Kushta typically involves a holistic approach incorporating dietary changes, detoxification procedures (such as Panchkarma) and herbal remedies helps in restoring Dosha balance and promoting skin health. Ayurveda not only alleviates symptoms but also promotes overall well-being and reduces dependency on allopathic medications. This holistic approach signifies a promising pathway for individuals seeking profound and enduring relief from conditions like Charmakhya.

Keywords: Charmakhya Kushta, Virechana, Shodhana, Shamana, Jalauka Avacharana

Corresponding Author How to Cite this Article To Browse
Kshitiz Koundal, Post Graduate Scholar, Department of Kayachikitsa, Institute of Teaching and Research in Ayurveda, Jamnagar, Gujarat, India.
Email: 		Koundal K, Vyas H, Ayurvedic approach in the management of Charmakhya Kushta w.s.r. to Lichen Simplex Chronicus (Neurodermatitis) - A Case Report. J Ayu Int Med Sci. 2025;10(8):274-282.
Available From
https://jaims.in/jaims/article/view/4567/

Manuscript Received Review Round 1 Review Round 2 Review Round 3 Accepted
2025-06-10 2025-06-26 2025-07-07 2025-07-16 2025-07-26
Conflict of Interest Funding Ethical Approval Plagiarism X-checker Note
None Nil Not required 10.36

© 2025 by Koundal K, Vyas H and Published by Maharshi Charaka Ayurveda Organization. This is an Open Access article licensed under a Creative Commons Attribution 4.0 International License https://creativecommons.org/licenses/by/4.0/ unported [CC BY 4.0].

J Ayu Int Med Sci 2025;10(8)274
Download PDFBack To ArticleIntroductionCase ReportObservations and ResultsDiscussionConclusionAppendix-1References
Kshitiz K et al. Ayurvedic approach in the management of Charmakhya Kushta

Introduction

The skin is the interface between humans and their environment is the largest organ in the body. It acts as a barrier, protecting the body from harsh external conditions and preventing the loss of important body constituents, especially water. In recent years, there has been a considerable increase in the incidence of skin problems in tropical and developing countries like India due to various reasons like poverty, poor sanitation, lack of hygiene and pollution etc.[1].

In Ayurveda the word “Kushta” practically refers to all skin conditions which is mainly classified into two types - Maha Kushta and Kshudra Kushta. According to Acharya Charaka Charmakhya is one among the Kshudra Kushta resembling a Hasticharma.[2]

In modern dermatology it can be compared with Lichen Simplex Chronicus. Lichen simplex chronicus is defined as a common form of chronic neurodermatitis that presents as dry, patchy areas of skin that are scaly and thick. The hypertrophic epidermis generally seen is typically the result of habitual scratching or rubbing of a specific area of the skin. The root of the disorder may be both a primary symptom, reflective of perhaps a psychological component or secondary to other cutaneous issues such as eczema or psoriasis.[3]

This mainly effects three Doshas (Kapha Pradhan Tridosha) and four Dushyas (Rasa, Rakta, Mamsa, Ambu). Twak Vikaras are mainly caused by Rakta Dusti and Virechana is the prime treatment for Raktaj Rogas.[4]

Hence Shodhana (Virecahana) was adopted since the Doshas are in Bahudoshavastha followed by Shamana and Jalauka Avacharana, which showed substantial results in curing the disease. Lichen simplex chronicushas been estimated to occur in approximately 12% of the population. The highest prevalence is typically from middle to late adulthood and often peaks at 30 to 50 years of age.[5]

Case Report

A 55 years old male patient presented with the complaint of blackish thick plaques with hyperpigmentation on the medial aspect of the right lower leg. It was associated with intense itching and burning sensation since 2 years.

H/O Present Illness

The patient was apparently normal 2 years back, then he gradually developed blackish dry patch associated with intense itching on the medial aspect of the right lower leg. After 6-7 months due to continuous habit of scratching or rubbing of a specific area of the skin, the patch became thick, lichenified and converted into plaque. It was associated with hyperpigmentation and burning sensation for which the patient consulted to a dermatologist, was instructed to take antihistamines and topical steroids. However, over the course of two months, he witnessed the thickening of hard skin and spread of the lesion due to continuous itching. For that the patient visited the Kayachikitsa OPD of the I.T.R.A, Jamnagar and got admitted for further management.

