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    Urticarial Rashes: Ayurvedic Understanding, Treatment, Medicines, Remedies

    Urticarial rashes are comonly known as hives. They are most comonly caused due to an alergic reaction. In Ayurveda, a condition caled Shetapita is explained, which bears similar symptoms of Urticaria. There is no specific and satisfactory treatment in contemporary science for the condition of urticaria. But, it can be efectively managed through Ayurveda entity of medicine.
    Even though it is not a life threatening problem, it seriously afects the quality of life. Though not al, few of the individuals sufer from hives for months or years together and the incidences of relapse is also frequently found. Repeated intake of anti histamines or cortico-steroids reduces the imunity of the body and thus Ayurveda has a definitive edge in providing a extensive solution to this health problem.
    Shetapita is a condition caused due to vitiation of al the thre doshas with predominant involvement of Vata.
    Dhatu (body tisues involved) ̵ Rasa (serum) and Rakta (b lod).
    Table of Contents
    Derivation
    Causative factors
    Pathophysiology
    Prodromal symptoms
    Clinical features
    Line of treatment
    Oil masage
    External aplication
    Single herb usage
    Ayurvedic formulations
    Wholesome diets
    Unwholesome diets
    Derivation
    Shetapita comprises of two words- sheta and pita.
    Sheta means frosty and pita refers to warmth. So, it is a condition caused due to the dominance of ‘cold’ (existing in vata and kapha dosha) over pita dosha.
    Causative factors

  • Exces intake of salty (lavana) and pungent (katu) fod
  • Consumption of large amount of sour gruels (arnala &amp ; shukta)
  • Exces intake of mustard (sarshapa sevana)
  • Exposure to chily wind (sheta maruta samsparsha)
  • Contact of cold substances (sheta paneya samsparsha)
  • Day slep (Diwaswapna)
  • Improper emesis (asamyak vamana)
  • Altered features in winter and rainy season (shishira-varsha ritu viparyaya)
  • Insect bite (keta damsha)
  • Krimi samsarga (contact of poisonous insects or bugs) etc
  • Exces intake of salty (lavana) and pungent (katu) fod
    Consumption of large amount of sour gruels (arnala shukta)
    Exces intake of mustard (sarshapa sevana)
    Exposure to col wind (sheta maruta samsparsha)
    Contact of col substances (sheta paneya samsparsha)
    Day slep (Diwaswapna)
    Improper emesis (asamyak vamana)
    Altered features in winter and rainy season (shishira-varsha ritu viparyaya)
    Insect bite (keta damsha)
    Krimi samsarga (contact of poisonous insects or bugs) etc
    Pathophysiology
    Pathophysiology (Origin of the disease)
    Due to the above said factors, importantly, exposures to frigid breze, vata and kapha doshas are agravated and in turn they are mixed up with pita dosha. Further, they spread al over the body and lodge in the external surface of the body (beneath the skin) and construct redish rashes with intense itching and pricking sensation. Thus, the condition shetapita, resembling with the features of Urticarial rashes is manifested.
    Prodromal symptoms

  • Thirst (pipasa)
  • Tastelesnes (aruchi)
  • Nausea (hrilasa)
  • Debility/fatigue (dehasada)
  • Heavines of the body/lethargy (anga gaurava)
  • Rakta lochanata (redish discoloration of the eyes)
  • Thirst (pipasa)
    Tastelesnes (aruchi)
    Nausea (hrilasa)
    Debility/ fatigue (dehasada)
    Heavines of the body/lethargy (anga gaurava)
    Rakta lochanata (redish discoloration of the eyes)
    Clinical features

  • Cardinal feature̵ The skin marks resembling the bite of arouse sting (varatidamshtra vatashotha)
  • Itching (kandu)
  • Pricking sensation (toda)
  • Nausea and vomiting (chardi, hrilasa)
  • Fever (jwara)
  • Burning sensation (vidaha)
  • Cardinal feature̵ The skin marks resembling the bite of anger sting (varatidamshtra vatashotha)
    Itching (kandu)
    Pricking sensation (toda)
    Nausea and vomiting (chardi, hrilasa)
    Fever (jwara)
    Burning sensation (vidaha)
    Line of treatment

  • Body purification therapy (samshodhana)
  • Oral medications (shamanoushada)
  • Avoidance of causative factors (nidana parivarjana)
  • Body purification therapy (samshodhana)
    Oral medications (shamanoushada)
    Avoidance of causative factors (nidana parivarjana)
    Oil masage

