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A 23-year-old businessman complained of dry and itchy skin with red rashes on the dorsal aspect of the palm in the right hand and the dorsal aspect of both the foot region. The onset of the symptoms was 3 years back, with redness, dryness and itching over the skin. He consulted a general practitioner and got symptomatic relief. Six months back, the symptoms relapsed, and he consulted a dermatologist. The biomedical diagnosis was chronic eczema based on the clinical examination and presentation. He tried topical ointments, steroids, immunosuppressants etc. The patient continued the medicine for 4 months and stopped completely as there was no improvement in the clinical condition. He now consulted Dr Gaurang Joshi. The ayurvedic diagnosis was Vicharcika. The line of treatment adopted are amahara, rakta sodhana, and punah punah sodhana cikitsa along with management of stress and boosting the immunity. He got complete relief from scaly lesions, redness and itching and is in remission when last followed up.