Skin is the largest organ of the body that constitutes the first line of defence and hence is first to be exposed to disease. Among them eczema is one of the most common clinical presentations. With an incidence of 2 -3 % of all medical problems and about 30 percent of all the dermatitis. Eczema is a non-contagious inflammation of the skin, characterised by erythema, scaling, oedema, vesiculation and oozing. In Ayurveda it is correlated with Vicharchika because of similar features like Kandu, Srava, Pidaka. Vicharchika is considered as Kshudra Kushta.[1] In the contemporary science there is no satisfactory treatment available with a lot of side effects and increased rate of recurrence. The unique line of management in Ayurveda helps in removing disease right from its root. Here is a case of Vicharchika (eczema) treated with this thinking to highlight treatment principles