Past History: No H/O HTN, DM, IHD.

Family History: No any family history found.

Personal History

Diet: Veg (Amlarasapriti)

Appetite: Average

Jaran Shakti: Madhyam

Kostha: Madhyam

Sleep: 6-7 hours, Adequate

Exercise: Nil

Habits: Pan masala (2-3/day)

Temperament: Angry

Satva Pariskha: Madhyam

Mutra: 3-4 times/day

Mala Pravriti: 2 times/day, Normal consistency, Satisfactory

B.P: 120/80 mmhg

Pulse: 78/min

RR: 18/min

Temp: 37.6°C

Height: 170 cm

Weight: 76 kg

B.M.I: 26.29 kg/m2


J Ayu Int Med Sci 2025;10(8)275
Kshitiz K et al. Ayurvedic approach in the management of Charmakhya Kushta

Aakriti: Madhyam

Marital Status: Married

Occupation: Shopkeeper

Socio economic Status: Middle Class

Skin Examination (Sthanika Pareeksha)

Site of LesionType of LesionMeasure (in cm)DischargeScaling, ThicknessSignsAssociated Symptoms
Rt Lower leg (Medial aspect)Plaque
(irregular borders)		(10 cm approx.)Not presentPresent, more than 0.5 cm.Candle grease sign- Negative
Auzpitz sign- Positive		Itching, Burning Sensation

Lichenification: Present

Type of dermatitis: Neurodermatitis

Ashtavidh Pariksha

Naadi: Pitta Pradhan Vaat

Mutra: 3-4 times/day (Swetpeetabh)

Mal: 2 times/day (Satisfactory)

Jihva: Raktabh (Sama)

Shabda: Spastha

Sparsha: Rukshta

Druk: Samyak

Akruti: Madhyam

Dasha Vidha Pariksha

Prakriti: Vata-Kaphaj

Vikruti: Lakshan Nimittaj

Satva: Madhyam

Saar: Madhyam

Samhanana: Madhyam

Satmaya: Madhyam

Vaya: 55 yr

Praman: Weight - 76kg, Height - 170cms

Aharashakti: Madhyam

Vyamshakti: Madhyam

Nidana of Charmakhya Kushta

Aharaja: Amla Pradhan Ahara, Vidahi Ahara,

Vishamaashan, Viruddha Ahara.

Viharaja: Aatap Sevana (Exposure to Heat due to occupation), Aaghaataja (Due to continuous scratching).

Mansika: Chinta, Shoka, Krodha

Samprapti of Charmakhya Kushta:

Nidana Sevana
↓
Jatharagni Mandya
↓
Ama (Vikrita Dhatugata Rasotpatti)
↓
Tridosha Prakopa
↓
Dushti in Dhatus & Srotas causes Sroto Sangha at Twak, Rakta, Mansa and Lasika
(Dosha Dushya Sammurchana)
↓
Vata Sangha in Twak & causes Dushti of Kleda leads to Rukshata in Twachadi Dravyas.
↓
Krishna Aruna Vaivarnyata, Bahala, Hasticharmvat Lakshana of Twak, Leads to Charmakhya

Samprapti Ghatakas

  • Dosha - Vata Kapha Pradhan Tridosha
  • Dushya - Twak, Rakta, Mamsa, Lasika
  • Agni - Jatharagni mandya & Dhatwagni mandya
  • Ama - Jatharagni mandya janya ama & Dhatwagni mandyajanya ama
  • Srotas - Rasavaha, Raktavaha, Mamsavaha srotas
  • Sroto dushti Prakara - Sanga & Atipravrutti.
  • Udbhavasthana - Ama-Pakvashaya
  • Sanchara sthana - Tiryag Sira
  • Adhisthana - Twacha
  • Vyadhimarga - Bahya Vyadhi
  • Swabhava - Chirakari

Differential Diagnosis

  • Vicharchika
  • Dadru
  • Ek kushtha
  • Charmakhya

J Ayu Int Med Sci 2025;10(8)276
Kshitiz K et al. Ayurvedic approach in the management of Charmakhya Kushta

Final Diagnosis: Charmakhya

Lichen Simplex Chronics (Neurodermatitis)

