The skin is the outermost covering of the body which acts as a protective barrier. But very often, it is exposed to many entitites which can damage it and may cause many of the skin disorders. About 10-20% of the general practice includes the patients suffering from skin diseases¹. In Ayurveda, Vicharchika has been discussed under the heading of Kshudra koshtha both by Acharya Charaka and Acharya Sushruta. The general causative factors described here are intake of mutually contraindicated foods, suppression of natural urges, intake of uncooked food, transgression of the prescribed order with reference to heat and cold etc. the symptoms described in Samhita are blackish brown eruptions associated with itching sensation and excessive exudation. The lines of treatment generally being described for all Kustha (Skin disorders) including both Panchakarma and oral medication. Vicharchika being one among kshudra kustha, is also a rasa, raktha and mamsa dhatu pradoshaja vikara². All the clinical features of Vicharchika can be very well correlated to clinical features of Eczema, which is a distinctive pattern of inflammatory response of the skin, induced by a wide range of external and internal factors acting singly or in combination.³ It includes the effect of various microorganisms, vast external environment, complex endocrine and metabolic transaction within the body and undue stress⁴. The condition can impact considerably on the quality of life of the affected individual by causing physical discomfort, emotional distress, sleep disturbance, restriction of domestic and social activities and by imposing extra financial costs, as it will become a socially disagreeable condition. So to manage this condition, snehana therapy of both bahya and anhyantara sneha was planned. Abhyantara sneha in the form of shaman sneha acts by normalizing the aggravated doshas, both of pitta pradhana and vata kapha pradhana conditions, without expelling them and without disturbing the normal doshas.⁵ it increases bala and Varna of dahtus⁶. Bahya sneha reduces the rookshata of twak which in turn may help in reducing the local inflammation and so the snigdhata and varna of twacha may be improved. Hence the present study was intended to assess the efficacy of Panchatikta Ghrita as shaman sneha along with the external application of Gandhkadya Malahara in Vicharchika vis-à-vis Eczema.