It’s a kind of skin rash with red, raised, itchy bumps. They may also burn or sting. Often the patches of rash move around. The condition frequently recurs.
The skin lesions in urticaria are caused by an inflammatory reaction in the skin, causing leakage of capillaries in the dermis and resulting in an edema which persists until the interstitial fluid is absorbed into the surrounding cells. (Are caused by the release of histamine and other mediators of inflammation from cells in the skin)
>Treatment is geared towards symptomatic management. Most of the chronic urticarial patients will experience remission within 1 year.
There are some diseases mentioned in Ayurveda, which share some similar features with the condition –Urticaria are Sheetapitta, udarda etc. among them Sheetapitta is the most apt description in relation with urticaria.
According to Madhavakara, sheetapitta is formed due to the extreme exposure to cold wind, the vata and kapha doshas in body got vitiated and in association with pitta dosha, they produce lesions both iexternally and internally.
The lakshanas for sheetapitta described by Madhavakara in Madhavanida is as:
Also specially mentioned that, the sheetapitta is more predominant with Vata dosha, so the factors which vitiate vata also act as the triggering factors for Sheetapitta.
In the aspect of Ayurvedic management, the doshas in concern are vata and pitta. So the treatments selected must be also in concern with the doshas.
As per the chikitsa sutras, Sodhana karma is the unique therapy which is more recommended for the sheetapitta condition.It includes:
Deepana and pachana is done by internally and externally by means of:
Medicated ghritha or thaila is given internally according to the condition and patients’ health.Externally abhyangam (Oil massage) is done with specified medicated oil.
According to the condition and dosha predominance, the sodhana karma is selected.