(Doshas: Vata-Kapha Pradhan Tridosha)

Treatment Schedule

SNTreatment (Patient Admitted on 25/03/25)
1. Shodhana
▪ Virechana
▪ Jalaukavacharana
▪ Matra Basti
2. Shaman Chikitsa
3. Lepa Chikitsa
4. Nidana Parivarjana
5. Pathya-Apathya Vivechana

Panchkarma Chikitsa

ProcedureMedicineDays & DateDose
1.  SnehapaanGuggulu Tiktakam Ghritam1. 27/3/25
2. 28/3/25
3. 29/3/25
4. 30/3/25
5. 31/3/25
6. 1/4/25
7. 2/4/25		30ml
60ml
100ml
130ml
150ml
180ml
200ml
2.  Sarvang Abhyanga & Naadi SwedaBala Taila3 days (3/4/25 - 5/4/25)Quantity Sufficient
3.  VirechanaManibhadra Guda
Triphala Kwath
Abhyaadi Modaka		On 4th day (6/4/25)
(16 Vegas are obtained)		150gms
150ml
2 tabs
4.  Samsarjana KramaPathya advised5 days- 
5.  JalaukavacharanaJalauka4 sittings- 
6.  Matra BastiNimbadi Taila8 days (11/4/25- 18/4/25)60 ml
7.  LepaDashang Lepa7 daysQuantity Sufficient

Sneha Siddhi lakshanas were observed on the 7th day of Snehapana, like Snigdha Varcha, Gatra Mardavata etc.

  • Vegiki - 16 Vega (Madhyam Suddhi obtained)

  • Antiki - Kaphanta
  • Laingiki - Buddhi, Indriya Shuddhi, Agnideepana, Vatanulomana.

After Virechana Karma, Jalaukavacharana was done during Samsarjan Krama, and 4 siitings are performed at 7 days interval.

After Matra Basti the patient was discharged from the IPD on 19/04/25, and the Lepa was done on OPD basis i.e., on follow ups i.e., 27/04/25 - 5/05/25.

Follow-up: After each 7 days.

Shaman Chikitsa

(Shaman Aushadhi is given after Samasarjan Krama for 30 days)

SNShamanoushadiMatra
1. Panchtikta Kwath
Manjisthadi Kwath		40ml BD before food
2. Arogyavardhini Ras- 250mg
Gandhak Rasayana- 125mg
Panchnimba Churna- 3 gms		BD after food with lukewarm water
3. Kaishor Guggulu2 tabs BD after food with lukewarm water
4. Gandhak MalharFor local application
5. Jivantyaadi YamakFor local application
6. Rasamanikya- 65mg
Manjistha Churna- 3gms
Sariva Churna- 3gms
Patola Churna- 3 gms
Guduchi Churna- 3 gms
Khadir Churna- 3gms		BD after food with lukewarm water

Pathya Apathya

Pathya - Mudga Yusha, Regular Home-made food, Koshna Jala, Pranayama.

Apathya - Diwaswapna, Scratching, Dadhi Sevana, Sheeta Ushna Vyatyasa, Consumption of excessive Katu, Tikta, Lavana Rasa Sevana.


Observations and Results

ObservationsBefore TreatmentAfter SnehapaanAfter VirechanaAfter JalaukavacharanaAfter Matra BastiIst Follow up2nd Follow up
Size shapeIrregularPresentPresentReducedReducedReducedAbsent
ColourBlackishPresentReducedReducedReducedReducedAbsent
Thickness>0.5cm in diameterReducedReducedReducedReducedReducedNormal
LesionsDry, PlaquesReducedReducedReducedReducedAbsentAbsent
MoistureDryness, no sweatingPresentReducedReducedReducedAbsentAbsent
TemperatureWarmthPresentPresentAbsentAbsentAbsentAbsent
Mobility and turgorReducedPresentPresentPresentPresentPresentPresent
TextureRoughPresentPresentReducedReducedReducedAbsent
Candle Greece SignNegativeNegativeNegativeNegativeNegativeNegativeNegative
Auspitz SignPresentPresentPresentPresentPresentAbsentAbsent

Result is indicated in Photographs below i.e., (Photo 1-8)


