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A 60-year-old female patient presented with dry hard skin in the dorsal aspect of both feet with occasional itching that resulted in bleeding followed by the shedding of scales for 2 years.

The patient had taken steroids and antihistamines, and oral medications past 2 years, but did not get relief. So she consulted Dr Soumya, for better Ayurvedic management of her symptoms. Based on the clinical evaluation, Dr Soumya made a biomedical diagnosis as Eczema and an ayurvedic diagnosis as Vicharcika. The line of treatment followed was Vishahara, kanduhara, vrana ropana and initiate rakta shuddhi. After one and half months of treatment, a significant reduction in the symptoms was observed. Itching followed by bleeding was observed rarely. After 5 months of Ayurvedic treatment, the patient is completely free from all the symptoms.This case report demonstrates the successful standalone ayurvedic management of a chronic case of eczema, in a patient who was not responding to the standard of care.