Vicharchika is skin lesions of varying size with inflammation, severe itching sensation, with bleeding in some cases, and this condition is as distressing as it causes disfigurement by affecting cosmetic look of an individual. In the present case study a 60 years old female consulted in Out-patient Department of Kayachikitsa Rama Ayurvedic Hospital, Rama University Mandhana Kanpur Uttar Pradesh Complain of the patient was recurrent skin rashes with redness, skin edema, intense itching, with crusting of skin flaking, blistering, cracking, oozing and bleeding of upper layer of skin over both hands. By examining the signs and symptoms of complaints of patient was diagnosed with vicharchika. In the present case report patient was intended to treat with some ayurvedic formulations under the treatment of Vicharchika.Vicharchika according to Ayurveda is Rakta Pradoshaja Vikara being involved of three Dosha with dominance of Kapha. The management available in current mainstream medicine is unsatisfactory. Various Ayurvedic treatments have been in use for these manifestations. The patient was considered suffering from Vicharchika and was treated with ayurvedic medicines. Patients condition was assessed for signs and symptoms of eczema which were cured after the treatment. This study is carried out as per International conference of Harmonization-Good Clinical Practices Guidelines (ICH-GCP) as per Declaration of Helsinki guidelines. This study shows that the cases of eczema can be successfully managed with Ayurvedic treatment only without any complications and side effects.