J Ayu Int Med Sci 2025;10(8)277
Kshitiz K et al. Ayurvedic approach in the management of Charmakhya Kushta

jaims_4567_01.JPG
1. Before Treatment

jaims_4567_02.JPG
2. After Snehapaana

jaims_4567_03.JPG
3. After Virechana

jaims_4567_04.JPG
4. During Jalaukavacharna

jaims_4567_05.JPG
5. After Jalaulavacharna

jaims_4567_06.JPG
6. After Matra Basti (Pt Discharged)

jaims_4567_07.JPG
7. First Follow Up (27/04/25)


J Ayu Int Med Sci 2025;10(8)278
Kshitiz K et al. Ayurvedic approach in the management of Charmakhya Kushta

jaims_4567_08.JPG
8. Second Follow Up (5/05/25)

Assessment Criteria

A special scoring pattern for assessment of Subjective Parameters [Kandu (itching), Pidika (eruptions), Vaivarnya (discolouration), Vedana (pain), Srava (discharge), Twak Rukshta (dryness of skin), Shotha (inflammation), Daha (burning sensation), Raji (striae), Paka, Disturbed sleep and Irritability] was adopted from previous research work, where effect was assessed on the basis of changes occurred at the end point in comparison to base line score. Which was 20 before treatment and after treatment which was reduced to 4.

Assessment of patients also was done by following scale:(Appendix 1)

1. DLQI (Dermatology Life Quality Index)[6] - To measure health related quality of life of patients (before treatment: 15 & after treatment: 2) (Appendix 1)

Discussion

Lichen simplex chronicus is a form of chronic localized pruritus with a secondary dermatitis, and one of the most common types of chronic itch conditions, estimated to affect more than 10% of the general population.[7] Lichen Simplex Chronicus is reminiscent of Charmakhya Kushta, with symptoms such as Kharasparshata, elephant-like skin (Hasticharmavata), and itching. Charmakhya Kustha mostly presents Vata Kaphja Dhusti, which induces Dushti in Ras and Rakta Dhatus. Dhatus and Srotas comprise Sroto Sangha in Twak, Rakta, Mamsa, and Lasika. Vata Sangha in Twak generates Kleda Dushti, which leads to Rukshata in Twachadi Dravya. Krishna Aruna Vaivarnyata, Bahala, and Twak's Hasticharmavat Lakshana led to Charmakhya.[8]

By Proper understanding of Nidana, lakshana, Samprapti, Rogi Bala, Roga Bala, Desha, Kaala, Ritu, Avastha of disease we can treat the condition by adapting treatment procedures like Snehapana, Saravnga Abhyanga Swedana, Virechana, Jalaukavacharana, Matra Basti, Lepa along with Shamanoushadi and Pathya Ahara Vihara. The mode of action of procedure and drugs are as follows:

Snehapaan (Panchtikta Ghrita Guggulu): Panctikta Ghrit Guggulu consist of drugs like Giloy, Neem, Kantkari etc. which acts as an agent or a substance that inhibits the manifestation of immediate hypersensitivity. And help to reduce oxidative stress, by scavenging free radicals. It acts as Kandughana, Krumighna and Raktshodhaka hence useful in Charmakhya Kustha.[9] Tikta Rasatmaka, Madhur Vipaki and Ushna Viryatmaka properties of Ghrita acts mainly on Kleda, Meda, Lasika, Rakta, Pitta and Kapha which helps in balancing the vitiated Dosha and Dhatu.

Virechana (Manibhadra Guda): It is a Tridoshahara formulation acts on Kapha and Pitta Shamaka and Vatanulomaka, offers anti-inflammatory benefits in managing Lichen simplex Chronicus through its key ingredients Vidanga, Trivrit, Amalaki and Haritaki. Hence it is used in Virechana since it is a particular therapy for Pitta Dosha, it may also eliminate Kapha Dosha.

