A Siddha-Based Approach to Healing Vaṟaṭci Karappāṉ (Eczema): A Case Study

Background

Eczema is a chronic inflammatory skin condition marked by itching, redness, dryness, and occasional discharge, often triggered by allergens, irritants, or genetic factors. It affects 5% to 20% of the global population. In Siddha medicine, eczema is referred to as Karappān.

Case Presentation

A 48-year-old male visited the Siddha Clinical Research Unit outpatient department with persistent itching, skin discolouration, swelling with pain, peeling skin, and foul odour. Affected areas included the armpits, groin, buttocks, genitals, and between the toes. The symptoms had persisted for over a year, occasionally accompanied by fluid and blood discharge. Previous conventional treatments offered only temporary relief.

Assessment

Based on Siddha clinical assessment and Envagai Thervu diagnostic method, the patient was diagnosed with Vaṟaṭci Karappāṉ (SN43-ICD 11). At baseline, his Eczema Area and Severity Index (EASI) score was 26, and the Patient-Oriented Eczema Measure (POEM) score was 20, indicating severe disease.

Results

The patient received Siddha-based internal and external therapies, along with lifestyle and dietary modifications. After treatment, his EASI score decreased to 1.6 and POEM score to 2, indicating near-complete recovery. No recurrence was reported during the follow-up period.

Conclusion

This case demonstrates the potential of Siddha medicine as an effective alternative for managing Vaṟaṭci Karappāṉ, particularly in chronic and recurrent cases. The holistic approach, which addresses both internal imbalances and external symptoms, contributed to sustained remission and improved quality of life.