Unfortunately the photo isn't clear enough for a definitive diagnosis, which is why Andy posted that chart. Its likely going to be either ich or epistylis. I'd say ich, but you are sat in front of your aquarium and are better placed to determine which.
While a medication to treat one should also treat the other, the temperature you treat at is complete opposite with these 2 infections. Ich needs the temperature raising to shorten the life cycle to a manageable period, otherwise you need to medicate for at least a month at tropical temperature, 3 or 4 months at temperate temperature. Epistylis needs the temperature lowering so the parasites go dormant and your medication can kill them.
If you are saying its ich, then the only way to reliably treat this is temperature and medication. Heat and salt might work, but its not guaranteed. In a similar way that antibiotic resistance is becoming more of a thing, heat and salt resistant ich parasites are becoming more prevalent. But we have to factor in that some of your fish aren't tolerant to medication. The loaches in particular. You could try heat and salt and see how that goes, but be prepared for it not to be effective. You could separate the medication intolerant fish into a hospital tank and treat your display tank with heat and medication. Treat the hospital tank differently, eg heat and salt, or resort to a bare bottom tank and do daily, big water changes to remove any freeswimming parasites and break the lifecycle over a couple of months that way.
Clown loaches are particularly prone to carrying ich. They look like babies in your photo, so are likely to be new additions to your aquarium. If they have been added in the last couple of months I would put money on them infecting your aquarium.