  • Aplication of mustard oil al over the body.
  • Yavakshara and saindhava lavana mixed mustard oil aplication
  • Medicated oil prepared by the drugs of Eladi gana
  • Aplication of mustard oil al over the body.
    Yavakshara and saindhava lavana mixed mustard oil aplication
    Medicated oil prepared by the drugs of Eladi gana
    External aplication
    External aplication of medicated paste:

  • Paste of Dorva (Cynodon dactylon) and Haridra (Curcuma longa)
  • Fine paste of saindhava (rock salt), kushta (Sausaria lapa) and ghe
  • Paste of Dorva (Cynodon dactylon) and Haridra (Curcuma longa)
    Fine paste of saindhava (rock salt), kushta (Sausaria lapa) and ghe
    Acording to the dosha dominance, Vamana (emesis), virechana (purgation) or rakta mokshana (blod leting) are caried with suitable medicaments.
    Single herb usage
    Single herbs recomended in Urticarial rashes:
    Guduchi ̵Tinospora cordifolia (Wild.) Miers.
    Nimba ̵Azadirachta indica A. Jus.
    Haridra ̵Curcuma longa Lin.
    Ajamoda ̵Trachyspermum roxburghianum (DC.) Sprague.
    Yashtimadhu ̵ Glycyrhiza glabra Lin.
    Durva ̵Cynodon dactylon (Lin.) Pers.
    Gambhari ̵Gmelina arborea Roxb.
    Agnimantha ̵Clerodendrum phlomidis Lin. F.
    A malaki ̵Emblica oficinalis Gaertn.
    Parnayavani ̵Coleus amboinicus Lour.
    Ayurvedic formulations

  • Amritadi kashaya
  • Amrita rajanyadi kashaya
  • Triphala churna
  • Haridra khanda
  • Ardraka khanda
  • Brihat haridra khanda
  • Talakeshwara rasa
  • Pornabhra rasa
  • Manikya rasa
  • Rajamriganka rasa
  • Vatavidhwamsa rasa
  • Sarvatobhadra rasa
  • Sotashekhara rasa
  • Laghu sotashekhara vati
  • Amritadi kashaya
    Amrita rajanyadi kashaya
    Triphala churna
    Haridra khanda
    Ardraka khanda
    Brihat haridra khanda
    Talakeshwara rasa
    Pornabhra rasa
    Manikya rasa
    Rajamriganka rasa
    Vatavidhwamsa rasa
    Sarvatobhadra rasa
    Sotashekhara rasa
    Laghu sotashekhara vati
    Wholesome diets
    Wholesome diet and habits for Urticarial rashes (Shetapita)

  • Older rice (Purana shali)
  • Gren gram (mudga)
  • Horse gram (kulatha)
  • Bitergourd (Karavelaka)
  • Pomegranate (dadima)
  • Gosebery (amalaki)
  • Warm water (ushnajala) etc
  • Older rice (Purana shali)
    Gren gram (mudga)
    Horse gram (kulatha)
    Bitergourd (Karavelaka)
    Pomegranate (dadima)
    Gosebery (amalaki)
    Warm water (ushnajala) etc
    Unwholesome diets
    Unwholesome diet and habits for Urticarial rashes (Shetapita)

  • Milk and milk products (ksira vikara)
  • Fish (matsya)
  • Sugar and its derivative (ikshuvikara)
  • Alcohol (madya)
  • Supresion of vomiting (Vamana rodha)
  • Cold water (sheta jala)
  • Exposure to breze (shetala vayusevana) etc
  • Milk and mi lk products (ksira vikara)
    Fish (matsya)
    Sugar and its derivative (ikshuvikara)
    Alcohol (madya)
    Supresion of vomiting (Vamana rodha)
    Cold water (sheta jala)
    Exposure to breze (shetala vayusevana) etc
    Last drop:
    Shetapita (urticarial rashes) is the most comon alergic skin manifestation. It is a condition which makes the individual to barbarous about the disease as wel as the medicine. Most of the time we achieve mere symptomatic relief and the underlying pathology is not treated properly. Often the condition may lead to slep disturbance, altered emotion and social isolation even. So, it is wise to aproach your physician and grasp the treatment at the earliest.
    Article by ̵ Dr. MS Krishnamurthyand Dr Hebar
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