Jalaukavacharana: It is a Pancha Shodhana by Acharya Sushruta; it is advised in Vata, Pitta, Kapha, Dushta Shonita, Kushta Roga. Jalaukavacharana was performed to achieve Raktashuddhi as Rakta is one of main Dushya.[10]

Basti: Matra Basti was done with Nimbadi Taila. Taila is best for Shamana of Vata & it does not increase Kapha.[11] Nimba is the one of the drugs for Kushta Roga & Sneha Basti is best for Vata Shamana. Therefore, Nimba Taila Matra Basti is helped in the treatment of Charmakhya Kushta.[12]

Dashang Lepa: Dashang Lepa is a combination of 10 drugs and mainly used for inflammatory condition like swelling & edema, also used in headache, itching and skin diseases.[13] The ingredients of Dashang Lepa having anti-inflammatory, anti-allergic, antioxidant and calming & soothing properties.[14]

Jeevantyadi Yamak: It is a combination of two Sneha, Taila and Ghrita which effectively manages the Rukshata of skin and improve skin texture.


J Ayu Int Med Sci 2025;10(8)279
Kshitiz K et al. Ayurvedic approach in the management of Charmakhya Kushta

Rasamanikya: The major ingredients of Rasmanikya are Tamara Bhasma, Hartala and Abhrak Bhasma. Tamara Bhasma helps in red blood cells formation thus restore complexion and colour of skin. The skin predominance to Vata Dosha remain dry and sensitive to touching sensation, Rasmanikya pacifies excess Vata thus prevent skin dehydration and sensitivity. Rasmanikya correct aggravated Kapha Dosha thus help to maintain skin texture and tolerant to sun exposure.[15]

Arogyavardhini Vati: It has Kutki as main ingredient that has anti-pruritic and antioxidant properties and works as Dhatu Poshaka (promotes body tissue), hence resolving morbidity at Dhatu level. It is, Deepani (appetiser), Pachani (digestive), Tridoshashamaka (pacify all Doshas), and is indicated in Kushtha treatment.

Kaishor Guggulu: It is indicated explicitly in Vata Rakta, Vrana, and Kushtha. It acts as an antiallergic, anti-bacterial and blood purifier.[16]

Gandhak Rasayana: It is widely used in the treatment of skin disorders. Shoditha Gandhaka is Agnideepaka, Amapachaka, Amanashaka, Vishahara, Soshaka, Kruminashaka. All properties essential to treat Kushta are present in Shuddha Gandhaka.[17] Gandhaka Rasayana relieves discolouration of skin, helps to re-establish natural colour, alleviates Dooshita Kapha and Visha.[18]

Conclusion

Kushtha is described as one of the most chronic diseases in the Ayurvedic system of medicine. Skin is an essential organ of communication with the external world, the seat of Saparshanendriya. Therefore, any Apathya seven and Manasika Nidana leading Tridosha prakopa, due to Dosha Dushya Samurchana and Khavaigunya in Twacha manifests the disease Charmakhya Kushta. This case study shows that the Charmakhya Kustha can be successfully treated with the Shodhan, Shaman, and Bahirparimarjan Chikitsa. Since this is a single case study, it is recommended that research be conducted on a larger number of patients to demonstrate the efficacy of ayurvedic treatment modalities with no adverse reactions.

Patient Perspective

After getting disease, I tried several allopathic treat-ments to heal, but I wasn't satisfied with outcome.

Then, I decided to start an ayurvedic treatment. I started to feel better after starting the customized ayurvedic regimen, which included Panchakarma and ayurvedic medications.

I am very appreciative of my health's steady improvement without side effects.

Informed Consent

Patient consent was obtained before publishing the paper

Appendix-1

Assessment Criteria for Chief Complaints

1) Kandu - Itching

No Kandu at all0
Very mild Kandu (Rarely/sometimes itch)1
Mild Kandu (Itching is there for small time period)2
Moderate Kandu (Itching is there continuously in specific time day/night)3
Severe Kandu (Itching is present continuously regardless of specific time period)4

2) Pidika - Eruptions

Absence of Pidika0
Very mild Pidika (1-2 Pidika)1
Moderate Pidika (upto 10 Pidika per lesion)2
Severe Pidika (10-20 Pidika per lesion)3
Very severe Pidika (more than 25 Pidika per lesion)4

3) Vaivarnya - Discolouration

Normal color of skin0
LohitaVarna (Reddish coloration of skin)1
LohitaShyavaVarna (reddish black discoloration of skin)2
ShyavaVarna (blackish discoloration of skin)3
ShyamaVarna (black discoloration of skin)4

4) Vedana - Pain

Absent0
Pain occasionally after itching1
Mild pain after itching2
Moderate pain (Continuous pain without disturbance in sleep)3
Severe pain (Continuous pain with disturbed sleep)4

