Ayurvedic understanding and management of Urticaria (a common allergic condition) under Allergy and Immunology:

Ayurvedic understanding and management of Urticaria (a common allergic condition) under Allergy and Immunology:

---

🔷 Disease: Urticaria (Hives)

---

🔹 Modern View:

• A hypersensitivity reaction of the skin causing raised, red, itchy wheals

• Triggered by food, drugs, stress, temperature, autoimmune factors

---

🔹 Ayurvedic Correlation:

Modern Name	Ayurveda Equivalent
Urticaria	Sheetapitta (शीतपित्त), sometimes Udarda, Kotha

---

📜 Classical References:

• Aṣṭāṅga Hṛdaya Uttara Tantra 31/4–7

• Mādhava Nidāna – Chapter 49

• Bhāvaprakāśa – Kṣudra Roga

“Sheetena pittasya sahasaḥ pragātam śarīrāt।
Karoti sheetapittaṁ swasthi sharīre॥” — A.H. Uttara 31

---

🔹 Samprāpti (Pathogenesis):

• Sudden exposure to cold, allergens, or faulty food triggers Pitta and Vāta/Kapha imbalance → spreads into Twak (skin), Rakta, and Māṁsa dhātu

• Presents as itching, swelling, redness, wheals

---

🔹 Doṣa Involvement:

Stage	Dominant Doṣa
Acute urticaria	Vāta-Pitta or Pitta-Kapha
Chronic urticaria	Tridoṣaja, Āma association, Ojakṣaya

---

🔹 Lakṣaṇāni (Symptoms):

• Kandu (itching)

• Sphōṭa (wheals/blisters)

• Dāha (burning)

• Raga (redness)

• Śīta or Uṣṇa sparsha sensitivity

---

🔹 Chikitsā Sūtra (Treatment Principle):

“Sheetapitte pittānulomanaṁ, śītalaṁ, raktaprasādanaṁ, virechanaṁ, deepanaṁ cha।”
– A.H. Uttara 31

---

🔹 Therapeutic Goals:

1. Pitta-Kapha shamana

2. Rakta shodhana and prasādana

3. Āma pachana (if chronic)

4. Ojas support / immunity balancing

---

🪔 Ayurvedic Management

---

🔸 Internal Medications:

Formulation	Use
Avipattikara churna	Virechana, Pittahara
Haridra Khanda	Anti-allergic, Rasāyana
Arogyavardhini vaṭi	Pitta-Kapha shamana
Gandhaka Rasāyana	Chronic urticaria, Rasāyana
Manjishṭhādi kwātha	Raktashodhana
Triphala Guggulu	Srotoshodhana, anti-inflammatory
Chandanasava	Dāha-hara, Pittahara
Sudarshana churna	Anti-pyretic, deepana, pitta shāmaka

---

🔸 External Therapies:

Procedure	Details
Lepa	Haridra + Chandana + Usheera paste to reduce itching
Takra Dhārā / Kṣīra Dhārā	In chronic & stress-induced cases
Snāna	Decoction bath with Nimba, Triphala, Chandana
Abhyanga	With Bala Taila or Chandanādi Taila in dryness stage

---

🔸 Rasāyana Therapy (for recurrence/immunity):

• Chyavanaprāsha, Guduchi satva, Swarna Bhasma (in minute dose)

• Yashtimadhu, Amṛta ghṛta, Brahma Rasāyana

---

🔸 Dietary Advice:

Avoid	Favor
Curd, fermented food, fish, eggs, shellfish	Warm water, barley, green gram soup
Excess sour/spicy, fried food	Boiled vegetables, bitter-tasting food
Incompatible food (Viruddhāhāra)	Light, freshly prepared meals

---

📘 Important Ślokas

A.H. Uttara 31/4–5:
“Tīvraṁ kanduṁ sphoṭaṁ dāhaṁ, śītapittam prachakṣate।
Sheetena pittasya sahasaḥ pragātaṁ śarīrāt॥”

Translation:
"Sudden exposure to cold disturbs Pitta, which spreads and causes intense itching, burning and wheals—called Śītapitta."

---

📊 Summary Table

Feature	Ayurveda
Disease	Sheetapitta / Udarda
Doṣa	Pitta + Vāta/Kapha
Dhātu	Rasa, Rakta, Tvak, Ojas
Srotas	Rasavaha, Raktavaha
Treatment	Virechana, Deepana, Rakta shodhana, Rasāyana
Key Drugs	Haridra, Guduchi, Manjishta, Gandhaka, Triphala

---

🧪 Evidence-Based Integration

• Haridra Khanda: Proven antihistaminic & immunomodulatory

• Guduchi: Modulates Th1/Th2 immune balance

• Manjishṭhādi Kwātha: Anti-inflammatory in skin conditions

• Clinical evidence available in IJAR, AYUSH Portal, and J-AIM