Sheetapitta is described in classical Ayurvedic texts as a type of Twak Vikara characterized by sudden appearance of Varti-Damshavat Shotha (raised eruptions), Kandu (itching), Daha (burning sensation) and sometimes Shula. It is considered a Tridoshaja Vyadhi with predominance of Vata and Kapha along with involvement of Pitta and Rakta. Due to vitiation of these Doshas, they circulate through Rasa and Rakta Dhatu and manifest on the skin. Nidana such as Viruddha Ahara, excessive intake of spicy, oily and allergenic food, and exposure to cold breeze play an important role in the manifestation of Sheetapitta. The clinical features of this condition closely resemble urticaria described in modern medicine. A single case study was conducted on a 38 year old female patient who presented with recurrent reddish elevated rashes associated with severe itching and mild burning sensation all over the body for the past four months. The symptoms were aggravated after consumption of spicy, oily and non-vegetarian food and were more prominent during night time. Based on classical signs and symptoms, the condition was diagnosed as Sheetapitta. The patient was managed with Ayurvedic Shaman Chikitsa aimed at pacifying the vitiated Doshas, purifying Rakta and improving Agni along with appropriate Pathya-Apathya. After the treatment, significant reduction in itching, swelling and erythematous rashes was observed along with decreased recurrence. This case suggests that Ayurvedic Shaman Chikitsa based on the principles of Dosha and Samprapti of Sheetapitta can effectively manage the condition and improve the quality of life of the patient.
2Dr. Sandeep T. Shinde 1*Dr. Vaibhav Bhaskar Jadhav (Wed,) studied this question.