5) Srava - Discharge

No discharge0
Mild discharge1
Moderate discharge2
Severe discharge3
Excessive discharge with foul smelling4

J Ayu Int Med Sci 2025;10(8)280
Kshitiz K et al. Ayurvedic approach in the management of Charmakhya Kushta

6) Twak Rukshata - Dryness of Skin

No line on scrubbing with nail0
Faint line on scrubbing by nail1
Lining and even words can be written by nail2
Excessive Rukshataleading to Kandu3
Rukshata leading to crack formation4

7) Shotha – Swelling/Inflammation

No Shotha0
Shotha present in less than 25% of area1
Shotha present between 25-50% of the area2
Shotha present between 50-75% of the area3
Shotha present more than 75% of area4

8) Daha - Burning Sensation

Absence of burning sensation0
Very mild (Burning sensation rarely)1
Mild (Burning sensation on and off)2
Moderate (Burning sensation is there continuously in specific time day/night)3
Severe (Burning sensation is there continuously regardless of specific time period)4

9) Raji - Thickening of the Skin (Striae)

No thickening of the skin0
Thickening of the skin but no criss cross marking (Raji)1
Mild thickening with criss cross marking2
Thickening with criss cross marking3
Severe Lichnification4

10) Disturbed Sleep

Sound sleep0
Sometimes disturbed sleep due to Charmakhya1
Often disturbed sleep due to Charmakhya2
Daily disturbed sleep due to Charmakhya3
Unable to sleep for more than 3-4 hours per day due to Charmakhya4

11) Irritability

No irritation0
Mild irritation1
Sometimes irritation and followed by anger2
Often irritation and followed by anger and depression3
Continuous irritation followed by anger and depression4


Score: BT 20/44 AT 4/44 

DLQI (Dermatology Life Quality Index)[]

QuestionaryBTAT
1)  Over the last week, how itchy, sore, painful or stinging has your skin been?31
2)  Over the last week, how embarrassed or self-conscious have you been because of your skin?20
3)  Over the last week, how much has your skin interfered with you going shopping or looking after your home or garden?20
4)  Over the last week, how much has your skin influenced the clothes you wear?20
5)  Over the last week, how much has your skin affected any social or leisure activity?21
6)  Over the last week, how much has your skin made it difficult for you to do any sport?10
7)  Over the last week, has your skin prevented you from working or studying10
8)  Over the last week, how much has your skin created problems with your partner or any your close friends or relatives?10
9)  Over the last week, how much has your skin caused any sexual difficulties?00
10) Over the last week, how much of a problem has the treatment for your skin been, for example by making your home messy, or by taking up time?10
Total15 (very large effect)2 (small effect)

The scoring of each question is as follows:

Scoring
Very much3
A lot2
A little1
Not at all0
Not relevant0

ScoreInterpretation
0-1No effect at all on patients’ life
2-5Small effect on patients’ life
6-10Moderate effect on patients’ life
11-20Very large effect on patients’ life
21-30Extremely large effect on patients’ life

References

1. Khopker U, editor. Skin Diseases and Sexually Transmitted Infection. 2nd ed. Pune: Balani Book Depot; p. 14 [Crossref][PubMed][Google Scholar]

2. Charaka. Charaka Samhita of Agnivesha, elaborated by Charaka and redacted by Dridhabala. Shukla V, Tripathi RD, editors. Foreword by Sharma PV. Vol II. New Delhi: Chaukhamba Sanskrit Pratishtan; 2006. Reprinted 2019. Chikitsa Sthana, Chapter 7, Verse 21. p.184 [Crossref][PubMed][Google Scholar]


J Ayu Int Med Sci 2025;10(8)281
Kshitiz K et al. Ayurvedic approach in the management of Charmakhya Kushta

3. Charifa A, Badri T, Harris BW. Lichen Simplex Chronicus. 2023 Aug 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 29763167 [Crossref][PubMed][Google Scholar]

4. Shastri K. Charaka Samhita Ayurveda Dipika Commentary of Chakrapanidatta. Varanasi: Chaukhambha Prakashan; Chikitsa Sthana, Chapter 7, Verse 40. p. 376 [Crossref][PubMed][Google Scholar]

