In Ayurveda, all skin diseases are included in Kushtha roga. There are two types of Kushtha roga i.e. Mahakushtha and Kshudrakushtha which are again classified into seven types and eleven types respectively. It is classified as one of the “Astha Mahagada”. Vicharchika (Eczema) is a type of kshudrakushtha often encountered by Ayurvedic Dermatologists characterized with symptoms like kandu (itching), srava (discharge), Pidaka (vesicles) and Shyava varna (discoloration). According to modern science, Vicharchika has similar clinical presentation as Eczema. Eczema is a form of dermatitis where inflammation of dermis occurs. It is also known as atopic dermatitis which is characterized by dry itchy skin with areas of poorly demarcated erythema and scale. The patient, in this case, had presented with reddish black/brown thickened skin lesions with intense pruritus and mild discharge, clinically diagnosed as Vicharchika. The treatment principles of Raktavaha sroto dusti and Kustha roga were adopted here. Main line of treatment for vicharchika in Ayurveda is Shodhana and shaman aushadhis. Ayurveda treats from the root of eczema by cleansing Doshas and balancing Doshas and Dhatus.