IJRAP International Journal of Research in Ayurveda and Pharmacy 2277-4343 Moksha Publishing House 10.7897/2277-4343.174131 AYURVEDIC MANAGEMENT OF CHARMADALA (ATOPIC DERMATITIS) THROUGH SHAMANA AND SHODHANA CHIKITSA: A CASE REPORT Swarthi Shakya * Chhaju Ram Yadav 11 -0001 32 36 Charmadala, described under Kshudra Kustha in Ayurvedic literature and is characterized by Kandu (itching), Raga (erythema), Tvak Rukshata (dryness), and Tvak Patana (scaling) due to Pitta–Kapha vitiation. It closely resembles chronic eczematous dermatitis and atopic dermatitis. A 52-year-old male presented with recurrent erythematous lesions associated with severe itching, burning, watery discharge, swelling, and scaling for 3–4 years. Previous allopathic treatment provided only temporary relief with frequent recurrence. Based on clinical features and Ayurvedic assessment, the condition was diagnosed as Pitta–Kapha predominant Charmadala. The patient was initially managed with Shamana Chikitsa for 45 days, which included Panchatikta Guggulu Ghrita, Haridra Khanda, Panchnimba Churna, Ashtamurti Rasayana, Sheetapittabhanjana Rasa, Trivanga Bhasma, Kamadudha Rasa, Arogyavardhini Vati, Godanti Bhasma, Phalatrikadi Kwatha and Jwarahara Kashaya, Erandabhrishta Haritaki and Kutaki Churna along with external applications of Dadrughnalepa mixed with Gomutra and Jeevantyadi Yamaka were also prescribed. Partial improvement was observed in erythema, itching, burning sensation, discharge, swelling, and scaling. Considering the chronic and recurrent nature of the disease, Shodhana Chikitsa was planned. The patient underwent Deepana-Pachana with Panchakola Churna, followed by Snehapana, Sarvanga Abhyanga, Swedana, and Virechana Karma. All major symptoms improved significantly after treatment, with no recurrence during follow-up. This case highlights the effectiveness of a combined Shamana and Shodhana approach in the Ayurvedic management of Charmadala. Ayurveda Charmadala Kshudra Kustha Atopic Dermatitis Case Report