5. Charifa A, Badri T, Harris BW. Lichen Simplex Chronicus. 2023 Aug 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 29763167 [Crossref][PubMed][Google Scholar]

6. Johns JR, Vyas J, Ali FM, Ingram JR, Salek S, Finlay AY. The Dermatology Life Quality Index (DLQI) used as the benchmark in validation of 101 quality of life instruments: A systematic review. J Eur Acad Dermatol Venereol. 2024 Sep 13. doi: 10.1111/jdv.20321 [Crossref][PubMed][Google Scholar]

7. Ju T, Vander Does A, Mohsin N, Yosipovitch G. Lichen Simplex Chronicus Itch: An Update. Acta Derm Venereol. 2022 Oct 19;102:adv00796. doi: 10.2340/actadv.v102.4367. PMID: 36250769; PMCID: PMC9677261 [Crossref][PubMed][Google Scholar]

8. Charaka. Charaka Samhita of Agnivesha, elaborated by Charaka and redacted by Dridhabala. Shukla V, Tripathi RD, editors. Foreword by Sharma PV. Vol II. New Delhi: Chaukhamba Sanskrit Pratishtan; 2006. Reprinted 2019. Chikitsa Sthana, Chapter 7, Verse 21. p.184 [Crossref][PubMed][Google Scholar]

9. Sharma PV. Charaka Samhita, Chikitsa Sthana, Kushthrogadhikara, Chapter 7, Verse 16. 2nd ed. Varanasi: Chaukhamba Orientalia; 1994. [Crossref][PubMed][Google Scholar]

10. Trikamji VJ, Narayana Ram A, editors. Sushruta Samhita, Sutrasthana, Shastravacharniya Adhyaya. Vol 8. 2nd ed. Varanasi: Chaukhamba Surbharti Prakashan; 1990. p.23 [Crossref][PubMed][Google Scholar]

11. Kushwala HCS. Charaka Samhita. Vol I. Varanasi: Chaukhamba Orientalia; Reprint ed. 2016. Sutra Sthana, Chapter 13, Shloka 14. p.327 [Crossref][PubMed][Google Scholar]

12. Sitaram B, Chunekar KC. Bhavaprakash of Bhava Mishra. Vol I. Varanasi: Chaukhamba Orientalia; Reprint ed. 2014. Purva Khanda, Prathmabhaga Guduchyadivarga, Chapter 6, Shlokas 94–96. p.251 [Crossref][PubMed][Google Scholar]

13. Shastri N. Bhaisajya Ratnavali of Kaviraj Govind Das Sen. Varanasi: Chaukhamba Surbharati Prakashan; 1st ed. 2005. Chapter 57, Verse 18 [Crossref][PubMed][Google Scholar]

14. Sanket K, et al. A review article on Dasang lepa for jwara in children. World J Pharm Med Res. 2020;6(10):133–135. [Crossref][PubMed][Google Scholar]

15. Shivhare V, Tiwari N. Ayurveda Perspective of Rasamanikya and its Role in Skin Disorders: A Review. J Drug Deliv Ther [Internet]. 2019 Dec 15 [cited 2025 Aug 24];9(6-s):267–9. [Crossref][PubMed][Google Scholar]

16. Shastri P. Sharangdhara Samhita by Sharangadhara Acharya with Adhamalla’s Dipika and Kasirama’s Gudartha Deepika. Varanasi: Chaukhamba Orientalia; Reprint ed. 2018. Chapter 7, Verses 70–81. p.203–204 [Crossref][PubMed][Google Scholar]

17. Satpute AD. Rasaratna Samuchchaya, Sanskrit text with English translation. Delhi: Chaukhamba Sanskrit Pratishthan; Reprint ed. 2017. Chapter 3, Uparasa and Sadharana Rasa. p.55 [Crossref][PubMed][Google Scholar]

18. Savrikar SS. Sharangadhara Samhita of Sarangadhar, translated into English. Vol II. Delhi: Chaukhamba Sanskrit Pratishthan; 1st ed. 2020. Madhyama Khanda, Chapter 6/15, Churna Kalpana. p.179 [Crossref][PubMed][Google Scholar]

Disclaimer / Publisher's Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of Journals and/or the editor(s). Journals and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.


J Ayu Int Med Sci 2025;10(8)282